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Last Updated: Aug 06, 2026

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NCC EFM Exam Syllabus Topics:

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

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:

A) Fetal position
B) Stage of labor
C) Uterine activity


2. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

A) Variable decelerations
B) Fetal heart block
C) Late decelerations


3. 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 I tracing
B) category II tracing
C) category III tracing


4. This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

A) Intermittent late decelerations
B) Variable decelerations
C) Wandering baseline


5. (Full question statement)
A woman at 39-weeks gestation is in labor, progressing normally. The baseline fetal heart rate has increased from 125 to 150 beats per minute over the last hour with moderate variability. What is the next step?

A) Initiate antibiotic therapy
B) Continue to observe
C) Perform an ultrasound


Solutions:

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

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