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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) Acidosis
C) Hypoxia

2. Based on the tracing shown, the first action should be to

A) assess maternal temperature
B) administer vibroacoustic stimulation
C) palpate for contractions

3. A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as

A) present 10×10
B) absent
C) present 15×15

4. 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) Place a spiral electrode
C) Proceed to operative birth

5. When fetal arterial blood pressure increases, the baroreceptors send impulses to the vagus nerve resulting in:

A) Decreased PO#
B) Reflex tachycardia
C) Decreased heart rate

Solutions: