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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 |
| Exam Format: | Computer-based testing, Multiple choice |
| Exam Duration: | 150 minutes |
| Certificate Validity Period: | 3 years |
| Related Certifications: | Maternal Newborn Nursing (RNC-MNN) Inpatient Obstetric Nursing (RNC-OB) |
| Available Languages: | English |
| Real Exam Qty: | 120 (approximately 110 scored + pilot items) |
| Recommended Training: | Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Fetal Monitoring Education NCC Candidate Preparation Resources |
| Exam Registration: | C-EFM Exam Information NCC Official Certification Page |
| 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 |
|---|---|
| Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Accelerations and decelerations - Baseline rate and variability |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
The most common fetal heart rate pattern consistent with uterine rupture is
A. prolonged and variable decelerations
B. loss of uterine pressure
C. absent variability
Question 2
This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:
A. Variable decelerations
B. Intermittent late decelerations
C. Wandering baseline
Question 3
When accelerations precede a variable deceleration pattern, this is caused by
A. hypoxic reflex response
B. oligohydramnios
C. occlusion of the umbilical vein
Question 4
A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:
A. Give 0.25 mg of terbutaline subcutaneously
B. Continue to observe
C. Remove the dinoprostone (Cervidil) insert
Question 5
A fetal heart rate pattern characteristic of fetal neurological injury and impending intrapartum fetal demise is:
A. Marked variability
B. Wandering baseline
C. Recurrent late decelerations
Solutions:
| Question 1 Answer: A | Question 2 Answer: A | Question 3 Answer: C | Question 4 Answer: C | Question 5 Answer: B |
By Frederic
