NCC EFM Exam Collection - Certified - Electronic Fetal Monitoring

Updated: Oct 30, 2026
Q & A: 127 Questions and Answers

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NCC EFM Exam Syllabus Topics:

SectionObjectives
Intrauterine Resuscitation and Interventions- Maternal position changes and oxygen administration
- Fluid management and medication adjustments
Fetal Physiology and Oxygenation- Oxygen transport and acid-base balance
- Fetal cardiovascular physiology
Fetal Heart Rate Interpretation- Accelerations and decelerations
- Category I, II, and III tracing interpretation
- Baseline rate and variability
Uterine Activity- Normal uterine contraction patterns
- Tachysystole and abnormal contraction patterns
Maternal and Fetal Complications- Hypoxia and uteroplacental insufficiency
- High-risk obstetric conditions affecting fetal monitoring
Intrapartum Assessment and Monitoring- External and internal monitoring techniques
- Risk assessment during labor

NCC Certified - Electronic Fetal Monitoring Sample Questions:

Question #1

Intrapartum asphyxia can be determined by:

  • A. One-minute Apgar score
  • B. Cord blood gas analysis
  • C. Fetal heart rate interpretation
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

The factor that differentiates a prolonged deceleration from bradycardia is:

  • A. Baseline rate
  • B. Relationship to contractions
  • C. Length of time it lasts
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:

  • A. Place a fetal spiral electrode
  • B. Decrease the oxytocin
  • C. Continue to observe
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:

  • A. Proceed to operative birth
  • B. Discontinue oxytocin
  • C. Place a spiral electrode
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

A reliable indicator of fetal oxygenation is fetal

  • A. regular sleep-wake cycles
  • B. heart rate accelerations
  • C. movement
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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