NCC EFM : Certified - Electronic Fetal Monitoring

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Sep 01, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Heart Rate Regulation
  • 2. Fetal Oxygenation
  • 3. Uteroplacental Circulation
Fetal Assessment Methods9%- Assessment Techniques
  • 1. Cord Blood and Acid-Base Analysis
  • 2. Contraction Stress Testing
  • 3. Fetal Movement Assessment
Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Internal Monitoring
  • 2. Equipment Troubleshooting
  • 3. External Monitoring
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
Professional Issues5%- Clinical Practice and Safety
  • 1. Patient Safety
  • 2. Legal and Ethical Issues
  • 3. Quality Improvement

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

The black pattern represents the heart rate pattern for Baby A. The blue pattern represents the heart rate pattern for Baby B. A possible etiology of the baseline fetal heart rate of Baby A is:

A. Fetal positioning
B. Magnesium sulfate
C. Infection


Question 2

Based on the tracing shown, the first action should be to

A. assess maternal temperature
B. palpate for contractions
C. administer vibroacoustic stimulation


Question 3

The most probable underlying fetal physiologic cause for this tracing would be:

A. Myocardial hypoxic depression
B. Vagal nerve stimulation in response to hypoxemia
C. Release of catecholamines


Question 4

A fetal heart rate deceleration that is episodic is a/an:

A. Late deceleration
B. Early deceleration
C. Variable deceleration


Question 5

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

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


Solutions:

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

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