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NCC Certified - Electronic Fetal Monitoring : EFM

EFM

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 20, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:

A) Discontinue oxytocin
B) Proceed to operative birth
C) Place a spiral electrode


2. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:

A) Increase intravenous fluid intake
B) Position the woman on her left side
C) Perform a vaginal examination


3. (Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to

A) start an IV fluid bolus
B) continue to observe
C) administer maternal oxygen


4. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:

A) Cesarean birth
B) Biophysical profile
C) Induction of labor


5. The baseline heart rate of a 28-week fetus is 170 bpm. The next step is to:

A) Assess maternal vital signs
B) Continue observation
C) Perform a biophysical profile


Solutions:

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

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