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NCC EFM : Certified - Electronic Fetal Monitoring

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 23, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionObjectives
Topic 1: Maternal and Fetal Complications- Hypoxia and uteroplacental insufficiency
- High-risk obstetric conditions affecting fetal monitoring
Topic 2: Intrauterine Resuscitation and Interventions- Fluid management and medication adjustments
- Maternal position changes and oxygen administration
Topic 3: Uterine Activity- Normal uterine contraction patterns
- Tachysystole and abnormal contraction patterns
Topic 4: Fetal Heart Rate Interpretation- Baseline rate and variability
- Accelerations and decelerations
- Category I, II, and III tracing interpretation
Topic 5: Intrapartum Assessment and Monitoring- External and internal monitoring techniques
- Risk assessment during labor
Topic 6: Fetal Physiology and Oxygenation- Oxygen transport and acid-base balance
- Fetal cardiovascular physiology

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?

A) Baseline tachycardia
B) Variable decelerations
C) Minimal variability


2. A sentinel or reportable event as defined by the Joint Commission or other regulatory bodies/agencies is one that

A) requires investigation and response
B) requires mandatory education for providers
C) must involve malpractice or negligence


3. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Continue to observe
B) Remove the dinoprostone (Cervidil) insert
C) Give 0.25 mg of terbutaline subcutaneously


4. A reliable indicator of fetal oxygenation is fetal

A) regular sleep-wake cycles
B) movement
C) heart rate accelerations


5. The baseline fetal heart rate decreases with gestational age as a result of an increase in:

A) Intrinsic ventricular rate
B) Parasympathetic tone
C) Catecholamine production


Solutions:

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

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