NCC EFM : Certified - Electronic Fetal Monitoring

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Oct 02, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Pattern Recognition and Intervention70%- Maternal and Fetal Complications
  • 1. Intrauterine Resuscitation
  • 2. Fetal Dysrhythmias
  • 3. Tachysystole
- Fetal Heart Rate Patterns
  • 1. Accelerations and Decelerations
  • 2. Baseline Variability
  • 3. Sinusoidal Patterns
Physiology11%- Maternal-Fetal Physiology
  • 1. Fetal Oxygenation
  • 2. Uteroplacental Circulation
  • 3. Fetal Heart Rate Regulation
Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Equipment Troubleshooting
  • 2. Internal Monitoring
  • 3. External Monitoring
Professional Issues5%- Clinical Practice and Safety
  • 1. Quality Improvement
  • 2. Legal and Ethical Issues
  • 3. Patient Safety
Fetal Assessment Methods9%- Assessment Techniques
  • 1. Cord Blood and Acid-Base Analysis
  • 2. Contraction Stress Testing
  • 3. Fetal Movement Assessment

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

  • A. Marked variability
  • B. Recurrent late decelerations
  • C. Wandering baseline
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

  • A. Consider amnioinfusion
  • B. Modify pushing
  • C. Administer terbutaline
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

(Full question statement)
This tracing is consistent with:

  • A. Atrial flutter
  • B. Effects of butorphanol administration
  • C. Fetal-maternal transfusion
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

Interventions undertaken to address fetal tachycardia are targeted at maximizing

  • A. maternal circulation
  • B. uteroplacental perfusion
  • C. sympathetic autonomic tone
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:

  • A. Intravenous bolus of D5% Lactated Ringers
  • B. Fetal scalp stimulation
  • C. Delivery
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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