NCC Certified - Electronic Fetal Monitoring : EFM

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 29, 2026
  • Q & A: 127 Questions and Answers

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About NCC Certified - Electronic Fetal Monitoring : EFM Exam

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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Uteroplacental Circulation
  • 3. Fetal Oxygenation
Topic 2: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. External Monitoring
  • 2. Equipment Troubleshooting
  • 3. Internal Monitoring
Topic 3: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Cord Blood and Acid-Base Analysis
  • 2. Contraction Stress Testing
  • 3. Fetal Movement Assessment
Topic 4: Pattern Recognition and Intervention70%- Fetal Heart Rate Patterns
  • 1. Sinusoidal Patterns
  • 2. Baseline Variability
  • 3. Accelerations and Decelerations
- Maternal and Fetal Complications
  • 1. Tachysystole
  • 2. Fetal Dysrhythmias
  • 3. Intrauterine Resuscitation
Topic 5: Professional Issues5%- Clinical Practice and Safety
  • 1. Quality Improvement
  • 2. Patient Safety
  • 3. Legal and Ethical Issues

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A. Cesarean birth
B. Continue to observe
C. Give terbutaline


Question 2

When auscultating the fetal heart rate, the Doppler should be placed over the fetal:

A. Abdomen
B. Chest
C. Back


Question 3

Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?

A. Autonomy
B. Informed consent
C. Fiduciary


Question 4

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 5

A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A. Proceed with cesarean section
B. Continue to monitor
C. Perform intrauterine resuscitative measures


Solutions:

Question 1
Answer: B
Question 2
Answer: C
Question 3
Answer: B
Question 4
Answer: C
Question 5
Answer: C

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