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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Accelerations and decelerations - Baseline rate and variability |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. A woman at 39-weeks gestation is in early labor, 2-3 cm dilated, 85% effaced, and -2 station. Based on the fetal heart rate tracing shown, what is the most appropriate first intervention?
A) Administer terbutaline
B) Adjust the fetal monitor
C) Administer an IV fluid bolus
2. Maternal-fetal exchange during labor is diminished by:
A) Open-glottis pushing in second stage
B) Placental calcifications
C) An increase in maternal cardiac output
3. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:
A) Hypoxia
B) Acidosis
C) Normal
4. A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as
A) present 10×10
B) absent
C) present 15×15
5. A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:
A) Discontinue magnesium sulfate
B) Evaluate for chorioamnionitis
C) Administer acetaminophen
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
Amos -
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