NCC EFM Exam Extra Practice 450+ Questions with Actual Answers Fetal Monitoring

11
1 1
1



NCC EFM EXAM PRACTICE QUESTIONS & VERIFIED
1

1 1 1 1 1 1




ANSWERS | ALREADY GRADED A+ 2026/2027 UPDATED 1 1 1 1 1 1 1




STUDY GUIDE 1




1. What initially causes a chemoreceptor response? a.
11 1 1 1 1 1 1 1


Epidurals 1


b. Supine maternal position 1 1 1


c. Increased CO2 levels 1 1 1


d. Decreased O2 levels 1 1 1


e. A & C 1 1 1


f. A & B 1 1 1


g. C & D: g. C & D
1 1 1 1 1 1 1



2 . The vagus nerve begins maturation 26 to 28 weeks. Its dominance results
1 1 1 1 1 1 1 1 1 1 1 1 1 1


in what effect to the FHR baseline? Increases baseline
1 1 1 1 1 1 1 1 1


a. Decreases baseline: b. Decreases baseline 1 1 1 1 1



3 . T/F: Oxygen exchange in the placenta takes place in the intervillous space.:
1 1 1 1 1 1 1 1 1 1 1 1 1 1


True 1



4. T/F: The parasympathetic nervous system is a cardioaccelerator.: False
1 1 1 1 1 1 1 1 1


5. T/F: Baroreceptors are stretch receptors which respond to increases or de
1 1 1 1 1 1 1 1 1 1


creases in blood pressure.: True 1 1 1 1 1


6. Which of the following factors can have a negative effect on uterine blood
11 1 1 1 1 1 1 1 1 1 1 1 1 1


flow? 1


a. Hypertension
1 1


b. Epidural
1 1


c. Hemorrhage 1


d. Diabetes 1


e. All of the above: e. All of the above
1 1 1 1 1 1 1 1 1



7. How does the fetus compensate for decreased maternal circulating vol-
1 1 1 1 1 1 1 1 1 1


ume? 1 1


a. Increases cardiac output by increasing stroke volume. 1 1 1 1 1 1 1


b. Increases cardiac output by increasing it's heart rate. 1 1 1 1 1 1 1 1


1

,1




1 1




c. Increases cardiac output by increasing fetal movement.: b. Increases car-
1 1 1 1 1 1 1 1 1



diac output by increasing it's heart rate.
1 1 1 1 1 1 1 1



8 . Stimulating the vagus nerve typically produces: a.
1 1 1 1 1 1 1 1 1


A decrease in the heart rate
1 1 1 1 1 1


b. An increase in the heart rate
1 1 1 1 1 1


c. An increase in stroke volume
1 1 1 1 1


d. No change: a. A decrease in the heart rate
1 1 1 1 1 1 1 1 1




9 . T/F: There are two electronic fetal monitoring methods of obtaining the fetal
1 1 1 1 1 1 1 1 1 1 1 1 1 1


heart rate: the ultrasound transducer and the fetal spiral electrode.: True
1 1 1 1 1 1 1 1 1 1 1



10. T/F: Variability can be determined with the fetoscope.: False
11 1 1 1 1 1 1 1 1 1



1 1. T/F: Because the ultrasound transducer and toco transducer are sealed uni
1 1 1 1 1 1 1 1 1 1 1 1


ts, they can be dipped in warm water to make cleaning easier.: False
1 1 1 1 1 1 1 1 1 1 1 1 1




21

,1 2. T/F:The most common artifact with the ultrasound transducer system for fe
1 1 1 1 1 1 1 1 1 1 1 1


tal heart rate is increased variability.: True
1 1 1 1 1 1 1



13. T/F: All fetal monitors contain a logic system designed to reject artifact.
1 1 1 1 1 1 1 1 1 1 1


- : True
1 1 1



14. T/F: The monitor should always be tested before starting a tracing, eith
1 1 1 1 1 1 1 1 1 1 1


er external or internal mode and labeled a test.: True
1 1 1 1 1 1 1 1 1 1



1 5. T/F: The paper speed on the fetal monitor should always be set at 1 c
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1


m/min.: False 1 1



1 6. T/F: Both internal and external monitoring methods are equally accurate m
1 1 1 1 1 1 1 1 1 1 1 1


eans of obtaining the fetal heart rate and contraction patterns.: False
1 1 1 1 1 1 1 1 1 1 1



