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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Fetal Heart Rate Interpretation | - Accelerations and decelerations - Baseline rate and variability - Category I, II, and III tracing interpretation |
| Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. When accelerations precede a variable deceleration pattern, this is caused by
A) occlusion of the umbilical vein
B) hypoxic reflex response
C) oligohydramnios
2. A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:
A) Discontinue oxytocin
B) Proceed to operative birth
C) Place a spiral electrode
3. The baseline heart rate of a 28-week fetus is 170 bpm. The next step is to:
A) Continue observation
B) Perform a biophysical profile
C) Assess maternal vital signs
4. Maternal-fetal oxygen transfer takes place in the:
A) Spiral arteries
B) Intervillous space
C) Umbilical vein
5. (Full question)
Spontaneous fetal heart rate accelerations indicate
A) integrated response of the fetal central nervous system
B) immaturity of the fetal parasympathetic nervous system
C) dominance of the fetal sympathetic nervous system
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A |
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