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

Question 1

Which communication framework is most recommended for reporting concerning fetal heart rate patterns to a provider in the US?

Accepted Answer

SBAR (Situation, Background, Assessment, Recommendation)

Answer

SOAP (Subjective, Objective, Assessment, Plan)

Answer

CHART (Complaint, History, Assessment, Rx, Treatment)

Answer

PACE (Patient, Assessment, Complication, Evaluation)

Question 2

When documenting a category II fetal heart rate tracing, what is the MOST important element to record?

Accepted Answer

Interventions performed and fetal response

Answer

Only the strip interpretation label

Answer

The nurse's personal opinion of fetal status

Answer

The number of visitors in the room

Question 3

How frequently should EFM strip assessments be documented during active labor in a low-risk patient per AWHONN guidelines?

Accepted Answer

Every 15 minutes

Answer

Every 5 minutes

Answer

Every 30 minutes

Answer

Every hour

Question 4

Which term should be used in documentation when describing a fetal heart rate pattern that cannot be categorized as Category I or Category III?

Accepted Answer

Category II

Answer

Indeterminate

Answer

Suspicious

Answer

Non-reassuring

Question 5

What is the primary purpose of the 'chain of command' in EFM-related clinical communication?

Accepted Answer

To escalate patient safety concerns when a provider does not respond appropriately

Answer

To document the hierarchy of nursing staff on the unit

Answer

To assign responsibility for charting the EFM strip

Answer

To determine who places the external monitor

Question 6

When documenting fetal heart rate accelerations, which detail is required to meet the standard NICHD definition in a term fetus?

Accepted Answer

Peak ≥15 bpm above baseline lasting ≥15 seconds

Answer

Peak ≥10 bpm above baseline lasting ≥10 seconds

Answer

Peak ≥20 bpm above baseline lasting ≥30 seconds

Answer

Any visible increase in FHR above the baseline