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NCC EFM real dump : Certified - Electronic Fetal Monitoring
- Exam Code: EFM
- Exam Name: Certified - Electronic Fetal Monitoring
- Updated: Sep 19, 2026
- Q&As: 127 Questions and Answers
About NCC EFM real dump
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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: Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
| Topic 3: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 4: Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Topic 5: Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Topic 6: Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question #1
A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?
- A. Palpation of the maternal radial pulse
- B. Request for an urgent bedside ultrasound
- C. Intrauterine resuscitation measures
Correct Answer: A 🗳️
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Question #2
Interventions undertaken to address fetal tachycardia are targeted at maximizing
- A. uteroplacental perfusion
- B. sympathetic autonomic tone
- C. maternal circulation
Correct Answer: A 🗳️
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Question #3
After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:
- A. Perform a vaginal examination
- B. Position the woman on her left side
- C. Increase intravenous fluid intake
Correct Answer: A 🗳️
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Question #4
A nulliparous woman at term presents with leaking fluid. Rupture of membranes confirmed. After 6 hours she is completely dilated, +2 station, has been pushing 2 hours with oxytocin at 10 mU/min. The fetal tracing is shown. What is the next step in management?
- A. Decrease oxytocin
- B. Continue pushing for another hour
- C. Expedite birth
Correct Answer: C 🗳️
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Question #5
The fetal heart rate tracing shown demonstrates:
- A. Category II tracing
- B. Marked variability
- C. Accelerations
Correct Answer: C 🗳️
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