NCC EFM practice NEWEST {2025-
2026} VERSION EXAMS With
Comprehensive Questions and Well
Elaborated Correct Answers GRADED
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,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 - correct ans: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
d. No change - correct ans: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 - correct ans:b. Decreases baseline
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased
variability. - correct ans:True
T/F: All fetal monitors contain a logic system designed to reject artifact. - correct ans:True
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - correct ans:True
T/F: Variability and periodic changes can be detected with both internal and external monitoring. -
correct ans:True
T/F: Variable decelerations are a vagal response. - correct ans:True
,T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in labor. -
correct ans:True
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 - correct ans: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 - correct ans: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 - correct ans: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 ans:a. Vibroacoustic stimulation
, T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and number of
umbilical vessels. - correct ans:True
T/F: Low amplitude contractions are not an early sign of preterm labor. - correct ans:False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. - correct ans:False
T/F: Corticosteroid administration may cause an increase in FHR. - correct ans:True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine artery
perfusion. - correct ans:True
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 ans:B. Increase BP and decrease HR
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 ans:B. Gestational diabetes
All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
2026} VERSION EXAMS With
Comprehensive Questions and Well
Elaborated Correct Answers GRADED
A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,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 - correct ans: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
d. No change - correct ans: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 - correct ans:b. Decreases baseline
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased
variability. - correct ans:True
T/F: All fetal monitors contain a logic system designed to reject artifact. - correct ans:True
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - correct ans:True
T/F: Variability and periodic changes can be detected with both internal and external monitoring. -
correct ans:True
T/F: Variable decelerations are a vagal response. - correct ans:True
,T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in labor. -
correct ans:True
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 - correct ans: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 - correct ans: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 - correct ans: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 ans:a. Vibroacoustic stimulation
, T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and number of
umbilical vessels. - correct ans:True
T/F: Low amplitude contractions are not an early sign of preterm labor. - correct ans:False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. - correct ans:False
T/F: Corticosteroid administration may cause an increase in FHR. - correct ans:True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine artery
perfusion. - correct ans:True
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 ans:B. Increase BP and decrease HR
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 ans:B. Gestational diabetes
All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
