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 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) cesarean birth
B) vacuum-assisted vaginal birth
C) continued pushing

2. Stimulation of the vagus nerve in a healthy fetus will cause:

A) Decreased fetal heart rate
B) Increased cardiac contractility
C) Increased fetal blood pressure

3. A fetus displays a baseline heart rate of 125 beats per minute with moderate variability. During a contraction, the baseline rate drops abruptly to 80 beats per minute with gradual return to baseline over 90 seconds. This is classified as:

A) Prolonged deceleration
B) Variable deceleration
C) Early deceleration

4. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A) Vasospasm
B) Cord compression
C) Vagal stimulation

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

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

Solutions: