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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Topic 2: Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Topic 3: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 4: Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Topic 5: Fetal Heart Rate Interpretation | - Baseline rate and variability - Accelerations and decelerations - Category I, II, and III tracing interpretation |
| Topic 6: Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question #1
A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:
A. Cesarean birth
B. Biophysical profile
C. Induction of labor
Question #2
During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:
A. Cord compression
B. Vasospasm
C. Vagal stimulation
Question #3
Uterine contraction intensity is manually measured by degree of uterine:
A. Indentation
B. Pain
C. Muscle strength
Question #4
A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:
A. Placental abruption
B. Fetal trauma
C. Cord accident
Question #5
The fetal heart rate tracing shown is consistent with
A. artifact
B. supraventricular tachycardia
C. half counting
Solutions:
| Question #1 Correct Answer: B | Question #2 Correct Answer: C | Question #3 Correct Answer: A | Question #4 Correct Answer: A | Question #5 Correct Answer: B |
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