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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 |
| Related Certifications: | Inpatient Obstetric Nursing (RNC-OB) Maternal Newborn Nursing (RNC-MNN) |
| Certificate Validity Period: | 3 years |
| Available Languages: | English |
| Real Exam Qty: | 120 (approximately 110 scored + pilot items) |
| Exam Duration: | 150 minutes |
| Exam Format: | Multiple choice, Computer-based testing |
| 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 |
|---|---|
| Topic 1: Fetal Physiology and Oxygenation | - Oxygen transport and acid-base balance - Fetal cardiovascular physiology |
| Topic 2: Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Topic 3: Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Topic 4: Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Topic 5: Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Baseline rate and variability - Accelerations and decelerations |
| Topic 6: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
NCC Certified - Electronic Fetal Monitoring Sample Questions:
1. Intrapartum asphyxia can be determined by:
A) Fetal heart rate interpretation
B) Cord blood gas analysis
C) One-minute Apgar score
2. The baseline heart rate of a 28-week fetus is 170 bpm. The next step is to:
A) Continue observation
B) Assess maternal vital signs
C) Perform a biophysical profile
3. The black pattern represents the heart rate pattern for Baby A. The blue pattern represents the heart rate pattern for Baby B. A possible etiology of the baseline fetal heart rate of Baby A is:
A) Infection
B) Fetal positioning
C) Magnesium sulfate
4. A fetal heart rate pattern shows no accelerations or decelerations. It would be interpreted as a Category II pattern if it occurred with:
A) A sinusoidal pattern
B) A fetal heart rate of 110 beats per minute
C) Marked variability
5. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:
A) Position the woman on her left side
B) Increase intravenous fluid intake
C) Perform a vaginal examination
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: C |
By Harvey
