EFM EFM - Electronic Fetal Monitoring Documentation and Communication Questions and Answers 2

Question 1

A nurse documents 'late decelerations noted, physician notified at 0320, no new orders received.' What is the NEXT most appropriate action?

Accepted Answer

Activate the chain of command by notifying the charge nurse or supervisor

Answer

When a provider fails to respond adequately to a reported concern, the nurse must escalate through the chain of command to protect patient safety.

Question 2

Which element is MOST critical to include when documenting a scalp stimulation test in the medical record?

Accepted Answer

Fetal heart rate response (acceleration present or absent)

Answer

The clinical value of scalp stimulation documentation lies in recording whether an acceleration occurred, as this indicates fetal acid-base status.

Question 3

In EFM documentation, what does the term 'recurrent' decelerations mean?

Accepted Answer

Occurring with ≥50% of uterine contractions in any 20-minute window

Answer

NICHD defines recurrent decelerations as those occurring with 50% or more of uterine contractions within any 20-minute period.

Question 4

What is the recommended approach when a portion of the EFM strip is unreadable due to artifact?

Accepted Answer

Document the artifact, describe maternal and fetal status at the time, and note corrective measures taken

Answer

Thorough documentation of artifact, clinical status, and corrective actions taken maintains the integrity of the medical record and demonstrates professional nursing judgment.

Question 5

When using closed-loop communication during a fetal emergency, the person receiving an order should:

Accepted Answer

Repeat the order back aloud and receive confirmation before executing

Answer

Closed-loop communication requires the receiver to verbally repeat back the order so the sender can confirm accuracy before the action is taken.

EFM - Electronic Fetal Monitoring Practice Test

EFM - Electronic Fetal Monitoring Practice Test

EFM EFM - Electronic Fetal Monitoring Documentation and Communication Questions and Answers 2