NCC Certified Electronic Fetal Monitoring (C-EFM) Practice Exam

Internal fetal monitoring is typically utilized when the cervix is sufficiently dilated and there is a need for continuous and more accurate monitoring of the fetal heart rate and uterine contractions. This method involves inserting a small electrode directly onto the fetal scalp and placing a pressure transducer within the uterus. It provides more reliable data than external monitoring, especially in situations where the fetal heart rate pattern is concerning or when the mother is experiencing labor.

In cases where continuous monitoring is crucial—such as for high-risk pregnancies, labor dystocia, or abnormal fetal heart rate patterns—internal monitoring allows healthcare providers to obtain precise measurements. This leads to better clinical decision-making and timely interventions if necessary. The need for this level of monitoring generally arises during active labor rather than during prenatal check-ups or routine assessments, where external monitoring is more common and sufficient.