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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Topic 2: Electronic Monitoring Equipment | 5% | - Proper application and use - Calibration and accuracy - Troubleshooting artifacts |
| Topic 3: Pattern Recognition and Intervention | 70% | - Tracing evaluation and management - Interpretation per NICHD standards - Fetal heart rate patterns classification - Clinical decision-making and interventions |
| Topic 4: Professional Issues | 5% | - Legal and ethical aspects - Documentation standards - Safety and quality improvement |
| Topic 5: Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Correlation with clinical status - Indications for monitoring |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
Amnioinfusion can cause what changes in the fetal heart rate tracing?
A. Improvement in fetal heart rate variability
B. Resolution of variable decelerations
C. Increase in fetal heart rate baseline
Question 2
When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?
A. Minimal variability
B. Variable decelerations
C. Baseline tachycardia
Question 3
A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:
A. Proceed to operative birth
B. Discontinue oxytocin
C. Place a spiral electrode
Question 4
A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a
A. category III tracing
B. category I tracing
C. category II tracing
Question 5
Tachysystole can have a negative effect on fetal oxygenation during labor by
A. interfering with reperfusion of the intervillous space
B. blocking active transport of oxygen to the fetus
C. increasing maternal blood pressure
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: B | Question 4 Answer: C | Question 5 Answer: A |



