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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) Hypoxia
B) Normal
C) Acidosis

2. A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

A) Intrauterine resuscitation measures
B) Request for an urgent bedside ultrasound
C) Palpation of the maternal radial pulse

3. A woman at 39-weeks gestation is in early labor, 2-3 cm dilated, 85% effaced, and -2 station. Based on the fetal heart rate tracing shown, what is the most appropriate first intervention?

A) Administer terbutaline
B) Administer an IV fluid bolus
C) Adjust the fetal monitor

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. Tachysystole can have a negative effect on fetal oxygenation during labor by

A) interfering with reperfusion of the intervillous space
B) increasing maternal blood pressure
C) blocking active transport of oxygen to the fetus

Solutions: