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NCC NCC C-EFM EFM

EFM

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 25, 2026

Q & A: 127 Questions and Answers

EFM Free Demo download:

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as

A. present 10×10
B. absent
C. present 15×15


Question 2

This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:

A. Tachysystole
B. Placental abruption
C. Rapid fetal descent


Question 3

A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:

A. Discharge to home
B. Admit for induction
C. Adjust tocotransducer and continue to monitor


Question 4

A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A. Tachysystole
B. Absent variability
C. Late decelerations


Question 5

The ratio of oxyhemoglobin to the total amount of hemoglobin available is called oxygen

A. saturation
B. carrying capacity
C. affinity


Solutions:

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

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