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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. 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) discharge to home
B) further observation
C) admission to hospital

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

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

3. 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

4. An internal electronic fetal monitor tracing continues to record artifact despite equipment troubleshooting and replacement of the spiral electrode. The next action is to:

A) Reposition the woman
B) Provide oxygen
C) Auscultate the fetal heart rate

5. Maternal conditions of autoimmunity can result in fetal heart block due to antibodies that target:

A) Fetal red blood cells
B) The fetal atrioventricular node
C) Maternal white blood cells

Solutions: