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Exam Code: EFM
Exam Name: Certified - Electronic Fetal Monitoring
Certification Provider: NCC
Corresponding Certification: NCC C-EFM

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EFM

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Updated: Sep 16, 2026

No. of Questions: 127 Questions & Answers with Testing Engine

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Choosing Purchase: "Online Test Engine"
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NCC EFM Exam Overview:

Certification Vendor:National Certification Corporation (NCC)
Exam Name:Certified - Electronic Fetal Monitoring
Exam Number:C-EFM
Exam Price:$210 USD
Real Exam Qty:125
Certificate Validity Period:3 years
Exam Format:Computer-Based Exam, Live Remote Proctoring, Multiple Choice
Related Certifications:RNC-OB
C-NPT
WHNP-BC
Exam Duration:120 minutes
Available Languages:English
Sample Questions:NCC EFM Sample Questions
Exam Way:Computer testing at PSI test centers or online via Live Remote Proctoring (LRP).
Pre Condition:Current active and unencumbered licensure in the United States or Canada as a physician, registered nurse, nurse practitioner, nurse midwife, midwife, physician assistant, or paramedic.
Official Syllabus URL:https://www.nccwebsite.org/certification-exams/details/1/electronic-fetal-monitoring

NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

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
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

(Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:

  • A. Maternal diabetes
  • B. Macrosomia
  • C. A history of preterm birth
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

A fetal heart rate pattern shows no accelerations or decelerations. It would be interpreted as a Category II pattern if it occurred with:

  • A. A sinusoidal pattern
  • B. A fetal heart rate of 110 beats per minute
  • C. Marked variability
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

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

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

Correct Answer: C  🗳️

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Question #5

Based on the fetal heart rate tracing shown, the expected fetal pH would be:

  • A. Unaffected by the fetal heart rate
  • B. Below 7.15
  • C. Above 7.15
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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