17. T/F:The ultrasound transducer is usually placed on the side of the uterus ov
11 1 1 1 1 1 1 1 1 1 1 1 1


er the baby's back, as the fetal heart is heard best there.: True
1 1 1 1 1 1 1 1 1 1 1 1 1



1 8. T/F: The spiral electrode is used to more accurately determine the fre-
1 1 1 1 1 1 1 1 1 1 1 1 1


quency, duration, and intensity of uterine contractions.: False
1 1 1 1 1 1 1 1 1



19. T/F: The heart rate from a well-
11 1 1 1 1 1 1


applied fetal spiral electrode can only be fetal, not maternal.: False
1 1 1 1 1 1 1 1 1 1 1



2 0. T/F: The intrauterine catheter is used to pick up the fetal heart rate.: False
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1



21. T/F:The internal spiral electrode may pick up the maternal heart rate if the b
11 1 1 1 1 1 1 1 1 1 1 1 1 1


aby has died.: True 1 1 1 1



2 2. T/F: Fetal arrhythmias can be seen on both internal and external monitor tra
1 1 1 1 1 1 1 1 1 1 1 1 1 1


cings.: True 1 1



2 3. T/F: Variability and periodic changes can be detected with both internal and
1 1 1 1 1 1 1 1 1 1 1 1 1 1


external monitoring.: True 1 1 1



2 4. T/F: Variable decelerations are a result of cord compression.: True
1 1 1 1 1 1 1 1 1 1 1 1



2 5. T/F: The presence of FHR accelerations in the intrapartum and antepar-
1 1 1 1 1 1 1 1 1 1 1 1


tum periods is a sign of adequate fetal oxygenation.: True 26. T/F: Variable d
1 1 1 1 1 1 1 1 1 1 1 11 1 1


ecelerations are a vagal response.: True 1 1 1 1 1 1


2 7. T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 3
1 1 1 1 1 1 1 1 1 1 1 1 1 1


0 seconds) and are delayed in timing with the nadir of the deceleration occu
11 1 1 1 1 1 1 1 1 1 1 1 1


rring after the peak of the contraction.: True
1 1 1 1 1 1 1 1



2 8. T/F: The fetal heart rate baseline can be determined during periods of marke
1 1 1 1 1 1 1 1 1 1 1 1 1 1


d variability.: False
1 1 1


3

,1




1 1




2 9. T/F: Anything that affects maternal blood flow (cardiac output) can affect th
1 1 1 1 1 1 1 1 1 1 1 1 1


e blood flow through the placenta.: True
1 1 1 1 1 1 1



30. T/F: Variable decelerations are the most frequently seen fetal heart rate
1 1 1 1 1 1 1 1 1 1 1


deceleration pattern in labor.: True 1 1 1 1 1



31. T/F: Minimal variability is always an indicator of hypoxia and a Cesarean
1 1 1 1 1 1 1 1 1 1 1 1


section is indicated.: False 1 1 1 1



32. What is your first intervention in management of a patient experiencing
1 1 1 1 1 1 1 1 1 1 1


variable decelerations? a. Immediate delivery
1 1 1 1 1


b. Change maternal position 1 1 1


c. No treatment indicated
1 1 1


d. Oxygen 1


e. Stop oxytocin infusion: b. Change maternal position
1 1 1 1 1 1 1



3 3. Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1


1 . Maternal supine hypotension
1 1 1 1


2 . Maternal fever
1 1 1


3 . Maternal dehydration 4. Unknown
1 1 1 11 1


a. 1 and 2 1 1 1


b. 1, 2 and 3 1 1 1 1


c. 2, 3 and 4: c. 2, 3 and 4
1 1 1 1 1 1 1 1 1



3 4. What is the most probable cause of recurrent late decelerations? a.
1 1 1 1 1 1 1 1 1 1 1 1 1


Utero-placental insufficiency 1 1


b. Head compression 1 1


c. Cord compression 1 1


d. Maternal position change: a. Utero-placental insufficiency1 1 1 1 1 1



35. The most prevalent risk factor associated with fetal death before the onset
11 1 1 1 1 1 1 1 1 1 1 1 1


of labor is:
1 1 1


a. Low socioeconomic status 1 1 1


b. Fetal malpresentation 1 1


c. Uteroplacental insufficiency 1 1


d. Uterine anomalies: c. Uteroplacental insufficiency
1 1 1 1 1



36. Which of the following is NOT used for antepartum fetal surveillance?
11 1 1 1 1 1 1 1 1 1 1 1


a. Fetal movement counting 1 1 1


b. Antepartum fetal heart rate testing 1 1 1 1 1




41