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NCC EFM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Fetal Assessment and Methods	9%	- Correlation with clinical status - Auxiliary assessment techniques - Indications for monitoring
Topic 2: Electronic Monitoring Equipment	5%	- Troubleshooting artifacts - Calibration and accuracy - Proper application and use
Topic 3: Professional Issues	5%	- Safety and quality improvement - Legal and ethical aspects - Documentation standards
Topic 4: Pattern Recognition and Intervention	70%	- Clinical decision-making and interventions - Fetal heart rate patterns classification - Tracing evaluation and management - Interpretation per NICHD standards
Topic 5: Physiology	11%	- Factors affecting fetal oxygenation - Fetal cardiovascular physiology - Uteroplacental function

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The factor that differentiates a prolonged deceleration from bradycardia is:

A) Relationship to contractions
B) Length of time it lasts
C) Baseline rate

2. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Consider amnioinfusion
B) Modify pushing
C) Administer terbutaline

3. (Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to

A) continue to observe
B) administer maternal oxygen
C) start an IV fluid bolus

4. This external tracing is from a 19-year-old (G1P0) at 39-weeks gestation. She is 6 cm dilated, 100% effaced, and -2 station. The fetus is in an occiput posterior position. She rates her pain as 8. She reports being lightheaded. She is most likely at risk for respiratory: