NCC EFM Exam Overview:
| Certification Vendor: | National Certification Corporation (NCC) |
| Exam Name: | Electronic Fetal Monitoring Certification Exam |
| Exam Number: | C-EFM |
| Certificate Validity Period: | 3 years |
| Exam Format: | Multiple-choice questions, Computer-based testing, Remote proctoring or onsite test center |
| Exam Price: | $210 (includes $50 non-refundable application fee) |
| Real Exam Qty: | 125 (100 scored, 25 unscored pretest) |
| Exam Duration: | 120 minutes |
| Passing Score: | Scaled score 70 / Approximately 72% |
| Available Languages: | English |
| Recommended Training: | NCC EFM Candidate Guide |
| Exam Registration: | NCC Official Application Portal |
| Sample Questions: | NCC EFM Sample Questions |
| Exam Way: | Computer-based: onsite at approved test centers or live remote proctoring |
| Pre Condition: | Current active unencumbered licensure in US or Canada as physician, registered nurse, nurse practitioner, nurse midwife, midwife, physician assistant or paramedic |
| Official Syllabus URL: | https://www.nccwebsite.org/certification-exams/details/1/electronic-fetal-monitoring |
NCC EFM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Issues | 5% | - Legal and ethical aspects - Documentation standards - Safety and quality improvement |
| Topic 2: Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Clinical decision-making and interventions - Tracing evaluation and management - Fetal heart rate patterns classification |
| Topic 3: Fetal Assessment and Methods | 9% | - Indications for monitoring - Correlation with clinical status - Auxiliary assessment techniques |
| Topic 4: Electronic Monitoring Equipment | 5% | - Troubleshooting artifacts - Proper application and use - Calibration and accuracy |
| Topic 5: Physiology | 11% | - Fetal cardiovascular physiology - Factors affecting fetal oxygenation - Uteroplacental function |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. The decelerations seen in the fetal monitoring tracing shown are best described as:
A) Early
B) Late
C) Variable
2. Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?
A) Fiduciary
B) Autonomy
C) Informed consent
3. This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:
A) Perform a cervical exam
B) Check maternal blood pressure
C) Continue to monitor
4. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:
A) Dilute thick meconium
B) Treat oligohydramnios
C) Restore uterine blood flow
5. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?
A) Minimal variability
B) Variable decelerations
C) Baseline tachycardia
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |


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