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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Accelerations and decelerations - Baseline rate and variability |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:
A) Chest
B) Back
C) Abdomen
2. (Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:
A) Maternal diabetes
B) A history of preterm birth
C) Macrosomia
3. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?
A) Late decelerations
B) Variable decelerations
C) Fetal heart block
4. When R-R intervals are short, the fetal heart rate is
A) fast
B) normal
C) slow
5. The baseline fetal heart rate in this tracing is:
A) 155 beats per minute
B) Indeterminate
C) Tachycardia
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |
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