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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A nulliparous woman at term presents with leaking fluid. Rupture of membranes confirmed. After 6 hours she is completely dilated, +2 station, has been pushing 2 hours with oxytocin at 10 mU/min. The fetal tracing is shown. What is the next step in management?

A) Expedite birth
B) Decrease oxytocin
C) Continue pushing for another hour

2. (Full question)
Spontaneous fetal heart rate accelerations indicate

A) integrated response of the fetal central nervous system
B) dominance of the fetal sympathetic nervous system
C) immaturity of the fetal parasympathetic nervous system

3. Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

A) Low predictability of fetal well-being within 7 days of a negative test
B) Higher frequency of equivocal test results
C) Limited reporting option for the compromised fetus

4. A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

A) Recurrent late decelerations
B) Marked variability
C) Wandering baseline

5. The baseline fetal heart rate in this tracing is:

A) Indeterminate
B) 155 beats per minute
C) Tachycardia

Solutions: