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Exam Number : C-EFM
Exam Name : Electronic Fetal Monitoring
Vendor Name : NCC
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MCQs : Check Questions

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C-EFM exam Format | C-EFM Course Contents | C-EFM Course Outline | C-EFM exam Syllabus | C-EFM exam Objectives


Domain 1: ELECTRONIC MONITORING EQUIPMENT



- Fetal Heart Rate Monitoring

- Ultrasonic Transducer

- Doppler Effect

- Fetal Scalp Electrode

- Signal Ambiguity

- Autocorrelation



- Uterine Monitoring

- Tocotransducer

- Intrauterine Pressure Catheter

- Montevideo Units

- Uterine Tone



- Equipment Failure and Troubleshooting

- Signal Loss

- Artifact Recognition

- Paper Speed (3 cm/min)

- Maternal Heart Rate Interference



Domain 2: PHYSIOLOGY



- Uteroplacental Physiology

- Placental Exchange

- Intervillous Space

- Uterine Blood Flow

- Spiral Arteries



- Factors Affecting Fetal Oxygenation

- Maternal Hypoxia

- Uteroplacental Insufficiency

- Fetal Acid-Base Balance

- Neuromodulation

- Vagus Nerve Stimulation



Domain 3: PATTERN RECOGNITION AND INTERVENTION



- Fetal Baseline Heart Rate

- Baseline Rate (110-160 bpm)

- Sinusoidal Pattern

- Baseline Variability



- Fetal Heart Rate Variability

- Absent Variability

- Minimal Variability

- Moderate Variability

- Marked Variability



- Abnormal Uterine Activity

- Tachysystole

- Hypertonus

- Uterine Rupture

- Couvelaire Uterus



- Fetal Dysrhythmias

- Arrhythmias

- Premature Atrial Contractions

- Supraventricular Tachycardia



- Maternal Complications

- Preeclampsia

- Epidural Anesthesia

- Hypotension

- Diabetes



- Uteroplacental Complications

- Placental Abruption

- Placenta Previa

- Oligohydramnios

- Vasa Previa



- Fetal Complications- Normal Uterine Activity

- Contraction Frequency

- Contraction Duration

- Contraction Intensity

- Resting Tone

- Intrauterine Growth Restriction

- Fetal Anemia

- Meconium Aspiration

- Non-Reassuring Fetal Status



- Fetal Heart Rate Accelerations

- Acceleration Criteria

- Variable Decelerations

- Prolonged Decelerations

- Late Decelerations







Domain 4: FETAL ASSESSMENT METHODS



- Auscultation

- Intermittent Auscultation

- Leopold Maneuvers

- Fetal Position



- Fetal Movement and Stimulation

- Fetal Kick Counts

- Vibroacoustic Stimulation

- Scalp Stimulation



- Nonstress Testing

- Reactive Nonstress Test

- Nonreactive Nonstress Test

- Fetal Heart Rate Response



- Cord Blood Acid Base Testing

- Scalp pH

- Lactate Levels

- Base Deficit

- Respiratory Acidosis



- Biophysical Profile

- Acute Marker Scoring

- Chronic Marker Assessment

- Oligohydramnios Index

- Amniotic Fluid Volume



- Fetal Acoustic Stimulation

- Sound Stimulation Test

- Acceleration Response

- False Positive Rate



Domain 5: PROFESSIONAL ISSUES



- Legal Aspects

- Standard of Care

- Documentation Requirements

- Negligence

- Breach of Duty



- Ethics

- Informed Consent

- Patient Autonomy

- Confidentiality

- Cultural Competence



- Patient Safety

- Joint Commission Standards

- Sentinel Events

- Risk Management

- Error Prevention



- Quality Improvement

- Performance Metrics

- Audit Processes

- NICHD Terminology

- Interobserver Reliability



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NCC C-EFM exam



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