NCC Certified - Electronic Fetal Monitoring : EFM

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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman experiences an eclamptic seizure during the second stage of labor. An anticipated fetal heart rate abnormality post-seizure would be:

A) Bradycardia
B) Sinusoidal pattern
C) Variable decelerations

2. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Remove the dinoprostone (Cervidil) insert
B) Continue to observe
C) Give 0.25 mg of terbutaline subcutaneously

3. (Full question statement)
Interobserver reliability in interpretation of fetal heart rate tracings is greatest when the tracing is:

A) Indeterminate
B) Abnormal
C) Normal

4. Interventions to decrease uterine activity should take place:

A) If tachysystole is seen for one or two 10-minute segments
B) After tachysystole has been occurring for at least 30 minutes
C) When labor is in the second stage

5. (Full question)
Vibroacoustic stimulation (VAS) is a useful intervention which can

A) provide an indication of the amount of amniotic fluid
B) shorten the length of the nonstress test (NST)
C) relax the uterus during tachysystole

Solutions: