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EFM pdf
  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Oct 24, 2026
  • Q & A: 127 Questions and Answers
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  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Oct 24, 2026
  • Q & A: 127 Questions and Answers
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  • Exam Code: EFM
  • Exam Name: Certified - Electronic Fetal Monitoring
  • Updated: Oct 24, 2026
  • Q & A: 127 Questions and Answers
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NCC EFM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pattern Recognition and Intervention70%- Fetal Heart Rate Patterns
  • 1. Sinusoidal Patterns
  • 2. Baseline Variability
  • 3. Accelerations and Decelerations
- Maternal and Fetal Complications
  • 1. Tachysystole
  • 2. Intrauterine Resuscitation
  • 3. Fetal Dysrhythmias
Topic 2: Fetal Assessment Methods9%- Assessment Techniques
  • 1. Fetal Movement Assessment
  • 2. Contraction Stress Testing
  • 3. Cord Blood and Acid-Base Analysis
Topic 3: Professional Issues5%- Clinical Practice and Safety
  • 1. Patient Safety
  • 2. Quality Improvement
  • 3. Legal and Ethical Issues
Topic 4: Electronic Monitoring Equipment5%- Monitoring Systems
  • 1. Equipment Troubleshooting
  • 2. External Monitoring
  • 3. Internal Monitoring
Topic 5: Physiology11%- Maternal-Fetal Physiology
  • 1. Uteroplacental Circulation
  • 2. Fetal Oxygenation
  • 3. Fetal Heart Rate Regulation

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:

  • A. Placental abruption
  • B. Tachysystole
  • C. Rapid fetal descent
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

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. Biophysical profile
  • C. Cesarean birth
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

When documenting the occurrence of late decelerations in the medical record, what should be charted?

  • A. Components of the tracing
  • B. Tracing category
  • C. Notation that the tracing was normal or abnormal
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #4

A woman at 36-weeks gestation comes in because of uterine contractions radiating to the back. She has no insurance. In accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), she is obligated to be:

  • A. Transferred to a safety-net hospital
  • B. Admitted without delay
  • C. Stabilized and receive a medical screening examination
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Correct Answer: C  🗳️

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Question #5

A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a

  • A. category III tracing
  • B. category I tracing
  • C. category II tracing
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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