Welcome to the official MedicoExam syllabus guide for the NCC Certification in Electronic Fetal Monitoring certification. This page delivers a clear, structured overview of the NCC C-EFM exam, including key exam details, syllabus topics, and preparation references to support effective study planning. The NCC Certified-Electronic Fetal Monitoring (C-EFM) is intended for professionals pursuing roles aligned with Subspecialty Certification, with assessment centered on applied competencies such as Fetal Heart Rate Interpretation, Intrapartum Assessment, Clinical Decision-Making in Perinatal Care within real-world settings like Labor and Delivery Units, Obstetric Clinics, Hospital-Based Perinatal Services.
The syllabus outline below reflects the core domains and expectations defined by the official NCC certification framework and aligns with the cognitive and professional standards assessed in the NCC C-EFM exam. Candidates can use this guide alongside official vendor resources and structured practice to align their preparation with current exam standards and professional expectations for Registered Nurses, Advanced Practice Registered Nurses, and related maternal-newborn care roles
NCC C-EFM Exam Summary and Key Details
| Exam Name | NCC Certification in Electronic Fetal Monitoring |
| Credential | NCC Certified-Electronic Fetal Monitoring (C-EFM) |
| Vendor | National Certification Corporation (NCC) |
| Exam Code | C-EFM » NCC C-EFM Certification Practice Exam |
| Exam Delivery Mode | Computer-based testing at approved testing centers |
| Exam Duration | 120 mins |
| Number of Questions | 125 (100 Scored Items / 25 Pretest Items) |
| Passing Score | Pass/fail (Approximately 72%) |
| Exam Price | $210 which is composed of a $50 non-refundable application submission cost and a $160 testing fee. |
| Scheduling Window | 90-day testing window from application approval |
| Schedule Exam | National Certification Corporation (NCC) |
| Trainings/Resources |
- ACOG, Management of intrapartum fetal heart rate tracings, Practice Bulletin, No. 116, American College of Obstetricians and Gynecologists, Obstetrics & Gynecology 2010(Reaffirmed 2015); 116:1232–40. - Resnik, et al., Creasy & Resnik’s Maternal-Fetal Medicine Principles and Practice, Elsevier, 2023 - Cunningham, et al., Williams’ Obstetrics, 26th ed. McGraw Hill, 2022. - Gabbe, et al., Obstetrics Normal and Problem Pregnancies, 7th Ed., Elsevier, 2024 - Lyndon, et al Fetal Heart Monitoring Principles and Practices, AWHONN, Kendall Hunt, 2021. - Management of intrapartum fetal heart rate tracings. Practice Bulletin, No. 116. American College of Obstetricians and Gynecologists. Obstetrics & Gynecology 2010 (Reaffirmed 2015); 116:1232–40. - Miller, et al., Mosby’s Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 8th ed., Mosby Elsevier, 2022. - NCC Monograph: Fetal Assessment and Safe Labor Management, Simpson, Kathleen, NCC, 2021. - Simpson, et al., Perinatal Nursing, Wolters Kluwer/LWW, Philadelphia, 2021. |
| Sample Questions | NCC C-EFM Exam Sample Questions |
| Recommended Practice | NCC C-EFM Certification Practice Exam |
NCC C-EFM Exam Syllabus Topics and Weighting
| Topic Areas | Topic Details, Courses, Books | Weighting |
|---|---|---|
| Electronic Monitoring Equipment | - External and Internal, Artifact, Signal Ambiguity, Failure and Troubleshooting | 5% |
| Physiology |
- Uteroplacental Circulation - Factors affecting Fetal Oxygenation |
12% |
| Pattern Recognition, Causes, and Intervention |
- Fetal Heart Rate Baseline - Fetal Heart Rate Variability - Abnormal Uterine Activity - Fetal Dysrhythmias - Maternal Complications - Uteroplacental Complications - Fetal Complications - Fetal Heart Rate Accelerations - Fetal Heart Rate Decelerations - Normal Uterine Activity |
70% |
| Fetal Assessment Methods | - Auscultation, Fetal Movement and Stimulation, Nonstress Testing, Biophysical Profile, Cord Blood and Acid Base Balance | 8% |
| Professional Issues | - Legal, Ethics, Patient Safety and Quality Improvement | 5% |
The NCC C-EFM certification exam is designed to assess both theoretical knowledge and applied professional judgment in Subspecialty Certification. The exam evaluates competencies such as Fetal Heart Rate Interpretation, Intrapartum Assessment, Clinical Decision-Making in Perinatal Care, ensuring candidates are prepared for real-world responsibilities as Registered Nurses, Advanced Practice Registered Nurses, and related maternal-newborn care roles working in settings such as Labor and Delivery Units, Obstetric Clinics, Hospital-Based Perinatal Services.
To prepare effectively for the NCC Certification in Electronic Fetal Monitoring exam, candidates are encouraged to review official vendor materials, complete structured practice assessments, and gain hands-on experience relevant to their professional role.
