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NCC EFM Exam Syllabus Topics:

SectionObjectives
Intrapartum Assessment and Monitoring- Risk assessment during labor
- External and internal monitoring techniques
Fetal Heart Rate Interpretation- Baseline rate and variability
- Accelerations and decelerations
- Category I, II, and III tracing interpretation
Uterine Activity- Tachysystole and abnormal contraction patterns
- Normal uterine contraction patterns
Intrauterine Resuscitation and Interventions- Maternal position changes and oxygen administration
- Fluid management and medication adjustments
Fetal Physiology and Oxygenation- Fetal cardiovascular physiology
- Oxygen transport and acid-base balance
Maternal and Fetal Complications- Hypoxia and uteroplacental insufficiency
- High-risk obstetric conditions affecting fetal monitoring

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as

A) normal baseline
B) absent variability
C) bradycardia


2. A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

A) Fetal trauma
B) Cord accident
C) Placental abruption


3. Sustained fetal supraventricular tachycardia that goes untreated is most likely to result in:

A) The need for a neonatal pacemaker
B) Fetal anemia
C) Hydrops fetalis


4. This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

A) Intermittent late decelerations
B) Variable decelerations
C) Wandering baseline


5. A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:

A) Perform an amnioinfusion
B) Apply a spiral electrode
C) Decrease the oxytocin


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: C
Question # 4
Answer: B
Question # 5
Answer: A

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