2025 NCC EFM CERTIFICATION EXAM | ALL
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM (JUST RELEASED)
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 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
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
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm ---------CORRECT ANSWER-----------------C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability ---------CORRECT ANSWER-----------------B.
Variability and accelerations
You recognize that an FHR tracing has been showing a decrease in
variability for the last 45 minutes. Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate ---------CORRECT ANSWER-----------------B.
Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still
not reactive. You attempt fetal scalp stimulation (FSE) because you know
that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern ---------CORRECT ANSWER-----------------A. Acceleration
, You are evaluating a patient in the Prenatal Testing Department who has
just completed a biophysical profile (BPP). You suspect that there could be
chronic fetal asphyxia because the score is below
A. 10
B. 6
C. 8 ---------CORRECT ANSWER-----------------B. 6
A 36 week gestation patient is brought to triage by squad after an MVA on
her back. She is not bleeding and denies pain. She is not short of breath,
but c/o dizziness and nausea since they put her on the gurney. The most
likely cause is
A. Abruptio placenta
B. Preterm labor
C. Supine hypotension ---------CORRECT ANSWER-----------------C. Supine
hypotension
One compensatory mechanism that helps maintain oxygen availability to
the fetus during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake ---------CORRECT ANSWER--------
---------C. An increase in uterine oxygen uptake
When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises ---------CORRECT ANSWER-----------------A. Lowers
A woman receives terbutaline for an external version. You may expect what
on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM (JUST RELEASED)
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 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
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
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm ---------CORRECT ANSWER-----------------C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability ---------CORRECT ANSWER-----------------B.
Variability and accelerations
You recognize that an FHR tracing has been showing a decrease in
variability for the last 45 minutes. Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate ---------CORRECT ANSWER-----------------B.
Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still
not reactive. You attempt fetal scalp stimulation (FSE) because you know
that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern ---------CORRECT ANSWER-----------------A. Acceleration
, You are evaluating a patient in the Prenatal Testing Department who has
just completed a biophysical profile (BPP). You suspect that there could be
chronic fetal asphyxia because the score is below
A. 10
B. 6
C. 8 ---------CORRECT ANSWER-----------------B. 6
A 36 week gestation patient is brought to triage by squad after an MVA on
her back. She is not bleeding and denies pain. She is not short of breath,
but c/o dizziness and nausea since they put her on the gurney. The most
likely cause is
A. Abruptio placenta
B. Preterm labor
C. Supine hypotension ---------CORRECT ANSWER-----------------C. Supine
hypotension
One compensatory mechanism that helps maintain oxygen availability to
the fetus during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake ---------CORRECT ANSWER--------
---------C. An increase in uterine oxygen uptake
When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises ---------CORRECT ANSWER-----------------A. Lowers
A woman receives terbutaline for an external version. You may expect what
on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
