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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Professional Issues | 5% | - Safety and quality improvement - Legal and ethical aspects - Documentation standards |
| Fetal Assessment and Methods | 9% | - Correlation with clinical status - Auxiliary assessment techniques - Indications for monitoring |
| Electronic Monitoring Equipment | 5% | - Proper application and use - Calibration and accuracy - Troubleshooting artifacts |
| Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Clinical decision-making and interventions - Tracing evaluation and management - Fetal heart rate patterns classification |
| Physiology | 11% | - Fetal cardiovascular physiology - Factors affecting fetal oxygenation - Uteroplacental function |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include
A. preparing for operative vaginal birth
B. preparing for cesarean birth
C. increasing the oxytocin
Question 2
Uterine contraction intensity is manually measured by degree of uterine:
A. Muscle strength
B. Indentation
C. Pain
Question 3
The most common fetal heart rate pattern consistent with uterine rupture is
A. prolonged and variable decelerations
B. absent variability
C. loss of uterine pressure
Question 4
A woman at 36-weeks gestation comes in because of uterine contractions radiating to the back. She has no insurance. In accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), she is obligated to be:
A. Transferred to a safety-net hospital
B. Stabilized and receive a medical screening examination
C. Admitted without delay
Question 5
Accelerations that last 10 minutes or more are considered:
A. A baseline change
B. Baseline variability
C. Tachycardia
Solutions:
| Question 1 Answer: A | Question 2 Answer: B | Question 3 Answer: A | Question 4 Answer: B | Question 5 Answer: A |
