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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Topic 2: Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Topic 3: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 4: Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Topic 5: Fetal Heart Rate Interpretation | - Baseline rate and variability - Category I, II, and III tracing interpretation - Accelerations and decelerations |
| Topic 6: Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:
A) Restore uterine blood flow
B) Treat oligohydramnios
C) Dilute thick meconium
2. Sustained fetal supraventricular tachycardia that goes untreated is most likely to result in:
A) Hydrops fetalis
B) Fetal anemia
C) The need for a neonatal pacemaker
3. 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
4. A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?
A) Intrauterine resuscitation measures
B) Palpation of the maternal radial pulse
C) Request for an urgent bedside ultrasound
5. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:
A) Abdomen
B) Back
C) Chest
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: B |
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