NCC EFM : Certified - Electronic Fetal Monitoring
- Exam Code: EFM
- Exam Name: Certified - Electronic Fetal Monitoring
- Updated: Aug 29, 2026
- Q & A: 127 Questions and Answers
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NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Accelerations and decelerations - Baseline rate and variability |
| Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
Fetal supraventricular tachycardia will often appear on the monitor as
A. artifact
B. the same rate as the maternal pulse
C. half the actual rate
Question 2
A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:
A. Evaluate for chorioamnionitis
B. Discontinue magnesium sulfate
C. Administer acetaminophen
Question 3
Interventions to decrease uterine activity should take place:
A. After tachysystole has been occurring for at least 30 minutes
B. When labor is in the second stage
C. If tachysystole is seen for one or two 10-minute segments
Question 4
This fetal heart rate tracing is obtained upon the woman's admission to labor and delivery. This tracing is most reflective of:
A. Fetal dysrhythmia
B. Atrial flutter
C. Complete heart block
Question 5
This tracing demonstrates:
A. Category III tracing
B. Bradycardia
C. Prolonged deceleration
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: C | Question 4 Answer: A | Question 5 Answer: C |
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