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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues5%- Clinical Practice and Safety
  • 1. Patient Safety
  • 2. Legal and Ethical Issues
  • 3. Quality Improvement
Topic 2: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Fetal Movement Assessment
  • 2. Contraction Stress Testing
  • 3. Cord Blood and Acid-Base Analysis
Topic 3: Pattern Recognition and Intervention70%- Maternal and Fetal Complications
  • 1. Tachysystole
  • 2. Intrauterine Resuscitation
  • 3. Fetal Dysrhythmias
- Fetal Heart Rate Patterns
  • 1. Baseline Variability
  • 2. Accelerations and Decelerations
  • 3. Sinusoidal Patterns
Topic 4: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. External Monitoring
  • 2. Equipment Troubleshooting
  • 3. Internal Monitoring
Topic 5: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Fetal Oxygenation
  • 3. Uteroplacental Circulation

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. An electronic fetal monitoring factor that best correlates with fetal well-being is:

A) Baseline heart rate 140-150 bpm
B) Absence of decelerations
C) Presence of variability


2. The most probable underlying fetal physiologic cause for this tracing would be:

A) Myocardial hypoxic depression
B) Release of catecholamines
C) Vagal nerve stimulation in response to hypoxemia


3. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:

A) Position the woman on her left side
B) Increase intravenous fluid intake
C) Perform a vaginal examination


4. A fetal heart rate deceleration that is episodic is a/an:

A) Variable deceleration
B) Early deceleration
C) Late deceleration


5. Interventions undertaken to address fetal tachycardia are targeted at maximizing

A) maternal circulation
B) sympathetic autonomic tone
C) uteroplacental perfusion


Solutions:

Question # 1
Answer: C
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: A
Question # 5
Answer: C

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