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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 2: Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Topic 3: Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Topic 4: Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Topic 5: Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Topic 6: Fetal Heart Rate Interpretation | - Baseline rate and variability - Accelerations and decelerations - Category I, II, and III tracing interpretation |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:
- A. Decrease the oxytocin
- B. Perform an amnioinfusion
- C. Apply a spiral electrode
Correct Answer: B 🗳️
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(Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:
- A. Macrosomia
- B. Maternal diabetes
- C. A history of preterm birth
Correct Answer: B 🗳️
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The fetal heart rate baseline is
- A. normally between 110 and 170 beats per minute
- B. established between periodic and episodic changes
- C. documented in a 15 beats per minute range
Correct Answer: B 🗳️
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A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:
- A. Give 0.25 mg of terbutaline subcutaneously
- B. Remove the dinoprostone (Cervidil) insert
- C. Continue to observe
Correct Answer: B 🗳️
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A fetus displays a baseline heart rate of 125 beats per minute with moderate variability. During a contraction, the baseline rate drops abruptly to 80 beats per minute with gradual return to baseline over 90 seconds. This is classified as:
- A. Early deceleration
- B. Prolonged deceleration
- C. Variable deceleration
Correct Answer: C 🗳️
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