NCC Certified - Electronic Fetal Monitoring - EFM

NCC EFM Actual PDF
  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Aug 22, 2026
  • Q & A: 127 Questions and Answers
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About NCC EFM Actual Exam

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NCC EFM Exam Syllabus Topics:
SectionWeightObjectives
Topic 1: Fetal Assessment and Methods9%- Auxiliary assessment techniques
- Indications for monitoring
- Correlation with clinical status
Topic 2: Physiology11%- Uteroplacental function
- Fetal cardiovascular physiology
- Factors affecting fetal oxygenation
Topic 3: Professional Issues5%- Documentation standards
- Safety and quality improvement
- Legal and ethical aspects
Topic 4: Pattern Recognition and Intervention70%- Fetal heart rate patterns classification
- Interpretation per NICHD standards
- Clinical decision-making and interventions
- Tracing evaluation and management
Topic 5: Electronic Monitoring Equipment5%- Calibration and accuracy
- Proper application and use
- Troubleshooting artifacts
NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. (Full question statement)
The fetal heart rate tracing shown is obtained upon the woman's admission to labor and delivery. This tracing is most consistent with what maternal condition?

A) Eisenmenger's syndrome
B) Sickle cell anemia
C) Systemic lupus erythematosus


2. A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

A) Fetal trauma
B) Placental abruption
C) Cord accident


3. Stimulation of the vagus nerve in a healthy fetus will cause:

A) Increased fetal blood pressure
B) Decreased fetal heart rate
C) Increased cardiac contractility


4. Interventions undertaken to address fetal tachycardia are targeted at maximizing

A) maternal circulation
B) sympathetic autonomic tone
C) uteroplacental perfusion


5. This fetal heart rate tracing represents:

A) Prolonged acceleration
B) Coupling of contractions
C) Category I tracing


Solutions:

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

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