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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The presence of fetal breathing movements on a biophysical profile reflects adequate:

A) Surfactant levels
B) Pulmonary vasoconstriction
C) Neurologic function

2. When accelerations precede a variable deceleration pattern, this is caused by

A) oligohydramnios
B) hypoxic reflex response
C) occlusion of the umbilical vein

3. A woman (G1, P0) at 41-weeks gestation presents to OB triage to rule out labor. Her cervical exam is 1 cm/50%/-2. Membranes are intact. She would like to go home if not in labor. Based on this tracing, which represents the last two hours, the best approach is:

A) further observation
B) discharge to home
C) admission to hospital

4. Intermittent fetal heart rate auscultation for a low-risk, spontaneous laboring patient who is 4-5 centimeters dilated should be assessed at intervals every

A) 45-60 minutes
B) 15-30 minutes
C) 5-10 minutes

5. 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) Administer terbutaline
B) Modify pushing
C) Consider amnioinfusion

Solutions: