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NCC EFM

EFM

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 30, 2026

Q & A: 127 Questions and Answers

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About NCC EFM Exam

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman reports 12 fetal movements over one hour. The best recommendation is to:

A. Administer a nonstress test
B. Instruct her to count again the next day
C. Continue to monitor for one hour


Question 2

The factor that differentiates a prolonged deceleration from bradycardia is:

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


Question 3

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 4

A woman experiences an eclamptic seizure during the second stage of labor. An anticipated fetal heart rate abnormality post-seizure would be:

A. Bradycardia
B. Sinusoidal pattern
C. Variable decelerations


Question 5

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

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


Solutions:

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

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