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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Physiology | 11% | - Maternal-Fetal Physiology
|
| Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
|
| Professional Issues | 5% | - Clinical Practice and Safety
|
| Fetal Assessment Methods | 9% | - Assessment Techniques
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. The tracing shown is a:
A) Category I
B) Category III
C) Category II
2. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:
A) Continue to monitor
B) Perform intrauterine resuscitative measures
C) Proceed with cesarean section
3. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:
A) Acidosis
B) Normal
C) Hypoxia
4. 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) Placental abruption
B) Rapid fetal descent
C) Tachysystole
5. A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:
A) Adjust tocotransducer and continue to monitor
B) Admit for induction
C) Discharge to home
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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