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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

A) Normal
B) Hypoxia
C) Acidosis

2. (Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to

A) start an IV fluid bolus
B) administer maternal oxygen
C) continue to observe

3. What is the appropriate interpretation of this tracing?

A) Tachycardia with variable decelerations
B) Multiple prolonged accelerations
C) Marked variability

4. Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

A) Low predictability of fetal well-being within 7 days of a negative test
B) Higher frequency of equivocal test results
C) Limited reporting option for the compromised fetus

5. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:

A) Abdomen
B) Chest
C) Back

Solutions: