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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q53-Q58):

NEW QUESTION # 53
Usually, the duration of an early deceleration in comparison with the contraction is:

A. Shorter
B. The same
C. Longer

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
An early deceleration is defined by NICHD and NCC as a gradual decrease and return of the fetal heart rate associated with uterine contractions. NCC emphasizes that early decelerations are:
* Symmetrical
* Uniform in shape
* Mirror images of the contraction
This means:
* Onset of deceleration = onset of contraction
* Nadir of deceleration = peak of contraction
* Recovery = end of contraction
* Duration of the deceleration # duration of the contraction
Thus, the correct answer is C. The same.
References:NCC C-EFM Candidate Guide; AWHONN Fetal Heart Monitoring Principles & Practices; NICHD Definitions; Menihan Electronic Fetal Monitoring; Simpson & Creehan Perinatal Nursing.

NEW QUESTION # 54
The fetal heart rate baseline is

A. normally between 110 and 170 beats per minute
B. established between periodic and episodic changes
C. documented in a 15 beats per minute range

Answer: B

Explanation:
Comprehensive and Detailed Explanation (From NCC C-EFM-Referenced Sources) The NCC C-EFM exam outline, along with AWHONN and Miller's Pocket Guide, define baseline fetal heart rate as the mean FHR rounded to increments of 5 bpm, measured over a 10-minute window, excluding:
* accelerations
* decelerations
* periods of marked variability
* any segments differing by >25 bpm
This aligns with ACOG, AWHONN, and Simpson's interpretation standards.
Option A is incorrect: the baseline is not documented as a 15-bpm range; it is documented as a single value (e.g., 140 bpm).
Option C is incorrect: the correct NCC/ACOG standardized normal baseline is 110-160 bpm, not 170.
Exact Extract Concepts Referenced:
- "Baseline is determined over a 10-minute period excluding periodic or episodic changes." (AWHONN FHR Principles)
- "Baseline is the mean FHR rounded to 5-bpm increments." (Miller's Pocket Guide)
- "Normal baseline is 110-160 bpm." (Simpson & Menihan; Creasy & Resnik)

NEW QUESTION # 55
Uterine contraction intensity is manually measured by degree of uterine:

A. Indentation
B. Pain
C. Muscle strength

Answer: A

Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Equipment Concepts:
When using external tocodynamometry, uterine contraction intensity cannot be measured in mmHg. It is assessed manually, using palpation. NCC and AWHONN teach:
* Contraction intensity is estimated by palpating the fundus during a contraction.
* The degree of firmness versus indentation determines intensity:
* Mild # uterus easily indented
* Moderate # firm, difficult to indent
* Strong # rigid, cannot be indented
Why the incorrect answers are wrong:
* B. Muscle strength - Not measurable by external or manual exam.
* C. Pain - Not a reliable indicator; pain perception varies widely and does not correlate with uterine intensity.
Thus, the correct manual measurement is done through uterine indentation, making A correct.
References:NCC C-EFM Candidate Guide; AWHONN Principles & Practices; Menihan EFM; Miller's Pocket Guide; Simpson & Creehan.

NEW QUESTION # 56
Tachysystole can have a negative effect on fetal oxygenation during labor by

A. blocking active transport of oxygen to the fetus
B. interfering with reperfusion of the intervillous space
C. increasing maternal blood pressure

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources NCC-recommended physiology references (AWHONN, Simpson & Creehan, Menihan, Creasy & Resnik) consistently state that the primary mechanism by which tachysystole affects fetal oxygenation is reduced uteroplacental perfusion, specifically through impaired intervillous space reperfusion.
During a normal contraction cycle, the fetus receives oxygen between contractions, when the uterus relaxes and maternal blood re-enters the intervillous space. AWHONN's Fetal Heart Monitoring Principles & Practices explains that tachysystole-defined as more than five contractions in 10 minutes averaged over 30 minutes-shortens or eliminates the relaxation phase, preventing adequate placental reoxygenation.
Simpson & Creehan highlight that "tachysystole decreases uteroplacental blood flow and interferes with replenishment of oxygenated maternal blood in the intervillous space." Menihan emphasizes that fetal hypoxemia in tachysystole results from interrupted perfusion, not from altered oxygen transport or maternal hemodynamic changes. Creasy & Resnik confirm that uterine overactivity reduces intervillous perfusion during contractions and impairs fetal oxygen exchange.
Thus, the physiologic problem is failure of the intervillous space to reperfuse, which compromises fetal oxygenation.
References:
AWHONN - Fetal Heart Monitoring Principles & PracticesSimpson & Creehan - Perinatal NursingMenihan
- Electronic Fetal MonitoringCreasy & Resnik - Maternal-Fetal MedicineMiller's Pocket Guide

NEW QUESTION # 57
The most highly oxygenated blood in the fetal circulation is found in the

A. descending aorta
B. pulmonary arteries
C. ductus venosus

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract Sources:
In fetal physiology, the highest oxygen saturation exists in the umbilical vein, which then flows through the ductus venosus before entering the right atrium.
According to Creasy & Resnik Maternal-Fetal Medicine, and AWHONN physiologic foundations:
* The umbilical vein carries oxygen-rich blood from the placenta (approx. 80% saturation).
* Most of this blood bypasses the liver via the ductus venosus, which therefore contains the most highly oxygenated blood within the fetal circulatory system.
By contrast:
* The descending aorta contains mixed blood with significantly lower oxygen content due to mixing after passage through the ductus arteriosus.
* The pulmonary arteries in the fetus carry predominantly deoxygenated blood, since fetal lungs are fluid-filled and have high pulmonary vascular resistance.
Thus, the structure containing the highest fetal oxygen concentration is the ductus venosus.
References:Creasy & Resnik - Maternal Fetal Medicine;AWHONN Fetal Monitoring;Simpson & Miller - Fetal Monitoring Physiology;NCC C-EFM Content Outline - Physiology Domain.

NEW QUESTION # 58
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Trusting Effective New EFM Test Duration Is The First Step to Pass Certified - Electronic Fetal Monitoring

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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q53-Q58):

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