NCC Electronic Fetal Monitoring (EFM) Certification
– Question Bank (Updated 2026) Complete Exam
Preparation Material
Introduction:
This document provides a comprehensive collection of verified
questions and answers for the NCC Electronic Fetal Monitoring
(EFM) Certification exam. It covers key topics including fetal heart
rate interpretation, variability, decelerations, acid-base balance,
uteroplacental insufficiency, and clinical interventions during
labor. The material is exam-focused and aligns with current NICHD
guidelines, making it highly useful for certification preparation and
clinical review.
Exam Questions and Answers
As a result of the intrinsic fetal response to oxygen deprivation,
increased catecholamine levels cause the peripheral blood flow to
decrease while the blood flow to vital organs increases. These flow
changes along with increased catecholamine secretions have what
effect on fetal blood pressure and fetal heart rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR --- correct precise answer ---B.
Increase BP and decrease HR
,All of the following might indicate a pseudosinusoidal pattern as
opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min --- correct
precise answer ---D. Frequency of oscillations of two to five
cycles/min
All of the following are appropriate interventions for fetal
tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
C. Perform SVE
D. Administer oxygen --- correct precise answer ---C. Perform SVE
During a term antepartum NST (non-stress test), you notice several
variable decelerations that decrease at least 15 bpm and last at
least 15 sec long. Which of the following is the least likely
explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
,D. Oligohydramnios --- correct precise answer ---B. Gestational
diabetes
All of the following are likely causes of prolonged decelerations
except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever --- correct precise answer ---D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive --- correct precise answer ---B. Intermittent
_______ decelerations occur with greater than or equal to 50% of
contractions.
A. Recurrent
B. Intermittent
C. Repetitive --- correct precise answer ---A. Recurrent
All of the following could likely cause minimal variability in FHR
except
, A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration --- correct precise answer ---D.
Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or
greater for adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 --- correct precise answer ---B. 200
The ________ increases the heart rate and strengthens myocardial
contractions through the release of epinephrine and
nonepinephrine.
A. Sympathetic nervous system
B. Parasympathetic nervous system --- correct precise answer ---A.
Sympathetic nervous system
The ________, through stimulation of the vagus nerve, reduces FHR
and maintains variability.
A. Sympathetic nervous system
– Question Bank (Updated 2026) Complete Exam
Preparation Material
Introduction:
This document provides a comprehensive collection of verified
questions and answers for the NCC Electronic Fetal Monitoring
(EFM) Certification exam. It covers key topics including fetal heart
rate interpretation, variability, decelerations, acid-base balance,
uteroplacental insufficiency, and clinical interventions during
labor. The material is exam-focused and aligns with current NICHD
guidelines, making it highly useful for certification preparation and
clinical review.
Exam Questions and Answers
As a result of the intrinsic fetal response to oxygen deprivation,
increased catecholamine levels cause the peripheral blood flow to
decrease while the blood flow to vital organs increases. These flow
changes along with increased catecholamine secretions have what
effect on fetal blood pressure and fetal heart rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR --- correct precise answer ---B.
Increase BP and decrease HR
,All of the following might indicate a pseudosinusoidal pattern as
opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min --- correct
precise answer ---D. Frequency of oscillations of two to five
cycles/min
All of the following are appropriate interventions for fetal
tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
C. Perform SVE
D. Administer oxygen --- correct precise answer ---C. Perform SVE
During a term antepartum NST (non-stress test), you notice several
variable decelerations that decrease at least 15 bpm and last at
least 15 sec long. Which of the following is the least likely
explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
,D. Oligohydramnios --- correct precise answer ---B. Gestational
diabetes
All of the following are likely causes of prolonged decelerations
except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever --- correct precise answer ---D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive --- correct precise answer ---B. Intermittent
_______ decelerations occur with greater than or equal to 50% of
contractions.
A. Recurrent
B. Intermittent
C. Repetitive --- correct precise answer ---A. Recurrent
All of the following could likely cause minimal variability in FHR
except
, A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration --- correct precise answer ---D.
Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or
greater for adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 --- correct precise answer ---B. 200
The ________ increases the heart rate and strengthens myocardial
contractions through the release of epinephrine and
nonepinephrine.
A. Sympathetic nervous system
B. Parasympathetic nervous system --- correct precise answer ---A.
Sympathetic nervous system
The ________, through stimulation of the vagus nerve, reduces FHR
and maintains variability.
A. Sympathetic nervous system
