NCC NCC C-EFM EFM

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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A) Dilute thick meconium
B) Treat oligohydramnios
C) Restore uterine blood flow

2. 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

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

4. Amnioinfusion can cause what changes in the fetal heart rate tracing?

A) Improvement in fetal heart rate variability
B) Increase in fetal heart rate baseline
C) Resolution of variable decelerations

5. This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A) Continue to observe
B) Give terbutaline
C) Cesarean birth

Solutions: