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NCC NCC C-EFM EFM

EFM

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Aug 04, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:

A) Uterine activity
B) Stage of labor
C) Fetal position


2. A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is

A) continued pushing
B) vacuum-assisted vaginal birth
C) cesarean birth


3. Usually, the duration of an early deceleration in comparison with the contraction is:

A) Longer
B) Shorter
C) The same


4. This tracing reflects:

A) Category III
B) Category II
C) Category I


5. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:

A) Induction of labor
B) Cesarean birth
C) Biophysical profile


Solutions:

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

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