NCC Certified - Electronic Fetal Monitoring : EFM

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Jun 13, 2026
  • Q & A: 127 Questions and Answers

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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. (Full question statement)
A woman at 39-weeks gestation is in labor, progressing normally. The baseline fetal heart rate has increased from 125 to 150 beats per minute over the last hour with moderate variability. What is the next step?

A) Initiate antibiotic therapy
B) Continue to observe
C) Perform an ultrasound


2. 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) Infection
C) Magnesium sulfate


3. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

A) increasing the oxytocin
B) preparing for operative vaginal birth
C) preparing for cesarean birth


4. (Full question statement)
This tracing is consistent with:

A) Atrial flutter
B) Fetal-maternal transfusion
C) Effects of butorphanol administration


5. When documenting the occurrence of late decelerations in the medical record, what should be charted?

A) Tracing category
B) Notation that the tracing was normal or abnormal
C) Components of the tracing


Solutions:

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

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