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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. Contraction Stress Testing
  • 2. Fetal Movement Assessment
  • 3. Cord Blood and Acid-Base Analysis
Topic 3: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Internal Monitoring
  • 2. External Monitoring
  • 3. Equipment Troubleshooting
Topic 4: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Uteroplacental Circulation
  • 3. Fetal Oxygenation
Topic 5: Pattern Recognition and Intervention70%- Fetal Heart Rate Patterns
  • 1. Sinusoidal Patterns
  • 2. Baseline Variability
  • 3. Accelerations and Decelerations
- Maternal and Fetal Complications
  • 1. Intrauterine Resuscitation
  • 2. Tachysystole
  • 3. Fetal Dysrhythmias

NCC Certified - Electronic Fetal Monitoring Sample Questions:

The baseline fetal heart rate in this tracing is:

  • A. Indeterminate
  • B. 155 beats per minute
  • C. Tachycardia
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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This tracing reflects:

  • A. Category I
  • B. Category II
  • C. Category III
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:

  • A. Fetal scalp stimulation
  • B. Intravenous bolus of D5% Lactated Ringers
  • C. Delivery
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for PassTestking members. You can sign-up / login (it's free).

To differentiate a fetal dysrhythmia from artifact, it is important to recognize that artifact appears as deflections that are:

  • A. Similar in pattern
  • B. Varied and disorganized
  • C. Uniform but occur irregularly
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Based on the fetal heart rate tracing shown, the expected fetal pH would be:

  • A. Above 7.15
  • B. Below 7.15
  • C. Unaffected by the fetal heart rate
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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