NCC EFM EXAM FLASHCARDS with correct answers

NCC EFM EXAM FLASHCARDS What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - correct answer Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Primary reason for continuous EFM - correct answer Legal reasons. No real benefit of continuous EFM according to studies. Correlation found between continuous EFM and Deliveries. - correct answer continuous EFM found to have increase rates of assisted vaginal deliveries or cesarean deliveries. VBAC vs TOLAC - correct answer TOLAC (Trial Of Labor After Cesarean)- attempt to deliver vaginally after previous c-sec. VBAC (Vaginal Birth After Cesarean)- successful TOLAC How is variability related to fetal metabolic acidemia? - correct answer Moderate variability indicates absence of fetal metabolic acidemia. Accelerations indicates absence of fetal metabolic acidemia. *Lack of either does not automatically indicate presence of fetal acidemia* Describe Sensitivity vs. Specificity vs. Reliability - correct answer Sensitivity: the ability to detect a healthy fetus Specificity: the ability to detect compromised fetus Reliability: how reliable the test is EFM sensitivity is high (highly reliable at detecting healthy baby), specificity is low (lowly reliable at detecting compromised- 99.8% false positive for fetal compromise). What are the EFM paper parameters? - correct answer Horizontal axis: 3cm/min Vertical axis: 30 bpm What are the 2 requirements for FSE use? - correct answer Requires cervical dilation more than 2cm Requires ROM When should nd FSE no be placed? - correct answer Positive GBS status, Syphilis, Gonorrheal, HIV, Hep B, Hep C infections Premature fetus Suspected or Confirmed placenta previa Normal findings during active labor? - correct answer FHR: 110-160 bpm Variability: moderate with accelerations Contraction Rate: /= 5 contractions in 10 min over 30 min