Electronic Fetal Monitoring Exam Review

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Agenda

View Module 2: Physiology of Fetal Oxygenation: Extrinsic Factors on YouTube

6.5 Contact Hours | Course Length: 370 Minutes


About the Test, Test-Taking Skills and Equipment Overview and Patient Education 60 minutes
Module Description
This module will introduce participants to the National Certification Corporation (NCC) subspecialty exam in electronic fetal monitoring (EFM). General test-taking skills will also be reviewed. In addition, this module will provide participants with an overview of equipment used in fetal heart rate monitoring, including troubleshooting and patient education.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the format and qualifications for the NCC subspecialty exam in EFM..
  2. List general test-taking skills..
  3. Describe the various equipment used in fetal heart-rate monitoring.
  4. Describe troubleshooting techniques for EFM equipment.
  5. Develop plans for patient education related to EFM equipment.

Physiology of Fetal Oxygenation: Intrinsic and Extrinsic Factors
37 minutes
Module Description
This module will explore intrinsic factors, within the fetus itself, involved in fetal oxygenation. An overview of fetal oxygenation physiology will be provided. This module will also explore extrinsic factors outside the fetus that are involved in fetal oxygenation.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the heart rate control mechanisms intrinsic to the fetus.
  2. Describe the differences between baroreceptors and chemoreceptors.
  3. Describe the heart rate control mechanisms extrinsic to the fetus.
  4. Describe the oxygen pathway and the fetal response to disruptions in the pathway.

Pattern Recognition, Interpretation and Intervention
102 minutes
Module Description
This session will review the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) terminology of electronic fetal monitoring (EFM) patterns as well as physiological goals and interventions. An in-depth review of the underlying physiology of deceleration patterns is also provided.

Module Learning Outcomes
This module prepares the learner to:
  1. Identify EFM patterns using NICHD terminology.
  2. Describe the physiology of various EFM patterns
  3. Identify physiological goals and interventions for Category II and III tracings.

Dysrhythmias and Variant Patterns
40 minutes
Module Description
This session will review basic cardiac electrophysiology and the pathophysiology of dysrhythmias seen during electronic fetal monitoring (EFM).

Module Learning Outcomes
This module prepares the learner to:
  1. Describe characteristics of fetal dysrhythmias seen on EFM tracings.
  2. Describe the pathophysiology of various fetal dysrhythmias.

Complication of Pregnancy and Birth
46 minutes
Module Description
This session will review common complications of pregnancy and birth and how they manifest in electronic fetal monitoring (EFM) tracings.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe EFM changes related to fetal prematurity and postmaturity.
  2. Describe EFM changes related to maternal hypertension and diabetes.

Adjunct Fetal Assessment
54 minutes
Module Description
This session will review adjunct methods of fetal assessment, with particular focus on antepartum fetal testing.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe various antepartum fetal testing methods and their interpretation.
  2. Describe the physiological basis for various adjunct fetal assessment methods.

Legal Aspects of Fetal Monitoring and Chain of Command
31 minutes
Module Description
This session will discuss legal aspects of fetal monitoring, including liability and chain of command.

Module Learning Outcomes
This module prepares the learner to:
  1. Define liability and describe its components.
  2. Define chain of command as it relates to electronic fetal monitoring (EFM) and the nurse’s role in limiting liability arising from EFM interpretation and management.

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