FREE C-EFM Exam Guide 2026: Pass NCC Fetal Monitoring Cert
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What is the normal baseline fetal heart rate (FHR) range at term?
Fetal Heart Rate Patterns
Question · Easy
Free 2026 NCC C-EFM exam guide: 125-item format, 2-hour limit, $210 fee, no required experience, NICHD 2008 Category I/II/III nomenclature, and a 6-10 week study plan.
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FHR Baseline Rate
Baseline & Variability
Flashcard
Which of the following is the most important characteristic of the fetal heart rate, indicating a well-functioning autonomic nervous system?
Kind of deceleration whose lowest point coincides with the peak of a contraction.
Pattern recognition
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Exam Foundations and Fetal Monitoring
1.1 About the C-EFM Exam
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Cheat sheet
An acceleration of the fetal heart rate is defined as an increase of at least:
Question · Medium
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Fetal Tachycardia
Early decelerations are caused by:
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Kind of deceleration whose lowest point comes after the contraction peak.
A sinusoidal fetal heart rate pattern is associated with:
Interventions For Non Reassuring Patterns
Question · Hard
Fetal Bradycardia
Variable decelerations are typically caused by:
Abrupt rise above baseline that, at 32 weeks or later, must peak at least 15 beats per minute above it and last at least 15 seconds.
1.2 Physiology of Fetal Oxygenation
A prolonged deceleration is a decrease in the fetal heart rate of at least 15 bpm below the baseline, lasting for:
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Term Match
Baseline Variability
Tachysystole is defined as:
Uterine Activity
Fall in fetal heart rate from the baseline.
The primary nursing intervention for recurrent late decelerations is to:
Absent Variability
What is the most common fetal arrhythmia?
Baseline rate below 110 beats per minute.
1.3 Monitoring Instrumentation and Modes
A reactive non-stress test (NST) is characterized by:
Fetal Assessment Methods
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Term Pairs
Minimal Variability
A negative contraction stress test (CST) is defined as:
Baseline rate above 160 beats per minute.
Which of the following is NOT a component of the biophysical profile (BPP)?
Moderate Variability
Amnioinfusion is used to treat which of the following?
Variability grade whose amplitude range exceeds 25 beats per minute.
FHR Baseline and Variability
2.1 Baseline Fetal Heart Rate
The tocotransducer (toco) is used to measure:
Electronic Monitoring Equipment
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Marked Variability
Which of the following is a contraindication to internal fetal monitoring?
Variability grade in which the amplitude range cannot be detected.
Montevideo units (MVUs) are used to measure:
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