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NCC EFM PRACTICE EXAM NCC EFM EXAM
CERTIFICATION QUESTIONS AND ANSWERS
2025/2026 NEWEST UPDATE NCC EFM
PRACTICE EXAMQUESTIONS WITH COMBINED
STUDY GUIDE QUESTIONS
At how many weeks gestation should FHR variability be normal in manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks -- ANSWER--B. 28 weeks
Reduced respiratory gas exchange from persistent decelerations may cause
a rise in fetal PCO2, which leads first to , then
.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
C. Respiratory alkalosis; metabolic alkalosis
D. Respiratory acidosis; metabolic acidosis -- ANSWER--B. Respiratory acidosis;
metabolic acidosis
Decreased intervillious exchange of oxygenated blood resulting in fetal hypoxia
is typically present in .
A. Variable decelerations
B. Late decelerations
,2
C. Early decelerations
D. Accelerations -- ANSWER--B. Late decelerations
Place the following interventions for a sinusoidal FHR in the correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1 -- ANSWER--D. 3, 2, 4, 1
Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above -- ANSWER--e. All of the above
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
,3
d. No change -- ANSWER--a. A decrease in the heart rate
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what
effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline -- ANSWER--b. Decreases baseline
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: Fetal arrhythmias can be seen on both internal and external
monitor tracings. -- ANSWER--True
T/F: Variability and periodic changes can be detected with both internal and
external monitoring. -- ANSWER--True
T/F: Variable decelerations are a vagal response. -- ANSWER--True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. -- ANSWER--True
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
, 4
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 -- ANSWER--c. 2, 3 and 4
The most prevalent risk factor associated with fetal death before the onset of
labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies -- ANSWER--c. Uteroplacental insufficiency
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement -- ANSWER--c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age -- ANSWER--a. Vibroacoustic stimulation
NCC EFM PRACTICE EXAM NCC EFM EXAM
CERTIFICATION QUESTIONS AND ANSWERS
2025/2026 NEWEST UPDATE NCC EFM
PRACTICE EXAMQUESTIONS WITH COMBINED
STUDY GUIDE QUESTIONS
At how many weeks gestation should FHR variability be normal in manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks -- ANSWER--B. 28 weeks
Reduced respiratory gas exchange from persistent decelerations may cause
a rise in fetal PCO2, which leads first to , then
.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
C. Respiratory alkalosis; metabolic alkalosis
D. Respiratory acidosis; metabolic acidosis -- ANSWER--B. Respiratory acidosis;
metabolic acidosis
Decreased intervillious exchange of oxygenated blood resulting in fetal hypoxia
is typically present in .
A. Variable decelerations
B. Late decelerations
,2
C. Early decelerations
D. Accelerations -- ANSWER--B. Late decelerations
Place the following interventions for a sinusoidal FHR in the correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1 -- ANSWER--D. 3, 2, 4, 1
Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above -- ANSWER--e. All of the above
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
,3
d. No change -- ANSWER--a. A decrease in the heart rate
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what
effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline -- ANSWER--b. Decreases baseline
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: Fetal arrhythmias can be seen on both internal and external
monitor tracings. -- ANSWER--True
T/F: Variability and periodic changes can be detected with both internal and
external monitoring. -- ANSWER--True
T/F: Variable decelerations are a vagal response. -- ANSWER--True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. -- ANSWER--True
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
, 4
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 -- ANSWER--c. 2, 3 and 4
The most prevalent risk factor associated with fetal death before the onset of
labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies -- ANSWER--c. Uteroplacental insufficiency
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement -- ANSWER--c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age -- ANSWER--a. Vibroacoustic stimulation
