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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Fetal Assessment and Methods | 9% | - Indications for monitoring - Correlation with clinical status - Auxiliary assessment techniques |
| Professional Issues | 5% | - Documentation standards - Legal and ethical aspects - Safety and quality improvement |
| Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Fetal heart rate patterns classification - Clinical decision-making and interventions - Tracing evaluation and management |
| Electronic Monitoring Equipment | 5% | - Calibration and accuracy - Troubleshooting artifacts - Proper application and use |
| Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:
A) Uterine activity
B) Stage of labor
C) Fetal position
2. A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is
A) continued pushing
B) vacuum-assisted vaginal birth
C) cesarean birth
3. Usually, the duration of an early deceleration in comparison with the contraction is:
A) Longer
B) Shorter
C) The same
4. This tracing reflects:
A) Category III
B) Category II
C) Category I
5. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:
A) Induction of labor
B) Cesarean birth
C) Biophysical profile
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |







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