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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Maternal-Fetal Physiology
|
| Topic 2: Fetal Assessment Methods | 9% | - Assessment Techniques
|
| Topic 3: Professional Issues | 5% | - Clinical Practice and Safety
|
| Topic 4: Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
|
| Topic 5: Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. Fetal cardiac output is essentially dependent on the fetal:
A) Heart rate
B) Activity
C) Baroreceptors
2. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:
A) Cesarean birth
B) Biophysical profile
C) Induction of labor
3. A fetal heart rate pattern shows no accelerations or decelerations. It would be interpreted as a Category II pattern if it occurred with:
A) A fetal heart rate of 110 beats per minute
B) Marked variability
C) A sinusoidal pattern
4. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:
A) Abruptio placenta
B) Placenta previa
C) Ruptured vasa previa
5. Amnioinfusion can cause what changes in the fetal heart rate tracing?
A) Improvement in fetal heart rate variability
B) Increase in fetal heart rate baseline
C) Resolution of variable decelerations
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |

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