NCC EFM Exam Breakdown & Study Guide EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025) Content on exam - Correct Answers ✅-Pattern recognition
& intervention: 70%
-Physiology: 11%
-Fetal assessment methods: 9%
-EFM equipment: 5%
-Professional issues: 5%
Pattern recognition & intervention - Correct Answers ✅- FHR baseline ✓ -FHR variability ✓ -FHR accelerations ✓ -FHR decelerations ✓ -Normal uterine activity ✓ -Abnormal uterine activity ✓ -Fetal dysrhythmias ✓ -Maternal complications ✓ -Uteroplacental complications ✓ -Fetal complications ✓ FHR Descriptors - Correct Answers ✅1) Baseline 2) Variability 3) Presence of accels 1 / 3
NCC EFM Exam Breakdown & Study Guide EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025) 4) Presence of decels 5) Changes in trends overtime FHR Baseline - Correct Answers ✅Average FHR rounded to nearest 5 during a 10 min window -110 to 160 -excludes accels, decels, & marked variability -must have 2 mins to identify as a baseline (doesn't need to be continuous) Fetal Bradycardia - Correct Answers ✅<110 for ≥10 min -Causes: hypotension (ex: after epi), cord prolapse, head compression, congenital defect, rapid descent, abruption or rupture, tachysystole, post dates, hypoglycemia, lupus (heart block) -With ↓ O2, blood will be shunted to brain, heart, & adrenals, eventually ↓ FHR to ↓ O2 demands of heart muscle -Verify not mom's HR, vaginal exam (r/o prolapse), resuscitate, evaluate arrhythmia, expedite delivery Fetal Tachycardia - Correct Answers ✅>160 for ≥10 min
-Causes: fetal anemia, maternal fever or infection, fetal
immaturity (preterm), SVT, maternal anxiety (catecholamines), dehydration, hyperthyroid, hypoxia 2 / 3
NCC EFM Exam Breakdown & Study Guide EXAM QUESTIONS AND ANSWERS 100% SOLVED (Newest 2025)
-Med causes: terbutaline, catecholamines (epinephrine,
norepi) -Assess mom's temp & infection risk (GBS, PROM) FHR Variability - Correct Answers ✅Irregular in amplitude & frequency, quantified by peak to trough -Caused by sympathetic vs parasympathetic, r/t neuro maturity -Less in preterm due to undeveloped CNS
-Absent: undetectable, flat
-Minimal: ≤5 bpm but detectable
-Moderate: 6-25 bpm
-Marked: >25 bpm (indeterminate baseline), significance
unknown Minimal variability - Correct Answers ✅≤5 bpm but detectable Sleep, sedated, or sick
-Sleep cycle: 20-60 mins
-Sedated: CNS depressant (ex: mag), 1-2 hrs
-Sick (acidemia): unresolved w intervention
-Priority: maximize oxygenation (position, bolus, O2 if
needed)
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