Updated: Aug 08, 2026
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| Certification Vendor: | National Certification Corporation (NCC) |
| Exam Name: | NCC Electronic Fetal Monitoring Certification Examination |
| Exam Number: | C-EFM |
| Related Certifications: | Inpatient Obstetric Nursing (RNC-OB) Maternal Newborn Nursing (RNC-MNN) |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Real Exam Qty: | 120 (approximately 110 scored + pilot items) |
| Exam Format: | Multiple choice, Computer-based testing |
| Exam Duration: | 150 minutes |
| Recommended Training: | Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Fetal Monitoring Education NCC Candidate Preparation Resources |
| Exam Registration: | NCC Official Certification Page C-EFM Exam Information |
| Sample Questions: | NCC EFM Sample Questions |
| Exam Way: | Computer-based exam at testing centers or remote proctored delivery (varies by region and NCC policy) |
| Pre Condition: | Typically intended for healthcare professionals involved in intrapartum care (e.g., nurses, physicians, midwives). No formal prerequisite exam required, but clinical experience in obstetrics is recommended. |
| Official Syllabus URL: | https://www.nccwebsite.org |
| Section | Objectives |
|---|---|
| Topic 1: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 2: Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Topic 3: Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Topic 4: Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Topic 5: Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Topic 6: Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
1. The duration of a contraction is best represented by which colored arrow?
A) Red (C)
B) Green (B)
C) Blue (A)
2. (Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:
A) Macrosomia
B) Maternal diabetes
C) A history of preterm birth
3. Maternal-fetal oxygen transfer takes place in the:
A) Spiral arteries
B) Intervillous space
C) Umbilical vein
4. A fetal heart rate deceleration that is episodic is a/an:
A) Variable deceleration
B) Late deceleration
C) Early deceleration
5. Amnioinfusion can cause what changes in the fetal heart rate tracing?
A) Improvement in fetal heart rate variability
B) Increase in fetal heart rate baseline
C) Resolution of variable decelerations
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |
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