NCC Certified - Electronic Fetal Monitoring : EFM

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Jul 30, 2026     Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:

A) Intravenous bolus of D5% Lactated Ringers
B) Fetal scalp stimulation
C) Delivery


2. 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


3. The pattern on the fetal heart rate tracing shown is likely due to

A) fetal head compression
B) placental insufficiency
C) umbilical cord compression


4. A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

A) Recurrent late decelerations
B) Wandering baseline
C) Marked variability


5. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A) Treat oligohydramnios
B) Dilute thick meconium
C) Restore uterine blood flow


Solutions:

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

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