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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Placenta previa
B) Ruptured vasa previa
C) Abruptio placenta

2. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A) Absent variability
B) Tachysystole
C) Late decelerations

3. 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) Wandering baseline
C) Variable decelerations

4. (Full question statement)
The fetal heart rate tracing shown is obtained upon the woman's admission to labor and delivery. This tracing is most consistent with what maternal condition?

A) Eisenmenger's syndrome
B) Systemic lupus erythematosus
C) Sickle cell anemia

5. Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

A) Limited reporting option for the compromised fetus
B) Higher frequency of equivocal test results
C) Low predictability of fetal well-being within 7 days of a negative test

Solutions: