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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A) Cesarean birth
B) Continue to observe
C) Give terbutaline

2. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A) Restore uterine blood flow
B) Dilute thick meconium
C) Treat oligohydramnios

3. Tachysystole can have a negative effect on fetal oxygenation during labor by

A) blocking active transport of oxygen to the fetus
B) interfering with reperfusion of the intervillous space
C) increasing maternal blood pressure

4. (Full question statement)
A woman at 39-weeks gestation is in labor, progressing normally. The baseline fetal heart rate has increased from 125 to 150 beats per minute over the last hour with moderate variability. What is the next step?

A) Continue to observe
B) Initiate antibiotic therapy
C) Perform an ultrasound

5. The main reason intrauterine pressure catheters are placed is to:

A) Rule out artifact
B) Define the quality of the fetal baseline
C) Determine the contraction pattern

Solutions: