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:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

When evaluating a baseline fetal heart rate change, the fetal heart rate is assessed for a minimum of:

A. 30 minutes
B. 15 minutes
C. 10 minutes


Question 2

A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:

A. Decrease the oxytocin
B. Perform an amnioinfusion
C. Apply a spiral electrode


Question 3

A 45-year-old woman at 36-weeks gestation presents for a nonstress test. Vital signs are:

* Maternal pulse rate: 86 beats per minute
* Blood pressure: 118/76 mm Hg
* Temperature: 36.7°C (98.1°F)
The next course of action would include:

A. Perform a Kleihauer-Betke test
B. Discharge home
C. Induce labor


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. Complete heart block
B. Atrial flutter
C. Fetal dysrhythmia


Question 5

A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:

A. Decrease the oxytocin
B. Place a fetal spiral electrode
C. Continue to observe


Solutions:

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

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