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Updated: Aug 26, 2026
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NCC EFM Exam Overview:
| Certification Vendor: | National Certification Corporation (NCC) |
|---|---|
| Exam Name: | NCC Electronic Fetal Monitoring Certification Examination |
| Exam Number: | C-EFM |
| Real Exam Qty: | 120 (approximately 110 scored + pilot items) |
| Available Languages: | English |
| Related Certifications: | Inpatient Obstetric Nursing (RNC-OB) Maternal Newborn Nursing (RNC-MNN) |
| Exam Format: | Multiple choice, Computer-based testing |
| Certificate Validity Period: | 3 years |
| Exam Duration: | 150 minutes |
| Recommended Training: | NCC Candidate Preparation Resources Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Fetal Monitoring Education |
| 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 |
NCC EFM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Topic 2: Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Topic 3: Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
| Topic 4: Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Topic 5: Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Topic 6: Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
A fetal heart rate deceleration that is episodic is a/an:
A. Variable deceleration
B. Late deceleration
C. Early deceleration
Question 2
A woman experiences an eclamptic seizure during the second stage of labor. An anticipated fetal heart rate abnormality post-seizure would be:
A. Sinusoidal pattern
B. Variable decelerations
C. Bradycardia
Question 3
Fetal respiratory acidosis is most likely to present with which of the following fetal heart rate decelerations?
A. Variable
B. Early
C. Late
Question 4
The fetal heart rate baseline is
A. documented in a 15 beats per minute range
B. established between periodic and episodic changes
C. normally between 110 and 170 beats per minute
Question 5
A woman who is one week past a confirmed due date has serial ultrasounds to determine:
A. Fetal weight
B. Placental calcification
C. Amniotic fluid volume
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: A | Question 4 Answer: B | Question 5 Answer: C |
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