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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Factors affecting fetal oxygenation - Uteroplacental function - Fetal cardiovascular physiology |
| Topic 2: Electronic Monitoring Equipment | 5% | - Calibration and accuracy - Troubleshooting artifacts - Proper application and use |
| Topic 3: Professional Issues | 5% | - Legal and ethical aspects - Safety and quality improvement - Documentation standards |
| Topic 4: Fetal Assessment and Methods | 9% | - Indications for monitoring - Auxiliary assessment techniques - Correlation with clinical status |
| Topic 5: Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Clinical decision-making and interventions - Tracing evaluation and management - Fetal heart rate patterns classification |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:
A) Uterine activity
B) Fetal position
C) Stage of labor
2. 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) Administer acetaminophen
B) Evaluate for chorioamnionitis
C) Discontinue magnesium sulfate
3. A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as
A) present 15×15
B) absent
C) present 10×10
4. Usually, the duration of an early deceleration in comparison with the contraction is:
A) Shorter
B) The same
C) Longer
5. The tracing shown is a:
A) Category I
B) Category II
C) Category III
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
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