NCC EFM Certification Exam: Comprehensive Prep & Verified Solutions (2026/2027)

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NCC EFM CERTIFICATION EXAM
QUESTIONS WITH CORRECT VERIFIED
ANSWERS LATEST UPDATE
(2026/2027) GUARANTEED PASS


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 CORRECT 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

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c. 2, 3 and 4 CORRECT ANSWER: c. 2, 3 and 4


What is the most probable cause of recurrent late decelerations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change CORRECT ANSWER: a. Utero-placental insufficiency


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 CORRECT ANSWER: c. Uteroplacental insufficiency


Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing
d. Maternal HCG levels CORRECT ANSWER: d. Maternal HCG levels


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

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d. Decreased fetal movement CORRECT 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 CORRECT ANSWER: a. Vibroacoustic stimulation


To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window CORRECT ANSWER: d.
2 fetal heart rate accelerations in a 20 minute window


If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery CORRECT ANSWER: b. Do a biophysical profile or
contraction stress test


All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing

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c. Amniotic fluid volume measurement
d. Fetal movement assessment CORRECT ANSWER: a. Contraction stress test


A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts CORRECT ANSWER: c. Ultrasound assessment of
amniotic fluid volume


For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window CORRECT ANSWER: b. 3 contractions in
a 10 minute window


A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen CORRECT ANSWER: c. There
are no fetal heart rate late decelerations with the contractions


According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm