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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Electronic Monitoring Equipment | 5% | - Proper application and use - Troubleshooting artifacts - Calibration and accuracy |
| Topic 2: Physiology | 11% | - Factors affecting fetal oxygenation - Uteroplacental function - Fetal cardiovascular physiology |
| Topic 3: Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Fetal heart rate patterns classification - Tracing evaluation and management - 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 - Indications for monitoring - Correlation with clinical status |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. The baseline fetal heart rate in this tracing is:
A) Indeterminate
B) Tachycardia
C) 155 beats per minute
2. This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:
A) Intermittent late decelerations
B) Wandering baseline
C) Variable decelerations
3. Usually, the duration of an early deceleration in comparison with the contraction is:
A) The same
B) Shorter
C) Longer
4. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:
A) Uterine activity
B) Fetal position
C) Stage of labor
5. 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
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |






