NCC EFM : Certified - Electronic Fetal Monitoring

EFM real exams

Exam Code: EFM

Exam Name: Certified - Electronic Fetal Monitoring

Updated: Oct 03, 2026

Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

  • A. Fetal heart block
  • B. Late decelerations
  • C. Variable decelerations
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

  • A. Absent variability
  • B. Late decelerations
  • C. Tachysystole
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

A key differentiating factor when determining if a deceleration is early or late is the

  • A. timing in relation to contractions
  • B. depth of the deceleration
  • C. onset to nadir
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #4

(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. Sickle cell anemia
  • B. Eisenmenger's syndrome
  • C. Systemic lupus erythematosus
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:

  • A. Recurrent late decelerations
  • B. Marked variability
  • C. Wandering baseline
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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