NCC EFM : Certified - Electronic Fetal Monitoring

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Sep 11, 2026
  • Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:
SectionWeightObjectives
Topic 1: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Oxygenation
  • 2. Fetal Heart Rate Regulation
  • 3. Uteroplacental Circulation
Topic 2: 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
Topic 3: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Fetal Movement Assessment
  • 2. Contraction Stress Testing
  • 3. Cord Blood and Acid-Base Analysis
Topic 4: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Equipment Troubleshooting
  • 2. Internal Monitoring
  • 3. External Monitoring
Topic 5: Professional Issues5%- Clinical Practice and Safety
  • 1. Legal and Ethical Issues
  • 2. Quality Improvement
  • 3. Patient Safety
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question #1

This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:

  • A. Perform a cervical exam
  • B. Continue to monitor
  • C. Check maternal blood pressure
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

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. Adjust tocotransducer and continue to monitor
  • B. Discharge to home
  • C. Admit for induction
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

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

  • A. assess maternal temperature
  • B. palpate for contractions
  • C. administer vibroacoustic stimulation
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is

  • A. continued pushing
  • B. cesarean birth
  • C. vacuum-assisted vaginal birth
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

The fetal heart rate tracing shown represents

  • A. category II
  • B. category I
  • C. category III
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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