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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

A. Fetal trauma
B. Cord accident
C. Placental abruption

Question 2

The baseline fetal heart rate in this tracing is:

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

Question 3

A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

A. Intrauterine resuscitation measures
B. Request for an urgent bedside ultrasound
C. Palpation of the maternal radial pulse

Question 4

The most common fetal heart rate pattern consistent with uterine rupture is

A. absent variability
B. prolonged and variable decelerations
C. loss of uterine pressure

Question 5

During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A. Vagal stimulation
B. Cord compression
C. Vasospasm

Solutions: