Updated: Nov 07, 2026
No. of Questions: 127 Questions & Answers with Testing Engine
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| Certification Vendor: | National Certification Corporation (NCC) |
|---|---|
| Exam Name: | Electronic Fetal Monitoring Certification Exam |
| Exam Number: | C-EFM |
| Available Languages: | English |
| Exam Duration: | 120 minutes |
| Real Exam Qty: | 125 (100 scored, 25 unscored pretest) |
| Exam Format: | Remote proctoring or onsite test center, Multiple-choice questions, Computer-based testing |
| Certificate Validity Period: | 3 years |
| Exam Price: | $210 (includes $50 non-refundable application fee) |
| Passing Score: | Scaled score 70 / Approximately 72% |
| Recommended Training: | NCC EFM Candidate Guide |
| Exam Registration: | NCC Official Application Portal |
| Sample Questions: | NCC EFM Sample Questions |
| Exam Way: | Computer-based: onsite at approved test centers or live remote proctoring |
| Pre Condition: | Current active unencumbered licensure in US or Canada as 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 |
| Section | Weight | Objectives |
|---|---|---|
| Pattern Recognition and Intervention | 70% | - Clinical decision-making and interventions - Interpretation per NICHD standards - Tracing evaluation and management - Fetal heart rate patterns classification |
| Professional Issues | 5% | - Documentation standards - Legal and ethical aspects - Safety and quality improvement |
| Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Indications for monitoring - Correlation with clinical status |
| Electronic Monitoring Equipment | 5% | - Troubleshooting artifacts - Calibration and accuracy - Proper application and use |
The presence of fetal breathing movements on a biophysical profile reflects adequate:
Correct Answer: C 🗳️
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Tachysystole can have a negative effect on fetal oxygenation during labor by
Correct Answer: A 🗳️
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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:
Correct Answer: A 🗳️
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Uterine contraction intensity is manually measured by degree of uterine:
Correct Answer: A 🗳️
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The fetal heart rate baseline is
Correct Answer: C 🗳️
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