NCC Certified - Electronic Fetal Monitoring : EFM Exam

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Jul 21, 2026
  • Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

A) preparing for cesarean birth
B) increasing the oxytocin
C) preparing for operative vaginal birth


2. Patient safety is enhanced when alarms:

A) Occur infrequently
B) Can be called by anyone
C) Are determined by the unit leaders


3. When R-R intervals are short, the fetal heart rate is

A) slow
B) normal
C) fast


4. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

A) Late decelerations
B) Variable decelerations
C) Fetal heart block


5. When a difference in interpretation occurs over a non-emergent electronic fetal heart rate tracing, the first step toward resolution is to:

A) Follow the chain of command
B) Have the involved clinicians review the tracing together
C) Document the incident in the medical record


Solutions:

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

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