NCC Certified - Electronic Fetal Monitoring : EFM Exam Questions

  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Jul 19, 2026
  • Q&As: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A) Continue to monitor
B) Perform intrauterine resuscitative measures
C) Proceed with cesarean section


2. This fetal heart rate tracing is obtained upon the woman's admission to labor and delivery. This tracing is most reflective of:

A) Complete heart block
B) Fetal dysrhythmia
C) Atrial flutter


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


4. (Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to

A) administer maternal oxygen
B) continue to observe
C) start an IV fluid bolus


5. A woman reports 12 fetal movements over one hour. The best recommendation is to:

A) Administer a nonstress test
B) Continue to monitor for one hour
C) Instruct her to count again the next day


Solutions:

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

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