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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Fetal Heart Rate Interpretation | - Baseline rate and variability - Category I, II, and III tracing interpretation - Accelerations and decelerations |
| Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. Stimulation of the vagus nerve in a healthy fetus will cause:
A) Increased cardiac contractility
B) Increased fetal blood pressure
C) Decreased fetal heart rate
2. Intermittent fetal heart rate auscultation for a low-risk, spontaneous laboring patient who is 4-5 centimeters dilated should be assessed at intervals every
A) 5-10 minutes
B) 15-30 minutes
C) 45-60 minutes
3. This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:
A) Rapid fetal descent
B) Placental abruption
C) Tachysystole
4. The tracing shown is from a woman at 28-weeks gestation in the post-anesthesia care unit (PACU) after an appendectomy. She is alert and awake. Based on this fetal heart rate pattern, the most appropriate intervention is:
A) Perform cesarean birth
B) Continued monitoring
C) Administer terbutaline
5. (Full question)
This tracing would be categorized as a
A) Category III
B) Category II
C) Category I
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |

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