PRICING:     $55.00 (plus shipping and handling) .  To order, click here to be redirected to Amazon.com
CERTIFICATION REVIEW BOOK FOR EFM NATIONAL
EXAM
2nd Edition 2012

(Now also available in Student Version for Classroom Use)


Book Outline and Topics

1.        Physiology of blood flow
              a.        Maternal systems
                               1)        Respiratory
                               2)        Cardiovascular
                               3)        Reproductive (uterus)
              b.        Fetal
                               1)        Placenta
                               2)        Umbilical cord
2.        Techniques of fetal assessment
              a.        Auscultation
              b.        Fetal movement counting
              c.        Nonstress testing
              d.        Contraction stress testing
              e.        Biophysical profile
              f.         Fetal stimulation
              g.        External electronic monitoring
              h.        Internal electronic monitoring
3.        NICHD pattern definitions
              a.        Baseline
                               1)        Normal
                               2)        Tachycardia
                               3)        Bradycardia
                               4)        Sinusoidal
                               5)        Indeterminate
              b.        Periodic and episodic changes
                              1)        Accelerations
                              2)        Decelerations
                                       a)        Early
                                       b)        Late
                                       c)        Variable
                                       d)        Prolonged
                 c.        NICHD FHR Categories
4.        Management of patterns
5.        Risk management
6        Self assessment questions at the end of each chapter
7.        Numerous FHR tracings for practice interpretation
8.        All answers at end of book
9.        Email access to author for assistance


Bibliography and Reference List

1.        American College of Obstetricians and Gynecologists (ACOG)(2008): Committee Opinion: Late-Preterm Infants. Number 404, April 2008.
2.        American College of Obstetricians and Gynecologists (ACOG)(1999): Antepartum Fetal Surveillance, Clinical Management Guidelines for Obstetrician-Gynecolog,
          Number 9, October 1999.
3.        Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) (2003): Fetal Heart Monitoring Principles and Practices, 3rd Edition.
4.        Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) (2008): Position Statement: Fetal Heart Monitoring.
5.        Gabbe, et al. (2007): Normal and Problem Pregnancies, Pub: Churchill Livingstone Elsevier.
6.        Macones, G, et al (2008): The 2008 National Institute of Child Health and Human Development Workshop Report on Electronic Fetal Monitoring: Update on Definitions,
          Interpretation, and Research Guidelines, JOGNN, 37, 510-515:2008.
7.        Menihan, C and Kopel, E (2007): Electronic Fetal Monitoring: Concepts and Applications. Pub: Lippincott.
8.        NCC Monograph (2006): Applying NICHD Terminology and Other Factors to Electronic Fetal Monitoring Interpretation, NCC, Volume 2, No. 1.
9.        Simpson, K and James, D (2008): Effects of Oxytocin-induced Uterine Hyperstimulation during Labor on Fetal Oxygen Status and Fetal Heart Rate Patterns; Am J Ob GYN,
          July 2008, p 34.e1-5.
10.      Tucker, Miller, and Miller (2008): Fetal Monitoring, A Multidisciplinary Approach, 6th Edition, Pub: Mosby.
This book has been designed for nurses, nurse midwives, and physicians who have clinical
experience with electronic fetal monitoring and plan to take a national certification examination
in fetal monitoring. Each chapter contains a self-assessment examination with the answers in
the final chapter. This new 2nd edition contains a new chapter with EFM tracings with
questions/answers. Key points are highlighted within the text. It is available as a spiral-bound
book or a CD with pdf file. Live courses based on this book are available by calling
401-261-4652, and have been approved for 16 hours of continuing education time by the
California Board of Registered Nursing (#15114) and the Florida Board of Registered Nursing
for Nurses and Advanced Nurse Practitioners.

This book can now also be ordered on CD ROM for in-service programs and workshops. The
"student" version does not contain the answers to the questions and strip interpretations,
allowing a facilitator to take a group through the book using it as a guide. The facilitator
utilizes the version of the book-on-CD that contains all answers and interpretations.
FOR BULK ORDERING

PLEASE CALL 401-261-4652 TO INQUIRE ABOUT DISCOUNT.
BOOKS or CD ROMs ORDERD IN BULK MAY BE PREVIEWED AT NO CHARGE,
BUT ONCE BULK ORDER IS PLACED, NO REFUNDS WILL BE GRANTED

"Teacher" or desk copies are available for preview at no charge
EXAMPLE OF EFM SELF-ASSESSMENT
TRACINGS IN PRACTICE CHAPTER


Sample Questions:
1.     The fetal baseline heart rate is:                                                        
            a.        165 bpm
            b.        180 bpm
            c.        Indeterminate

2.     The baseline rate of 180 bpm is most likely fetal because:
            a.        If the maternal rate were 90 bpm, this is a double count
                       of  MHR.
            b.        If this were fetal heart rate at 90 bpm, it could be double counting be double count of FHR.
            c.        It cannot be a double count of either maternal or fetal heart rate because double counting does not occur with a rate of 90 bpm or FSE.

3.     To distinguish between maternal and fetal heart rates, it is necessary to:
             a.        Take the maternal pulse and compare the two rates.
             b.        Turn up the volume.
             c.        Record maternal heart rate with the pulse oxygen recorder.
4.        Management of fetal heart rate pattern changes
                a.        Improving maternal circulation
                b.        Improving fetal oxygenation
5.        Identification and management of variant fetal heart rate patterns
                a.        Shoulders
                b.        Overshoots
                c.        Dysrhythmias
                d.        Artifact
6.        FHR changes in response to common complications
                a.        Preterm labor
                b.        Hypertension
                c.        Diabetes
                d.        Multiple gestation
                e.        Postdates pregnancy
                f.        Bleeding disorders
                g.        Infections
7.        Determination of fetal well being and oxygenation
                a.        Uterine activity
                b.        Variability
                c.        Baseline rate
                d.        Response to fetal stimulation
8.        Risk Management
       
9.        Case study presentations

10.       Appendices
               a.        Answers and pattern interpretations
               b.        Bibliography and references
ORDERING INFORMATION

For spiral-bound paperback complete book with answers in last chapter,
please order from amazon.com  (you will be redirected to amazon.com):
amazon.com

For complete book on CD with answers in last chapter, please click here
CD ROM with Answers

For "student" version with no answers, please click here
"Student" Version on CD