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NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Maternal-Fetal Physiology
|
| Topic 2: Pattern Recognition and Intervention | 70% | - Maternal and Fetal Complications
|
| Topic 3: Fetal Assessment Methods | 9% | - Assessment Techniques
|
| Topic 4: Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Topic 5: Professional Issues | 5% | - Clinical Practice and Safety
|
NCC Certified - Electronic Fetal Monitoring Sample Questions:
This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:
- A. Perform a cervical exam
- B. Continue to monitor
- C. Check maternal blood pressure
Correct Answer: C 🗳️
Explanation: Only visible for Test4Cram members. You can sign-up / login (it's free).
A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:
- A. Adjust tocotransducer and continue to monitor
- B. Discharge to home
- C. Admit for induction
Correct Answer: A 🗳️
Explanation: Only visible for Test4Cram members. You can sign-up / login (it's free).
Based on the tracing shown, the first action should be to
- A. assess maternal temperature
- B. palpate for contractions
- C. administer vibroacoustic stimulation
Correct Answer: B 🗳️
Explanation: Only visible for Test4Cram members. You can sign-up / login (it's free).
A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is
- A. continued pushing
- B. cesarean birth
- C. vacuum-assisted vaginal birth
Correct Answer: B 🗳️
Explanation: Only visible for Test4Cram members. You can sign-up / login (it's free).
The fetal heart rate tracing shown represents
- A. category II
- B. category I
- C. category III
Correct Answer: A 🗳️
Explanation: Only visible for Test4Cram members. You can sign-up / login (it's free).


