Health Care > EXAM > EFM NCC PRACTISE EXAM| 102 QUESTIONS| WITH COMPLETE SOLUTIONS (All)
Why use fetal monitoring? Correct Answer: Primary goal is to prevent fetal and maternal morbidity and mortality (prevent injury and death to mother and/ or baby), to prevent bad patient outcomes. ... What percent of babies who experience a suboptimal event while being fetal monitored, develop cerebral palsy? Correct Answer: 3% of babies with poor tracing develop cerebral palsy What are most sentinel events due to? Correct Answer: Poor communication between providers. Most errors are traceable back to communication errors. Sentinel events Correct Answer: bad things that happen to patients due to a human or equipment error, and not due to the reason that they came into the hospital (disease process) Equipment Correct Answer: your hands (palpation) use fingertips, ultrasound transducer, FSE, tocodynamometer, Intrauterine Pressure Catheter, Auscultation (fetoscope, hand held doppler device). What if you can not get contractions? Correct Answer: palpate and readjust IUPC resting tone Correct Answer: 20-25 IUPC resting tone with aminoinfusion Correct Answer: should not be above 40, troubleshoot if this is higher, weigh pads, make sure there is fluid return. Not meant for meconium or thick mec, they are used for variables or recurrent variables Correct Answer: amnioinfusion Auscultation tools Correct Answer: intermittent monitoring, use fetoscope or hand help doppler to trace. Only true auscultation tool Correct Answer: fetoscope, the reason is it is the only tool that listens to the open and close of the fetal heart valve Using the doppler or fetoscope Correct Answer: count the FHR before, during, and after a contraction. Document the baseline rate (range), regular vs irregular, increases or decreases. Do NOT document variability, accels, or decels [Show More]
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