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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When accelerations precede a variable deceleration pattern, this is caused by

A) hypoxic reflex response
B) occlusion of the umbilical vein
C) oligohydramnios

2. The duration of a contraction is best represented by which colored arrow?

A) Red (C)
B) Blue (A)
C) Green (B)

3. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

A) increasing the oxytocin
B) preparing for operative vaginal birth
C) preparing for cesarean birth

4. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:

A) Position the woman on her left side
B) Increase intravenous fluid intake
C) Perform a vaginal examination

5. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A) Absent variability
B) Tachysystole
C) Late decelerations

Solutions: