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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
The baseline fetal heart rate in this tracing is:
- A. 155 beats per minute
- B. Indeterminate
- C. Tachycardia
Correct Answer: C 🗳️
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Patient safety is enhanced when alarms:
- A. Occur infrequently
- B. Are determined by the unit leaders
- C. Can be called by anyone
Correct Answer: C 🗳️
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A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:
- A. Abruptio placenta
- B. Placenta previa
- C. Ruptured vasa previa
Correct Answer: C 🗳️
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When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as
- A. normal baseline
- B. bradycardia
- C. absent variability
Correct Answer: C 🗳️
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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. Continued monitoring
- C. Perform cesarean birth
Correct Answer: B 🗳️
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