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NCC EFM Exam Syllabus Topics:

SectionObjectives
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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