NCC EFM : Certified - Electronic Fetal Monitoring

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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman is admitted to labor and delivery with vaginal bleeding. This tracing is obtained. This is most consistent with:

A. An indeterminate pattern
B. Dysrhythmia
C. Normal baseline

Question 2

A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

A. Intrauterine resuscitation measures
B. Palpation of the maternal radial pulse
C. Request for an urgent bedside ultrasound

Question 3

The tracing shown is from a woman at 28-weeks gestation in the post-anesthesia care unit (PACU) after an appendectomy. She is alert and awake. Based on this fetal heart rate pattern, the most appropriate intervention is:

A. Perform cesarean birth
B. Administer terbutaline
C. Continued monitoring

Question 4

A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

A. Recurrent late decelerations
B. Marked variability
C. Wandering baseline

Question 5

The tracing shown is a:

A. Category I
B. Category III
C. Category II

Solutions: