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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
| Professional Issues | 5% | - Clinical Practice and Safety
- 1. Quality Improvement
- 2. Patient Safety
- 3. Legal and Ethical Issues
|
| Physiology | 11% | - Maternal-Fetal Physiology
- 1. Uteroplacental Circulation
- 2. Fetal Heart Rate Regulation
- 3. Fetal Oxygenation
|
| Electronic Monitoring Equipment | 5% | - Monitoring Systems
- 1. Equipment Troubleshooting
- 2. External Monitoring
- 3. Internal Monitoring
|
| Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
- 1. Baseline Variability
- 2. Sinusoidal Patterns
- 3. Accelerations and Decelerations
- Maternal and Fetal Complications
- 1. Intrauterine Resuscitation
- 2. Tachysystole
- 3. Fetal Dysrhythmias
|
| Fetal Assessment Methods | 9% | - Assessment Techniques
- 1. Contraction Stress Testing
- 2. Cord Blood and Acid-Base Analysis
- 3. Fetal Movement Assessment
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:
A) Wandering baseline
B) Marked variability
C) Recurrent late decelerations
2. The fetal heart rate tracing shown demonstrates:

A) Marked variability
B) Accelerations
C) Category II tracing
3. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:
A) Dilute thick meconium
B) Restore uterine blood flow
C) Treat oligohydramnios
4. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A) Proceed with cesarean section
B) Continue to monitor
C) Perform intrauterine resuscitative measures
5. A reliable indicator of fetal oxygenation is fetal
A) heart rate accelerations
B) regular sleep-wake cycles
C) movement
Solutions:
Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: A |