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NCC Certified - Electronic Fetal Monitoring : EFM

EFM

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Sep 15, 2026

Q&A Number: 127 Q&As

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1
A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

A. Placental abruption
B. Fetal trauma
C. Cord accident


Question #2
Uterine contraction intensity is manually measured by degree of uterine:

A. Indentation
B. Muscle strength
C. Pain


Question #3
In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A. Dilute thick meconium
B. Restore uterine blood flow
C. Treat oligohydramnios


Question #4
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


Question #5
During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A. Vagal stimulation
B. Vasospasm
C. Cord compression


Solutions:

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

Related Certifications
NCC C-EFM
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