NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) EXAM TEST BANK QUESTIONS
& VERIFIED ANSWERS GRADED A+ 2025-2026.
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be dipped in
warm water to make cleaning easier. - ANSWER-False
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is
increased variability. - ANSWER-True
T/F: All fetal monitors contain a logic system designed to reject artifact. - ANSWER-True
T/F: The monitor should always be tested before starting a tracing, either external or internal mode
and labeled a test. - ANSWER-True
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. - ANSWER-False
T/F: Both internal and external monitoring methods are equally accurate means of obtaining the
fetal heart rate and contraction patterns. - ANSWER-False
,T/F: The external toco is usually placed over the uterine fundus to pick up contractions. - ANSWER-
True
T/F: The external toco gives measurable uterine pressure. - ANSWER-False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present. -
ANSWER-False
Disclosure Statement - ANSWER-Statement indicating no discussion of unapproved product use or
financial conflicts
NCC EFM Certification Exam - ANSWER-Exam with 125 questions, 110 scored, 15 pre-test, 20
seconds/question
Kahoot! - ANSWER-Interactive test platform for EFM Certification Exam review
Category I FHR - ANSWER-Normal FHR ruling out fetal acidemia, maternal-fetal complications,
instrumentation, medications, arrhythmias
FHR Tracings Speed - ANSWER-3cm/min speed for EFM tracings during the exam
Adequacy of Fetal Oxygenation - ANSWER-Exam topic covering FHR patterns, acid-base status,
intrauterine resuscitation
,Fetal Oxygenation Pathway - ANSWER-Maternal-fetal exchange pathway ensuring FHR regulation
and oxygenation
Oxygen Transport Physiology - ANSWER-Supporting fetal oxygenation with maternal hemoglobin,
O2 saturation, arterial O2 tension
Uteroplacental Blood Flow - ANSWER-Critical for healthy newborn, increases during pregnancy to
700 ml/min
Mechanisms of Exchange - ANSWER-Processes like diffusion, bulk flow, facilitated diffusion, active
transport in maternal-fetal blood exchange
Uterine Blood Flow Diffusion - ANSWER-Determines passage of critical substances across the
placenta
Factors Decreasing Blood Flow - ANSWER-Clinical factors like excessive uterine activity, maternal
hypotension, conditions affecting uteroplacental exchange
Placental Changes - ANSWER-Factors affecting uteroplacental exchange, including maternal
conditions and placental changes
, Oxygen Depletion Cascade - ANSWER-Pathway from aerobic to anaerobic metabolism leading to
potential fetal injury
Fetal Oxygenation Requirements - ANSWER-Factors ensuring normal fetal circulation and FHR
regulation for adequate oxygenation
Umbilical Blood Flow - ANSWER-Considerations for fetal oxygenation and umbilical cord perfusion
Aerobic Metabolism - ANSWER-Metabolic process utilizing oxygen for energy production
Hypoxemia - ANSWER-Low oxygen levels in the blood
Anaerobic Metabolism - ANSWER-Metabolic process without oxygen, leading to lactic acid build-up
Tissue Hypoxia - ANSWER-Low oxygen levels in body tissues
Lactic Acid Build Up - ANSWER-Accumulation of lactic acid due to anaerobic metabolism
Metabolic Acidosis - ANSWER-Acidosis resulting from metabolic processes
Potential Injury - ANSWER-Risk of harm due to interruption in oxygen pathway affecting FHR
regulation and circulation
CERTIFICATION (EFM) EXAM TEST BANK QUESTIONS
& VERIFIED ANSWERS GRADED A+ 2025-2026.
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be dipped in
warm water to make cleaning easier. - ANSWER-False
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is
increased variability. - ANSWER-True
T/F: All fetal monitors contain a logic system designed to reject artifact. - ANSWER-True
T/F: The monitor should always be tested before starting a tracing, either external or internal mode
and labeled a test. - ANSWER-True
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. - ANSWER-False
T/F: Both internal and external monitoring methods are equally accurate means of obtaining the
fetal heart rate and contraction patterns. - ANSWER-False
,T/F: The external toco is usually placed over the uterine fundus to pick up contractions. - ANSWER-
True
T/F: The external toco gives measurable uterine pressure. - ANSWER-False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present. -
ANSWER-False
Disclosure Statement - ANSWER-Statement indicating no discussion of unapproved product use or
financial conflicts
NCC EFM Certification Exam - ANSWER-Exam with 125 questions, 110 scored, 15 pre-test, 20
seconds/question
Kahoot! - ANSWER-Interactive test platform for EFM Certification Exam review
Category I FHR - ANSWER-Normal FHR ruling out fetal acidemia, maternal-fetal complications,
instrumentation, medications, arrhythmias
FHR Tracings Speed - ANSWER-3cm/min speed for EFM tracings during the exam
Adequacy of Fetal Oxygenation - ANSWER-Exam topic covering FHR patterns, acid-base status,
intrauterine resuscitation
,Fetal Oxygenation Pathway - ANSWER-Maternal-fetal exchange pathway ensuring FHR regulation
and oxygenation
Oxygen Transport Physiology - ANSWER-Supporting fetal oxygenation with maternal hemoglobin,
O2 saturation, arterial O2 tension
Uteroplacental Blood Flow - ANSWER-Critical for healthy newborn, increases during pregnancy to
700 ml/min
Mechanisms of Exchange - ANSWER-Processes like diffusion, bulk flow, facilitated diffusion, active
transport in maternal-fetal blood exchange
Uterine Blood Flow Diffusion - ANSWER-Determines passage of critical substances across the
placenta
Factors Decreasing Blood Flow - ANSWER-Clinical factors like excessive uterine activity, maternal
hypotension, conditions affecting uteroplacental exchange
Placental Changes - ANSWER-Factors affecting uteroplacental exchange, including maternal
conditions and placental changes
, Oxygen Depletion Cascade - ANSWER-Pathway from aerobic to anaerobic metabolism leading to
potential fetal injury
Fetal Oxygenation Requirements - ANSWER-Factors ensuring normal fetal circulation and FHR
regulation for adequate oxygenation
Umbilical Blood Flow - ANSWER-Considerations for fetal oxygenation and umbilical cord perfusion
Aerobic Metabolism - ANSWER-Metabolic process utilizing oxygen for energy production
Hypoxemia - ANSWER-Low oxygen levels in the blood
Anaerobic Metabolism - ANSWER-Metabolic process without oxygen, leading to lactic acid build-up
Tissue Hypoxia - ANSWER-Low oxygen levels in body tissues
Lactic Acid Build Up - ANSWER-Accumulation of lactic acid due to anaerobic metabolism
Metabolic Acidosis - ANSWER-Acidosis resulting from metabolic processes
Potential Injury - ANSWER-Risk of harm due to interruption in oxygen pathway affecting FHR
regulation and circulation
