NCC EFM EXAM BREAKDOWN &
STUDY GUIDE EXAM WITH VERIFIED
ANSWERS
Content Ion Iexam I- Icorrect Ianswers I--Pattern Irecognition I& Iintervention: I70%
-Physiology: I11%
-Fetal Iassessment Imethods: I9%
-EFM Iequipment: I5%
-Professional Iissues: I5%
Pattern Irecognition I& Iintervention I- Icorrect Ianswers I--FHR Ibaseline I✓
-FHR Ivariability I✓
-FHR Iaccelerations I✓
-FHR Idecelerations I✓
-Normal Iuterine Iactivity I✓
-Abnormal Iuterine Iactivity I✓
-Fetal Idysrhythmias I✓
-Maternal Icomplications I✓
-Uteroplacental Icomplications I✓
, -Fetal Icomplications I✓
FHR IDescriptors I- Icorrect Ianswers I-1) IBaseline
2) IVariability
3) IPresence Iof Iaccels
4) IPresence Iof Idecels
5) IChanges Iin Itrends Iovertime
FHR IBaseline I- Icorrect Ianswers I-Average IFHR Irounded Ito Inearest I5 Iduring Ia I10
Imin Iwindow
-110 Ito I160
-excludes Iaccels, Idecels, I& Imarked Ivariability
-must Ihave I2 Imins Ito Iidentify Ias Ia Ibaseline I(doesn't Ineed Ito Ibe Icontinuous)
Fetal IBradycardia I- Icorrect Ianswers I-<110 Ifor I≥10 Imin
-Causes: Ihypotension I(ex: Iafter Iepi), Icord Iprolapse, Ihead Icompression, Icongenital
Idefect, Irapid Idescent, Iabruption Ior Irupture, Itachysystole, Ipost Idates, Ihypoglycemia,
Ilupus I(heart Iblock)
-With I↓ IO2, Iblood Iwill Ibe Ishunted Ito Ibrain, Iheart, I& Iadrenals, Ieventually I↓ IFHR Ito I↓
IO2 Idemands Iof Iheart Imuscle
-Verify Inot Imom's IHR, Ivaginal Iexam I(r/o Iprolapse), Iresuscitate, Ievaluate Iarrhythmia,
Iexpedite Idelivery
Fetal ITachycardia I- Icorrect Ianswers I->160 Ifor I≥10 Imin
-Causes: Ifetal Ianemia, Imaternal Ifever Ior Iinfection, Ifetal Iimmaturity I(preterm), ISVT,
Imaternal Ianxiety I(catecholamines), Idehydration, Ihyperthyroid, Ihypoxia
-Med Icauses: Iterbutaline, Icatecholamines I(epinephrine, Inorepi)
-Assess Imom's Itemp I& Iinfection Irisk I(GBS, IPROM)
FHR IVariability I- Icorrect Ianswers I-Irregular Iin Iamplitude I& Ifrequency, Iquantified Iby
Ipeak Ito Itrough
-Caused Iby Isympathetic Ivs Iparasympathetic, Ir/t Ineuro Imaturity
-Less Iin Ipreterm Idue Ito Iundeveloped ICNS
-Absent: Iundetectable, Iflat
-Minimal: I≤5 Ibpm Ibut Idetectable
-Moderate: I6-25 Ibpm
-Marked: I>25 Ibpm I(indeterminate Ibaseline), Isignificance Iunknown
Minimal Ivariability I- Icorrect Ianswers I-≤5 Ibpm Ibut Idetectable
Sleep, Isedated, Ior Isick
-Sleep Icycle: I20-60 Imins
-Sedated: ICNS Idepressant I(ex: Imag), I1-2 Ihrs
-Sick I(acidemia): Iunresolved Iw Iintervention
-Priority: Imaximize Ioxygenation I(position, Ibolus, IO2 Iif Ineeded)
Moderate Ivariability I- Icorrect Ianswers I-6 Ito I25 Ibpm
