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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Pattern Recognition and Intervention | 70% | - Maternal and Fetal Complications
|
| Physiology | 11% | - Maternal-Fetal Physiology
|
| Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Professional Issues | 5% | - Clinical Practice and Safety
|
| Fetal Assessment Methods | 9% | - Assessment Techniques
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:
- A. Marked variability
- B. Recurrent late decelerations
- C. Wandering baseline
Correct Answer: C 🗳️
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A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:
- A. Consider amnioinfusion
- B. Modify pushing
- C. Administer terbutaline
Correct Answer: B 🗳️
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(Full question statement)
This tracing is consistent with:
- A. Atrial flutter
- B. Effects of butorphanol administration
- C. Fetal-maternal transfusion
Correct Answer: B 🗳️
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Interventions undertaken to address fetal tachycardia are targeted at maximizing
- A. maternal circulation
- B. uteroplacental perfusion
- C. sympathetic autonomic tone
Correct Answer: B 🗳️
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This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:
- A. Intravenous bolus of D5% Lactated Ringers
- B. Fetal scalp stimulation
- C. Delivery
Correct Answer: B 🗳️
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