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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 |
| Certificate Validity Period: | 3 years |
| Related Certifications: | Maternal Newborn Nursing (RNC-MNN) Inpatient Obstetric Nursing (RNC-OB) |
| Real Exam Qty: | 120 (approximately 110 scored + pilot items) |
| Exam Duration: | 150 minutes |
| Available Languages: | English |
| 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 |
|---|---|
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
Question 1
When auscultating the fetal heart rate, the Doppler should be placed over the fetal:
A. Chest
B. Back
C. Abdomen
Question 2
Fetal cardiac output is essentially dependent on the fetal:
A. Heart rate
B. Baroreceptors
C. Activity
Question 3
This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include
A. increasing the oxytocin
B. preparing for operative vaginal birth
C. preparing for cesarean birth
Question 4
Based on the fetal heart rate tracing shown, the expected fetal pH would be:
A. Unaffected by the fetal heart rate
B. Above 7.15
C. Below 7.15
Question 5
When evaluating a baseline fetal heart rate change, the fetal heart rate is assessed for a minimum of:
A. 10 minutes
B. 30 minutes
C. 15 minutes
Solutions:
| Question 1 Answer: B | Question 2 Answer: A | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: A |
By Herbert
