NCC EFM Actual PDF : Certified - Electronic Fetal Monitoring

NCC EFM Actual PDF
  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 17, 2026
  • Q & A: 127 Questions and Answers
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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When accelerations precede a variable deceleration pattern, this is caused by

A) occlusion of the umbilical vein
B) hypoxic reflex response
C) oligohydramnios


2. A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:

A) Discontinue oxytocin
B) Proceed to operative birth
C) Place a spiral electrode


3. The baseline heart rate of a 28-week fetus is 170 bpm. The next step is to:

A) Continue observation
B) Perform a biophysical profile
C) Assess maternal vital signs


4. Maternal-fetal oxygen transfer takes place in the:

A) Spiral arteries
B) Intervillous space
C) Umbilical vein


5. (Full question)
Spontaneous fetal heart rate accelerations indicate

A) integrated response of the fetal central nervous system
B) immaturity of the fetal parasympathetic nervous system
C) dominance of the fetal sympathetic nervous system


Solutions:

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

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