NCC EFM Exam Breakdown & Study Guide

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NCC EFM Exam Breakdown & Study Guide-Content on exam - -Pattern recognition & intervention: 70% -Physiology: 11% -Fetal assessment methods: 9% -EFM equipment: 5% -Professional issues: 5% Patter ... n recognition & intervention - -FHR baseline ✓ -FHR variability ✓ -FHR accelerations ✓ -FHR decelerations ✓ -Normal uterine activity ✓ -Abnormal uterine activity ✓ -Fetal dysrhythmias ✓ -Maternal complications ✓ -Uteroplacental complications ✓ -Fetal complications ✓ FHR Descriptors - 1) Baseline 2) Variability 3) Presence of accels 4) Presence of decels 5) Changes in trends overtime FHR Baseline - Average FHFHR 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 - <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 [Show More]

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