NCC Certified - Electronic Fetal Monitoring : EFM

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Sep 24, 2026     Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pattern Recognition and Intervention70%- Fetal Heart Rate Patterns
  • 1. Accelerations and Decelerations
  • 2. Baseline Variability
  • 3. Sinusoidal Patterns
- Maternal and Fetal Complications
  • 1. Fetal Dysrhythmias
  • 2. Tachysystole
  • 3. Intrauterine Resuscitation
Topic 2: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. External Monitoring
  • 2. Equipment Troubleshooting
  • 3. Internal Monitoring
Topic 3: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Contraction Stress Testing
  • 2. Cord Blood and Acid-Base Analysis
  • 3. Fetal Movement Assessment
Topic 4: Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Oxygenation
  • 2. Fetal Heart Rate Regulation
  • 3. Uteroplacental Circulation
Topic 5: Professional Issues5%- Clinical Practice and Safety
  • 1. Quality Improvement
  • 2. Patient Safety
  • 3. Legal and Ethical Issues

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

When auscultating the fetal heart rate, the Doppler should be placed over the fetal:

  • A. Abdomen
  • B. Back
  • C. Chest
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

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 #3

A 45-year-old woman at 36-weeks gestation presents for a nonstress test. Vital signs are:

* Maternal pulse rate: 86 beats per minute
* Blood pressure: 118/76 mm Hg
* Temperature: 36.7°C (98.1°F)
The next course of action would include:

  • A. Perform a Kleihauer-Betke test
  • B. Discharge home
  • C. Induce labor
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

Sustained fetal supraventricular tachycardia that goes untreated is most likely to result in:

  • A. The need for a neonatal pacemaker
  • B. Fetal anemia
  • C. Hydrops fetalis
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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