NCC EFM : Certified - Electronic Fetal Monitoring

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 05, 2026
  • Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:

A) Intravenous bolus of D5% Lactated Ringers
B) Fetal scalp stimulation
C) Delivery


2. A woman is admitted to labor and delivery with vaginal bleeding. This tracing is obtained. This is most consistent with:

A) An indeterminate pattern
B) Dysrhythmia
C) Normal baseline


3. Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

A) Limited reporting option for the compromised fetus
B) Higher frequency of equivocal test results
C) Low predictability of fetal well-being within 7 days of a negative test


4. The factor that differentiates a prolonged deceleration from bradycardia is:

A) Length of time it lasts
B) Relationship to contractions
C) Baseline rate


5. Usually, the duration of an early deceleration in comparison with the contraction is:

A) Longer
B) Shorter
C) The same


Solutions:

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

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