NCC : EFM Questions & Answers

Last Updated: Jul 20, 2026

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:

A) Evaluate for chorioamnionitis
B) Administer acetaminophen
C) Discontinue magnesium sulfate


2. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?

A) Baseline tachycardia
B) Minimal variability
C) Variable decelerations


3. A woman who is one week past a confirmed due date has serial ultrasounds to determine:

A) Fetal weight
B) Amniotic fluid volume
C) Placental calcification


4. This fetal heart rate pattern is classified as Category III based on:

A) Type of deceleration
B) Contraction pattern
C) Absent variability


5. This tracing demonstrates:

A) Category III tracing
B) Bradycardia
C) Prolonged deceleration


Solutions:

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

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