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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Professional Issues | 5% | - Documentation standards - Legal and ethical aspects - Safety and quality improvement |
| Fetal Assessment and Methods | 9% | - Indications for monitoring - Correlation with clinical status - Auxiliary assessment techniques |
| Electronic Monitoring Equipment | 5% | - Proper application and use - Troubleshooting artifacts - Calibration and accuracy |
| Pattern Recognition and Intervention | 70% | - Fetal heart rate patterns classification - Clinical decision-making and interventions - Interpretation per NICHD standards - Tracing evaluation and management |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. (Full question)
Vibroacoustic stimulation (VAS) is a useful intervention which can
A) shorten the length of the nonstress test (NST)
B) provide an indication of the amount of amniotic fluid
C) relax the uterus during tachysystole
2. The most probable underlying fetal physiologic cause for this tracing would be:
A) Release of catecholamines
B) Vagal nerve stimulation in response to hypoxemia
C) Myocardial hypoxic depression
3. Fetal cardiac output is essentially dependent on the fetal:
A) Baroreceptors
B) Activity
C) Heart rate
4. The tracing shown is from a woman at 28-weeks gestation in the post-anesthesia care unit (PACU) after an appendectomy. She is alert and awake. Based on this fetal heart rate pattern, the most appropriate intervention is:
A) Administer terbutaline
B) Perform cesarean birth
C) Continued monitoring
5. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:
A) Administer terbutaline
B) Consider amnioinfusion
C) Modify pushing
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |


