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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

A) Late decelerations
B) Fetal heart block
C) Variable decelerations

2. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Remove the dinoprostone (Cervidil) insert
B) Continue to observe
C) Give 0.25 mg of terbutaline subcutaneously

3. The fetal heart rate baseline is

A) normally between 110 and 170 beats per minute
B) established between periodic and episodic changes
C) documented in a 15 beats per minute range

4. The decelerations seen in the fetal monitoring tracing shown are best described as:

A) Late
B) Variable
C) Early

5. 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

Solutions: