EFM Dumps With Exact Questions and Answers

Comprehensive and Detailed Explanation From NCC-Aligned Emergency Fetal Response Principles:

Following an eclamptic seizure:

Maternal hypoxia, apnea, and intense sympathetic discharge occur

Uteroplacental perfusion drops

Fetus experiences acute hypoxemia

The expected fetal heart rate response is a prolonged bradycardia

This is well-described in NCC and AWHONN emergency physiology:

“Post-seizure fetal bradycardia is common and often resolves within 5–10 minutes as maternal oxygenation stabilizes.”

Why other answers are incorrect:

B. Sinusoidal pattern — Rare and usually indicates fetal anemia, not post-seizure status.

C. Variable decelerations — Associated with cord compression, not seizures.

Correct answer: A. Bradycardia

Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources

NCC-recommended fetal assessment texts emphasize that external Doppler ultrasound may undercount very rapid fetal arrhythmias such as fetal supraventricular tachycardia (SVT). Because Doppler detects mechanical motion rather than electrical activity, the device may record only every other cardiac contraction, a phenomenon known as “half-counting.”

Menihan’s Electronic Fetal Monitoring explains that with SVT—often exceeding 200 to 260 bpm—the monitor “may display a fetal heart rate at approximately half the true atrial rate.” AWHONN teaching materials affirm that rapid, regular tachyarrhythmias may appear deceptively slower on the external monitor due to Doppler under-sampling. Simpson & Creehan note that half-counting is a recognized technical limitation and may cause clinicians to miss true tachyarrhythmias if internal monitoring is not applied.

In contrast, artifact displays irregular, inconsistent, and non-physiologic deflections. Matching the maternal pulse suggests maternal heart rate misinterpretation, not SVT.

Miller’s Pocket Guide also highlights that half-counting is “commonly seen in fetal SVT when using external Doppler due to failure to detect each rapid contraction.”

Therefore, fetal SVT most commonly appears as half the actual rate on an external fetal monitor.

Comprehensive and Detailed Explanation From Exact Extract–Based NCC C-EFM References:

During amnioinfusion, NCC emphasizes monitoring for uterine overdistention, which can lead to uterine hypertonus, uterine rupture, or placental separation. The primary way to evaluate overdistention is by measuring baseline uterine pressure via IUPC.

Rising resting tone (>20–25 mmHg) indicates accumulating fluid and risk.

Stopping the infusion intermittently allows recalibration and assessment of uterine baseline pressure.

Contraction pattern (option B) is important but not the primary safety parameter.

Pain (option C) is nonspecific and not a reliable indicator of uterine overdistention.

Thus, the infusion is stopped to assess baseline uterine pressure.