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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Consider amnioinfusion
B) Modify pushing
C) Administer terbutaline

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) Palpation of the maternal radial pulse
C) Request for an urgent bedside ultrasound

3. A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a

A) category III tracing
B) category I tracing
C) category II tracing

4. Maternal-fetal exchange during labor is diminished by:

A) An increase in maternal cardiac output
B) Open-glottis pushing in second stage
C) Placental calcifications

5. A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:

A) Discontinue magnesium sulfate
B) Administer acetaminophen
C) Evaluate for chorioamnionitis

Solutions: