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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman reports 12 fetal movements over one hour. The best recommendation is to:

A) Instruct her to count again the next day
B) Continue to monitor for one hour
C) Administer a nonstress test

2. The tracing shown is a:

A) Category I
B) Category II
C) Category III

3. A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:

A) Perform an amnioinfusion
B) Apply a spiral electrode
C) Decrease the oxytocin

4. A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as

A) present 10×10
B) present 15×15
C) absent

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

Solutions: