NCC Certified - Electronic Fetal Monitoring : EFM

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Sep 06, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

Fetal heart rate variability results from normal variance in fetal:

A. R-R intervals
B. Levels of carbon dioxide
C. Cardiac responsiveness


Question 2

A characteristic of early decelerations is that they

A. commonly fall below 100 beats per minute
B. are episodic
C. are thought to be caused by a vagal reflex


Question 3

This tracing demonstrates:

A. Prolonged deceleration
B. Category III tracing
C. Bradycardia


Question 4

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


Question 5

This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A. Give terbutaline
B. Continue to observe
C. Cesarean birth


Solutions:

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

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