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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
|
| Topic 2: Professional Issues | 5% | - Clinical Practice and Safety
|
| Topic 3: Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Topic 4: Fetal Assessment Methods | 9% | - Assessment Techniques
|
| Topic 5: Physiology | 11% | - Maternal-Fetal Physiology
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. A 45-year-old woman at 36-weeks gestation presents for a nonstress test. Vital signs are:
* Maternal pulse rate: 86 beats per minute
* Blood pressure: 118/76 mm Hg
* Temperature: 36.7°C (98.1°F)
The next course of action would include:
A) Discharge home
B) Perform a Kleihauer-Betke test
C) Induce labor
2. Maternal conditions of autoimmunity can result in fetal heart block due to antibodies that target:
A) Fetal red blood cells
B) Maternal white blood cells
C) The fetal atrioventricular node
3. The success of interventions to treat fetal hypoxia first depends on:
A) Improving maternal oxygenation
B) Minimizing uterine activity
C) Optimizing uteroplacental blood flow
4. A woman (G1, P0) at 41-weeks gestation presents to OB triage to rule out labor. Her cervical exam is 1 cm/50%/-2. Membranes are intact. She would like to go home if not in labor. Based on this tracing, which represents the last two hours, the best approach is:
A) discharge to home
B) admission to hospital
C) further observation
5. A woman at 39-weeks gestation is in early labor, 2-3 cm dilated, 85% effaced, and -2 station. Based on the fetal heart rate tracing shown, what is the most appropriate first intervention?
A) Administer an IV fluid bolus
B) Administer terbutaline
C) Adjust the fetal monitor
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |






