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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Fetal Movement Assessment
  • 2. Contraction Stress Testing
  • 3. Cord Blood and Acid-Base Analysis
Topic 2: 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
Topic 3: Professional Issues5%- Clinical Practice and Safety
  • 1. Patient Safety
  • 2. Legal and Ethical Issues
  • 3. Quality Improvement
Topic 4: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Uteroplacental Circulation
  • 3. Fetal Oxygenation
Topic 5: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Equipment Troubleshooting
  • 2. External Monitoring
  • 3. Internal Monitoring

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

This tracing reflects:

A. Category II
B. Category III
C. Category I


Question 2

A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

A. Marked variability
B. Wandering baseline
C. Recurrent late decelerations


Question 3

Based on the fetal heart rate tracing shown, the expected fetal pH would be:

A. Above 7.15
B. Below 7.15
C. Unaffected by the fetal heart rate


Question 4

This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A. Give terbutaline
B. Continue to observe
C. Cesarean birth


Question 5

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


Solutions:

Question 1
Answer: B
Question 2
Answer: B
Question 3
Answer: A
Question 4
Answer: B
Question 5
Answer: A

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