1|Page
NCC EFM Certification Exam 2026 ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+!!! Newest Exam!!!
T/F: The heart rate from a well-applied fetal spiral
electrode can only be fetal, not maternal. - Answer-False
T/F: The intrauterine catheter is used to pick up the fetal
heart rate. - Answer-False
T/F: The internal spiral electrode may pick up the maternal
heart rate if the baby has died. - 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 result of cord
compression. - Answer-True
,2|Page
T/F: The presence of FHR accelerations in the intrapartum
and antepartum periods is a sign of adequate fetal
oxygenation. - Answer-True
T/F: Variable decelerations are a vagal response. -
Answer-True
T/F: Late decelerations have a gradual decrease in FHR
(onset to nadir 30 seconds) and are delayed in timing with
the nadir of the deceleration occurring after the peak of the
contraction. - Answer-True
T/F: The fetal heart rate baseline can be determined
during periods of marked variability. - Answer-False
T/F: Anything that affects maternal blood flow (cardiac
output) can affect the blood flow through the placenta. -
Answer-True
T/F: Variable decelerations are the most frequently seen
fetal heart rate deceleration pattern in labor. - Answer-True
,3|Page
T/F: Minimal variability is always an indicator of hypoxia
and a Cesarean section is indicated. - Answer-False
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - Answer-b. Change maternal
position
Etiology of a baseline FHR of 165bpm occurring for the
last hour can be:
1. Maternal supine hypotension
2. Maternal fever
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
, 4|Page
What is the most probable cause of recurrent late
decelerations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change - Answer-a. Utero-placental
insufficiency
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
How does the fetus compensate for decreased maternal
circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
NCC EFM Certification Exam 2026 ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+!!! Newest Exam!!!
T/F: The heart rate from a well-applied fetal spiral
electrode can only be fetal, not maternal. - Answer-False
T/F: The intrauterine catheter is used to pick up the fetal
heart rate. - Answer-False
T/F: The internal spiral electrode may pick up the maternal
heart rate if the baby has died. - 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 result of cord
compression. - Answer-True
,2|Page
T/F: The presence of FHR accelerations in the intrapartum
and antepartum periods is a sign of adequate fetal
oxygenation. - Answer-True
T/F: Variable decelerations are a vagal response. -
Answer-True
T/F: Late decelerations have a gradual decrease in FHR
(onset to nadir 30 seconds) and are delayed in timing with
the nadir of the deceleration occurring after the peak of the
contraction. - Answer-True
T/F: The fetal heart rate baseline can be determined
during periods of marked variability. - Answer-False
T/F: Anything that affects maternal blood flow (cardiac
output) can affect the blood flow through the placenta. -
Answer-True
T/F: Variable decelerations are the most frequently seen
fetal heart rate deceleration pattern in labor. - Answer-True
,3|Page
T/F: Minimal variability is always an indicator of hypoxia
and a Cesarean section is indicated. - Answer-False
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - Answer-b. Change maternal
position
Etiology of a baseline FHR of 165bpm occurring for the
last hour can be:
1. Maternal supine hypotension
2. Maternal fever
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
, 4|Page
What is the most probable cause of recurrent late
decelerations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change - Answer-a. Utero-placental
insufficiency
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
How does the fetus compensate for decreased maternal
circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
