NCC EFM : Certified - Electronic Fetal Monitoring

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Sep 14, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

Interventions undertaken to address fetal tachycardia are targeted at maximizing

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

Correct Answer: A  🗳️

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Question #2

This tracing demonstrates:

  • A. Category III tracing
  • B. Prolonged deceleration
  • C. Bradycardia
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

A fetal heart rate pattern shows no accelerations or decelerations. It would be interpreted as a Category II pattern if it occurred with:

  • A. A fetal heart rate of 110 beats per minute
  • B. A sinusoidal pattern
  • C. Marked variability
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

  • A. Acidosis
  • B. Normal
  • C. Hypoxia
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:

  • A. Adjust tocotransducer and continue to monitor
  • B. Admit for induction
  • C. Discharge to home
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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