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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A. Proceed with cesarean section
B. Continue to monitor
C. Perform intrauterine resuscitative measures

Question 2

In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:

A. Stage of labor
B. Fetal position
C. Uterine activity

Question 3

This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:

A. Placental abruption
B. Rapid fetal descent
C. Tachysystole

Question 4

A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A. Abruptio placenta
B. Ruptured vasa previa
C. Placenta previa

Question 5

This tracing demonstrates:

A. Bradycardia
B. Category III tracing
C. Prolonged deceleration

Solutions: