NCC EFM Exam : Certified - Electronic Fetal Monitoring

EFM
  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 19, 2026
  • Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionObjectives
Topic 1: Intrauterine Resuscitation and Interventions- Maternal position changes and oxygen administration
- Fluid management and medication adjustments
Topic 2: Uterine Activity- Normal uterine contraction patterns
- Tachysystole and abnormal contraction patterns
Topic 3: Maternal and Fetal Complications- Hypoxia and uteroplacental insufficiency
- High-risk obstetric conditions affecting fetal monitoring
Topic 4: Intrapartum Assessment and Monitoring- External and internal monitoring techniques
- Risk assessment during labor
Topic 5: Fetal Physiology and Oxygenation- Oxygen transport and acid-base balance
- Fetal cardiovascular physiology
Topic 6: Fetal Heart Rate Interpretation- Baseline rate and variability
- Accelerations and decelerations
- Category I, II, and III tracing interpretation

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Fetal supraventricular tachycardia will often appear on the monitor as

A) artifact
B) the same rate as the maternal pulse
C) half the actual rate


2. A woman at 34-weeks gestation is in active labor after spontaneous rupture of membranes.
Accelerations should be documented as

A) absent
B) present 15×15
C) present 10×10


3. When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as

A) absent variability
B) normal baseline
C) bradycardia


4. Interventions to decrease uterine activity should take place:

A) If tachysystole is seen for one or two 10-minute segments
B) After tachysystole has been occurring for at least 30 minutes
C) When labor is in the second stage


5. An internal electronic fetal monitor tracing continues to record artifact despite equipment troubleshooting and replacement of the spiral electrode. The next action is to:

A) Provide oxygen
B) Auscultate the fetal heart rate
C) Reposition the woman


Solutions:

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

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