NCC EFM : Certified - Electronic Fetal Monitoring

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 29, 2026     Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question 1

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

A. saturation
B. carrying capacity
C. affinity


Question 2

A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:

A. Continue to observe
B. Decrease the oxytocin
C. Place a fetal spiral electrode


Question 3

A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A. Late decelerations
B. Absent variability
C. Tachysystole


Question 4

This tracing reflects:

A. Category I
B. Category II
C. Category III


Question 5

The main reason intrauterine pressure catheters are placed is to:

A. Determine the contraction pattern
B. Define the quality of the fetal baseline
C. Rule out artifact


Solutions:

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

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