NCC Certified - Electronic Fetal Monitoring : EFM

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 21, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?

A) Informed consent
B) Autonomy
C) Fiduciary


2. The fetal heart rate tracing shown is consistent with

A) artifact
B) supraventricular tachycardia
C) half counting


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) Tachysystole
C) Absent variability


4. The most common fetal heart rate pattern consistent with uterine rupture is

A) prolonged and variable decelerations
B) absent variability
C) loss of uterine pressure


5. (Full question statement)
Interobserver reliability in interpretation of fetal heart rate tracings is greatest when the tracing is:

A) Normal
B) Abnormal
C) Indeterminate


Solutions:

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

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