NCC EFM : Certified - Electronic Fetal Monitoring

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 30, 2026
  • Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman reports 12 fetal movements over one hour. The best recommendation is to:

A. Administer a nonstress test
B. Instruct her to count again the next day
C. Continue to monitor for one hour


Question 2

This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

A. Intermittent late decelerations
B. Wandering baseline
C. Variable decelerations


Question 3

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


Question 4

Maternal conditions of autoimmunity can result in fetal heart block due to antibodies that target:

A. Maternal white blood cells
B. Fetal red blood cells
C. The fetal atrioventricular node


Question 5

Maternal-fetal oxygen transfer takes place in the:

A. Intervillous space
B. Spiral arteries
C. Umbilical vein


Solutions:

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

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