NCC EFM : Certified - Electronic Fetal Monitoring

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 26, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

A woman experiences an eclamptic seizure during the second stage of labor. An anticipated fetal heart rate abnormality post-seizure would be:

A. Sinusoidal pattern
B. Bradycardia
C. Variable decelerations


Question 2

A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A. Ruptured vasa previa
B. Abruptio placenta
C. Placenta previa


Question 3

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


Question 4

What is the appropriate interpretation of this tracing?

A. Marked variability
B. Tachycardia with variable decelerations
C. Multiple prolonged accelerations


Question 5

The ratio of oxyhemoglobin to the total amount of hemoglobin available is called oxygen

A. carrying capacity
B. affinity
C. saturation


Solutions:

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

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