NCC EFM : Certified - Electronic Fetal Monitoring

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Nov 01, 2026     Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

Maternal-fetal exchange during labor is diminished by:

  • A. An increase in maternal cardiac output
  • B. Open-glottis pushing in second stage
  • C. Placental calcifications
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

A fetus displays a baseline heart rate of 125 beats per minute with moderate variability. During a contraction, the baseline rate drops abruptly to 80 beats per minute with gradual return to baseline over 90 seconds. This is classified as:

  • A. Early deceleration
  • B. Variable deceleration
  • C. Prolonged deceleration
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:

  • A. Apply a spiral electrode
  • B. Perform an amnioinfusion
  • C. Decrease the oxytocin
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

The fetal heart rate tracing shown is consistent with

  • A. half counting
  • B. artifact
  • C. supraventricular tachycardia
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

A woman with hypertension at 38-weeks gestation has a biophysical profile. The result is 4/10 with decreased amniotic fluid volume. The next step should be to:

  • A. Discharge home on bedrest
  • B. Admit for delivery
  • C. Repeat the biophysical profile in 24 hours
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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