STUDY GUIDE EXAM WITH VERIFIED
ANSWERS
Content Ion Iexam I- Icorrect Ianswers I--Pattern Irecognition I& Iintervention: I70%
-Physiology: I11%
-Fetal Iassessment Imethods: I9%
-EFM Iequipment: I5%
-Professional Iissues: I5%
Pattern Irecognition I& Iintervention I- Icorrect Ianswers I--FHR Ibaseline I✓
-FHR Ivariability I✓
-FHR Iaccelerations I✓
-FHR Idecelerations I✓
-Normal Iuterine Iactivity I✓
-Abnormal Iuterine Iactivity I✓
-Fetal Idysrhythmias I✓
-Maternal Icomplications I✓
-Uteroplacental Icomplications I✓
, -Fetal Icomplications I✓
FHR IDescriptors I- Icorrect Ianswers I-1) IBaseline
2) IVariability
3) IPresence Iof Iaccels
4) IPresence Iof Idecels
5) IChanges Iin Itrends Iovertime
FHR IBaseline I- Icorrect Ianswers I-Average IFHR Irounded Ito Inearest I5 Iduring Ia I10
Imin Iwindow
-110 Ito I160
-excludes Iaccels, Idecels, I& Imarked Ivariability
-must Ihave I2 Imins Ito Iidentify Ias Ia Ibaseline I(doesn't Ineed Ito Ibe Icontinuous)
Fetal IBradycardia I- Icorrect Ianswers I-<110 Ifor I≥10 Imin
-Causes: Ihypotension I(ex: Iafter Iepi), Icord Iprolapse, Ihead Icompression, Icongenital
Idefect, Irapid Idescent, Iabruption Ior Irupture, Itachysystole, Ipost Idates, Ihypoglycemia,
Ilupus I(heart Iblock)
-With I↓ IO2, Iblood Iwill Ibe Ishunted Ito Ibrain, Iheart, I& Iadrenals, Ieventually I↓ IFHR Ito I↓
IO2 Idemands Iof Iheart Imuscle
-Verify Inot Imom's IHR, Ivaginal Iexam I(r/o Iprolapse), Iresuscitate, Ievaluate Iarrhythmia,
Iexpedite Idelivery
Fetal ITachycardia I- Icorrect Ianswers I->160 Ifor I≥10 Imin
-Causes: Ifetal Ianemia, Imaternal Ifever Ior Iinfection, Ifetal Iimmaturity I(preterm), ISVT,
Imaternal Ianxiety I(catecholamines), Idehydration, Ihyperthyroid, Ihypoxia
-Med Icauses: Iterbutaline, Icatecholamines I(epinephrine, Inorepi)
-Assess Imom's Itemp I& Iinfection Irisk I(GBS, IPROM)
FHR IVariability I- Icorrect Ianswers I-Irregular Iin Iamplitude I& Ifrequency, Iquantified Iby
Ipeak Ito Itrough
-Caused Iby Isympathetic Ivs Iparasympathetic, Ir/t Ineuro Imaturity
-Less Iin Ipreterm Idue Ito Iundeveloped ICNS
-Absent: Iundetectable, Iflat
-Minimal: I≤5 Ibpm Ibut Idetectable
-Moderate: I6-25 Ibpm
-Marked: I>25 Ibpm I(indeterminate Ibaseline), Isignificance Iunknown
Minimal Ivariability I- Icorrect Ianswers I-≤5 Ibpm Ibut Idetectable
Sleep, Isedated, Ior Isick
-Sleep Icycle: I20-60 Imins
-Sedated: ICNS Idepressant I(ex: Imag), I1-2 Ihrs
-Sick I(acidemia): Iunresolved Iw Iintervention
-Priority: Imaximize Ioxygenation I(position, Ibolus, IO2 Iif Ineeded)
Moderate Ivariability I- Icorrect Ianswers I-6 Ito I25 Ibpm
