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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. External Monitoring
  • 2. Equipment Troubleshooting
  • 3. Internal Monitoring
Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Uteroplacental Circulation
  • 3. Fetal Oxygenation
Pattern Recognition and Intervention70%- Fetal Heart Rate Patterns
  • 1. Accelerations and Decelerations
  • 2. Baseline Variability
  • 3. Sinusoidal Patterns
- Maternal and Fetal Complications
  • 1. Fetal Dysrhythmias
  • 2. Tachysystole
  • 3. Intrauterine Resuscitation
Fetal Assessment Methods9%- Assessment Techniques
  • 1. Contraction Stress Testing
  • 2. Cord Blood and Acid-Base Analysis
  • 3. Fetal Movement Assessment
Professional Issues5%- Clinical Practice and Safety
  • 1. Patient Safety
  • 2. Legal and Ethical Issues
  • 3. Quality Improvement

NCC Certified - Electronic Fetal Monitoring Sample Questions:

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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

(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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).

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