NCC Certified - Electronic Fetal Monitoring : EFM

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The duration of a contraction is best represented by which colored arrow?

A) Blue (A)
B) Red (C)
C) Green (B)


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) Discharge to home
B) Admit for induction
C) Adjust tocotransducer and continue to monitor


3. The presence of fetal breathing movements on a biophysical profile reflects adequate:

A) Surfactant levels
B) Pulmonary vasoconstriction
C) Neurologic function


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

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


5. 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


Solutions:

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

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