NCC EFM real exam prep : Certified - Electronic Fetal Monitoring

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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. (Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:

A) Maternal diabetes
B) A history of preterm birth
C) Macrosomia

2. Amnioinfusion can cause what changes in the fetal heart rate tracing?

A) Increase in fetal heart rate baseline
B) Improvement in fetal heart rate variability
C) Resolution of variable decelerations

3. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Abruptio placenta
B) Placenta previa
C) Ruptured vasa previa

4. This fetal heart rate tracing is obtained upon the woman's admission to labor and delivery. This tracing is most reflective of:

A) Complete heart block
B) Fetal dysrhythmia
C) Atrial flutter

5. When accelerations precede a variable deceleration pattern, this is caused by

A) hypoxic reflex response
B) oligohydramnios
C) occlusion of the umbilical vein

Solutions: