NCC EFM : Certified - Electronic Fetal Monitoring

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

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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Physiology11%- Uteroplacental function
- Fetal cardiovascular physiology
- Factors affecting fetal oxygenation
Topic 2: Fetal Assessment and Methods9%- Indications for monitoring
- Correlation with clinical status
- Auxiliary assessment techniques
Topic 3: Professional Issues5%- Safety and quality improvement
- Documentation standards
- Legal and ethical aspects
Topic 4: Pattern Recognition and Intervention70%- Clinical decision-making and interventions
- Tracing evaluation and management
- Fetal heart rate patterns classification
- Interpretation per NICHD standards
Topic 5: Electronic Monitoring Equipment5%- Proper application and use
- Troubleshooting artifacts
- Calibration and accuracy

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:

A) Evaluate for chorioamnionitis
B) Discontinue magnesium sulfate
C) Administer acetaminophen


2. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A) Late decelerations
B) Absent variability
C) Tachysystole


3. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A) Proceed with cesarean section
B) Continue to monitor
C) Perform intrauterine resuscitative measures


4. Amnioinfusion can cause what changes in the fetal heart rate tracing?

A) Resolution of variable decelerations
B) Improvement in fetal heart rate variability
C) Increase in fetal heart rate baseline


5. A reliable indicator of fetal oxygenation is fetal

A) heart rate accelerations
B) regular sleep-wake cycles
C) movement


Solutions:

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

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