NCC EFM Exam : Certified - Electronic Fetal Monitoring

EFM
  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Oct 08, 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:

Question #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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #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
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #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
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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