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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a

A) category I tracing
B) category II tracing
C) category III tracing

2. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Consider amnioinfusion
B) Administer terbutaline
C) Modify pushing

3. A fetus displays a baseline heart rate of 125 beats per minute with moderate variability. During a contraction, the baseline rate drops abruptly to 80 beats per minute with gradual return to baseline over 90 seconds. This is classified as:

A) Early deceleration
B) Prolonged deceleration
C) Variable deceleration

4. This fetal heart rate pattern is classified as Category III based on:

A) Contraction pattern
B) Type of deceleration
C) Absent variability

5. 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) Cord accident
B) Fetal trauma
C) Placental abruption

Solutions: