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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: Fetal Assessment Methods | 9% | - Assessment Techniques
- 1. Contraction Stress Testing
- 2. Fetal Movement Assessment
- 3. Cord Blood and Acid-Base Analysis
|
| Topic 2: Physiology | 11% | - Maternal-Fetal Physiology
- 1. Fetal Oxygenation
- 2. Fetal Heart Rate Regulation
- 3. Uteroplacental Circulation
|
| Topic 3: Professional Issues | 5% | - Clinical Practice and Safety
- 1. Patient Safety
- 2. Quality Improvement
- 3. Legal and Ethical Issues
|
| Topic 4: Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
- 1. Baseline Variability
- 2. Sinusoidal Patterns
- 3. Accelerations and Decelerations
- Maternal and Fetal Complications
- 1. Fetal Dysrhythmias
- 2. Intrauterine Resuscitation
- 3. Tachysystole
|
| Topic 5: Electronic Monitoring Equipment | 5% | - Monitoring Systems
- 1. External Monitoring
- 2. Equipment Troubleshooting
- 3. Internal Monitoring
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. When documenting the occurrence of late decelerations in the medical record, what should be charted?
A) Notation that the tracing was normal or abnormal
B) Tracing category
C) Components of the tracing
2. An electronic fetal monitoring factor that best correlates with fetal well-being is:
A) Presence of variability
B) Baseline heart rate 140-150 bpm
C) Absence of decelerations
3. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?
A) Late decelerations
B) Absent variability
C) Tachysystole
4. When accelerations precede a variable deceleration pattern, this is caused by
A) occlusion of the umbilical vein
B) hypoxic reflex response
C) oligohydramnios
5. This fetal heart rate tracing represents:

A) Coupling of contractions
B) Category I tracing
C) Prolonged acceleration
Solutions:
Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |