NCC ELECTRONIC FETAL MONITORING CERTIFIC
n n n nn
ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
n n n n n nn n n
REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
What n isn yourn first n interventionninnmanagement n of nanclient n experiencingnvariablendecelerations?n COR
RECTn ANSWER>>
a. Immediatendelivery
b. Changen maternalnposition
c. Nontreatment n indicated
d. Oxygen
e. Stopnoxytocinn infusion
b.n Changen maternalnposition
Etiologynof nan baselinen FHRn of n 165bpmn occurringn fornthen last n hourn cann be:
1. Maternalnsupinen hypotension
2. Maternalnfever
3. Maternaln dehydration
4. Unknown
a.n 1n and n 2
b.n 1,n 2n and n 3
c.n 2,n 3n and n 4
c.n 2,n 3n and n 4
What n isnthen most n probablencausenof nrecurrent n latendecelerations?nCORRECTnANSWER>>
a. Utero-placentaln insufficiency
b. Head n compression
c. Cord n compression
d. Maternalnpositionn change
a. Utero-placentaln insufficiency
Then most n prevalent n riskn factorn associated n withn fetaln deathn beforen then onset n of nlaborn is:
a. Low nsocioeconomicnstatus
b. Fetaln malpresentation
c. Uteroplacentalninsufficiency
d. Uterinenanomalies
c.n Uteroplacentalninsufficiency
Whichnof nthen followingn isn NOTn used n forn antepartumnfetalnsurveillance?nCORRECTn ANSWER>>
a. Fetalnmovement n counting
b. Antepartumn fetaln heart n raten testing
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
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ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
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REAL EXAM QUESTIONS AND ANSWERS EXPERT
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VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
c. Biophysicalnprofilen testing
d. MaternalnHCG n levels
d.n MaternalnHCG n levels
Whichnof nthen followingnconditionsn isn notnannindicationn forn antepartumnfetaln surveillance?n CORR
ECTn ANSWER>>
a. Gestationalnhypertension
b. Diabetesn inn pregnancy
c. Fetusn innbreechn presentation
d. Decreased n fetalnmovement
c.n Fetusn innbreechn presentation
Whichnof nthen followingndoesn not n affect n then degreen of nfetalnactivity?nCORRECTn ANSWER>>
a. Vibroacousticnstimulation
b. Smoking
c. Fetalnposition
d. Gestationalnage
a. Vibroacousticnstimulation
Ton benconsidered n reactive,n annonstressn test n must n have:
a. 4n fetalnheart n raten accelerationsn inn an 20n minuten window
b. 2n fetalnheart n raten accelerationsn inn an 10n minuten window
c. 4n fetalnheart n raten accelerationsn inn an 40n minuten window
d. 2n fetalnheart n raten accelerationsn inn an 20n minuten window
d.n 2n fetalnheart n raten accelerationsn inn an 20n minuten window
If nannonstressn test n isn nonreactiven aftern 40n minutes,n then next n stepn should n be:
a. Haventhen client n gon homen and n don fetaln movement n counts
b. Don anbiophysicalnprofilen orn contractionn stressn test
c. Repeat n then nonstressn test n withinn an week
d. Admit n then client n forn delivery
b. Don anbiophysicalnprofilen orn contractionn stressn test
Allnof n then followingn aren componentsn of n an biophysicalnprofilen except:
a. Contractionnstressn test
b. Assessment n of nfetalnbreathing
c. Amnioticn fluid n volumen measurement
d. Fetalnmovement n assessment
a. Contractionnstressn test
An modified n biophysicalnprofilen includesn an nonstressn test n and:
a. Contractionnstressn test
b. Ultrasound n assessment n of n fetaln movement
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
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ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
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REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
c. Ultrasound n assessment n of namnioticn fluid n volume
d. Fetalnmovement n counts
c. Ultrasound n assessment n of namnioticn fluid n volume
Fornancontractionn stressn test n ton ben interpretable,n youn must n havenan minimumnof:
a. 5n contractionsn inn an 10-minuten window
b. 3n contractionsn inn an10-minuten window
c. 4n contractionsn inn an 10-minuten window
d. 2n contractionsn inn an10-minuten window
b. 3n contractionsn inn an 10n minuten window
An negativen contractionn stressn test n isn onen inn which:
a. Noncontractionsn arenseen
b. Theren aren laten decelerationsn withn >n 50%nof nthen contractionsn seen
c. Therenaren non fetalnheart n raten laten decelerationsn withn then contractions
d. Theren isn onen fetaln heart n raten decelerationn seen
c. Therenaren non fetalnheart n raten laten decelerationsn withn then contractions
Accordingnton AWHONN,n then normaln baselinen FetalnHeart n Raten (FHR)n is
A. 90-150n bpm
B. 100-170n bpm
C. 110-160n bpm
D. 120-140n bpm
C.n 110-160n bpm
What n arenthentwon most n important n characteristicsn of nthenFHR?nCORRECTnANSWER>>
A.n Raten and n decelerations
B.n Variabilitynand n accelerations
C.n Variabilitynand n decelerations
D.n Raten and n variability
B.n Variabilitynand n accelerations
Younrecognizen that n annFHRntracingnhasnbeennshowingn andecreasen inn variabilitynfornthenlast n45n minutes.
n Yourn first n interventionn should n ben to
A.n Encouragen ambulation
B.n Administernoxygen
C.nDiscontinuen IV n fluids
D.n Increasen Pitocinnrate
B.n Administernoxygen
Resuscitationnmeasuresn improvesnthenbaby'sn variability,n but nthenFHRn isnstillnnot nreactive.n Youn atte
mpt n fetaln scalpn stimulationn (FSE)n becausen youn known that n an well-
oxygenated n fetusn willn respond n ton FSEn withn a(n)
, NCC ELECTRONIC FETAL MONITORING CERTIFIC
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ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
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REAL EXAM QUESTIONS AND ANSWERS EXPERT
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VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
A.n Acceleration
B.n Deceleration
C.n Fetaln movement
D.nSleepn pattern
A.n Acceleration
Youn aren evaluatingn an client n inn then PrenatalnTestingn Department n whon hasnjust n completedn anbiophy
sicalnprofilen(BPP).n Younsuspect n that ntherencouldnbenchronicnfetalnasphyxianbecausenthen scoren isnbe
low
A.n 10
B.n 6
C.n 8
B.n 6
Whennusingnan fetalnscalpn electroden(FSE),n younnoticen annabnormallynlow n FHRnonnthen monitor.nYo
un should n first
A.nComparen maternalnpulsen simultaneouslynwithn FHR
B.nRemoven FSE
C.n Calln then doctorn immediately
D.n Turnn off nthen monitor
A.nComparen maternalnpulsen simultaneouslynwithn FHR
Asn an result n of n then intrinsicn fetaln responsen ton oxygenn deprivation,n increased n catecholaminen levelsn c
ausenthenperipheralnblood n flow ntondecreasenwhilenthenblood n flow nton vitalnorgansn increases.n Thesen fl
own changesn alongn withn increased n catecholaminen secretionsn haven what neffect n onn fetaln blood n press
uren and n fetaln heart n rate?n CORRECTn ANSWER>>
A.nIncreasen BPn and n increasenHR
B.n Increasen BPn and n decreasen HR
C.n Decreasen BPn and n increasen HR
D.n Decreasen BPn and n decreasen HR
B.n Increasen BPn and n decreasen HR
Allnof nthen followingn might nindicatenanpseudosinusoidalnpatternnasnopposed ntonansinusoidalnpattern,n exc
ept:
A.n Recent n administrationn of nnarcoticsn ton mother
B.nAccelerationsn innFHR
C.n Moderaten variability
D.n Frequencynof n oscillationsn of n twon ton fiven cycles/min
D.n Frequencynof n oscillationsn of n twon ton fiven cycles/min
Allnof nthen followingn aren appropriaten interventionsn forn fetalntachycardian except:
A.n Increasen maternalnIVn fluid n rate
B.n Assessn maternaln vitaln signs
n n n nn
ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
n n n n n nn n n
REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
What n isn yourn first n interventionninnmanagement n of nanclient n experiencingnvariablendecelerations?n COR
RECTn ANSWER>>
a. Immediatendelivery
b. Changen maternalnposition
c. Nontreatment n indicated
d. Oxygen
e. Stopnoxytocinn infusion
b.n Changen maternalnposition
Etiologynof nan baselinen FHRn of n 165bpmn occurringn fornthen last n hourn cann be:
1. Maternalnsupinen hypotension
2. Maternalnfever
3. Maternaln dehydration
4. Unknown
a.n 1n and n 2
b.n 1,n 2n and n 3
c.n 2,n 3n and n 4
c.n 2,n 3n and n 4
What n isnthen most n probablencausenof nrecurrent n latendecelerations?nCORRECTnANSWER>>
a. Utero-placentaln insufficiency
b. Head n compression
c. Cord n compression
d. Maternalnpositionn change
a. Utero-placentaln insufficiency
Then most n prevalent n riskn factorn associated n withn fetaln deathn beforen then onset n of nlaborn is:
a. Low nsocioeconomicnstatus
b. Fetaln malpresentation
c. Uteroplacentalninsufficiency
d. Uterinenanomalies
c.n Uteroplacentalninsufficiency
Whichnof nthen followingn isn NOTn used n forn antepartumnfetalnsurveillance?nCORRECTn ANSWER>>
a. Fetalnmovement n counting
b. Antepartumn fetaln heart n raten testing
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
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ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
n n n n n nn n n
REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
c. Biophysicalnprofilen testing
d. MaternalnHCG n levels
d.n MaternalnHCG n levels
Whichnof nthen followingnconditionsn isn notnannindicationn forn antepartumnfetaln surveillance?n CORR
ECTn ANSWER>>
a. Gestationalnhypertension
b. Diabetesn inn pregnancy
c. Fetusn innbreechn presentation
d. Decreased n fetalnmovement
c.n Fetusn innbreechn presentation
Whichnof nthen followingndoesn not n affect n then degreen of nfetalnactivity?nCORRECTn ANSWER>>
a. Vibroacousticnstimulation
b. Smoking
c. Fetalnposition
d. Gestationalnage
a. Vibroacousticnstimulation
Ton benconsidered n reactive,n annonstressn test n must n have:
a. 4n fetalnheart n raten accelerationsn inn an 20n minuten window
b. 2n fetalnheart n raten accelerationsn inn an 10n minuten window
c. 4n fetalnheart n raten accelerationsn inn an 40n minuten window
d. 2n fetalnheart n raten accelerationsn inn an 20n minuten window
d.n 2n fetalnheart n raten accelerationsn inn an 20n minuten window
If nannonstressn test n isn nonreactiven aftern 40n minutes,n then next n stepn should n be:
a. Haventhen client n gon homen and n don fetaln movement n counts
b. Don anbiophysicalnprofilen orn contractionn stressn test
c. Repeat n then nonstressn test n withinn an week
d. Admit n then client n forn delivery
b. Don anbiophysicalnprofilen orn contractionn stressn test
Allnof n then followingn aren componentsn of n an biophysicalnprofilen except:
a. Contractionnstressn test
b. Assessment n of nfetalnbreathing
c. Amnioticn fluid n volumen measurement
d. Fetalnmovement n assessment
a. Contractionnstressn test
An modified n biophysicalnprofilen includesn an nonstressn test n and:
a. Contractionnstressn test
b. Ultrasound n assessment n of n fetaln movement
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
n n n nn
ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
n n n n n nn n n
REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
c. Ultrasound n assessment n of namnioticn fluid n volume
d. Fetalnmovement n counts
c. Ultrasound n assessment n of namnioticn fluid n volume
Fornancontractionn stressn test n ton ben interpretable,n youn must n havenan minimumnof:
a. 5n contractionsn inn an 10-minuten window
b. 3n contractionsn inn an10-minuten window
c. 4n contractionsn inn an 10-minuten window
d. 2n contractionsn inn an10-minuten window
b. 3n contractionsn inn an 10n minuten window
An negativen contractionn stressn test n isn onen inn which:
a. Noncontractionsn arenseen
b. Theren aren laten decelerationsn withn >n 50%nof nthen contractionsn seen
c. Therenaren non fetalnheart n raten laten decelerationsn withn then contractions
d. Theren isn onen fetaln heart n raten decelerationn seen
c. Therenaren non fetalnheart n raten laten decelerationsn withn then contractions
Accordingnton AWHONN,n then normaln baselinen FetalnHeart n Raten (FHR)n is
A. 90-150n bpm
B. 100-170n bpm
C. 110-160n bpm
D. 120-140n bpm
C.n 110-160n bpm
What n arenthentwon most n important n characteristicsn of nthenFHR?nCORRECTnANSWER>>
A.n Raten and n decelerations
B.n Variabilitynand n accelerations
C.n Variabilitynand n decelerations
D.n Raten and n variability
B.n Variabilitynand n accelerations
Younrecognizen that n annFHRntracingnhasnbeennshowingn andecreasen inn variabilitynfornthenlast n45n minutes.
n Yourn first n interventionn should n ben to
A.n Encouragen ambulation
B.n Administernoxygen
C.nDiscontinuen IV n fluids
D.n Increasen Pitocinnrate
B.n Administernoxygen
Resuscitationnmeasuresn improvesnthenbaby'sn variability,n but nthenFHRn isnstillnnot nreactive.n Youn atte
mpt n fetaln scalpn stimulationn (FSE)n becausen youn known that n an well-
oxygenated n fetusn willn respond n ton FSEn withn a(n)
, NCC ELECTRONIC FETAL MONITORING CERTIFIC
n n n nn
ATION (EFM) ACTUAL EXAM AND TEST BANK 2025
n n n n n nn n n
REAL EXAM QUESTIONS AND ANSWERS EXPERT
n n n nn n n
VERIFIED FOR GUARANTEED PASS GRADED A+
n n nn n n
A.n Acceleration
B.n Deceleration
C.n Fetaln movement
D.nSleepn pattern
A.n Acceleration
Youn aren evaluatingn an client n inn then PrenatalnTestingn Department n whon hasnjust n completedn anbiophy
sicalnprofilen(BPP).n Younsuspect n that ntherencouldnbenchronicnfetalnasphyxianbecausenthen scoren isnbe
low
A.n 10
B.n 6
C.n 8
B.n 6
Whennusingnan fetalnscalpn electroden(FSE),n younnoticen annabnormallynlow n FHRnonnthen monitor.nYo
un should n first
A.nComparen maternalnpulsen simultaneouslynwithn FHR
B.nRemoven FSE
C.n Calln then doctorn immediately
D.n Turnn off nthen monitor
A.nComparen maternalnpulsen simultaneouslynwithn FHR
Asn an result n of n then intrinsicn fetaln responsen ton oxygenn deprivation,n increased n catecholaminen levelsn c
ausenthenperipheralnblood n flow ntondecreasenwhilenthenblood n flow nton vitalnorgansn increases.n Thesen fl
own changesn alongn withn increased n catecholaminen secretionsn haven what neffect n onn fetaln blood n press
uren and n fetaln heart n rate?n CORRECTn ANSWER>>
A.nIncreasen BPn and n increasenHR
B.n Increasen BPn and n decreasen HR
C.n Decreasen BPn and n increasen HR
D.n Decreasen BPn and n decreasen HR
B.n Increasen BPn and n decreasen HR
Allnof nthen followingn might nindicatenanpseudosinusoidalnpatternnasnopposed ntonansinusoidalnpattern,n exc
ept:
A.n Recent n administrationn of nnarcoticsn ton mother
B.nAccelerationsn innFHR
C.n Moderaten variability
D.n Frequencynof n oscillationsn of n twon ton fiven cycles/min
D.n Frequencynof n oscillationsn of n twon ton fiven cycles/min
Allnof nthen followingn aren appropriaten interventionsn forn fetalntachycardian except:
A.n Increasen maternalnIVn fluid n rate
B.n Assessn maternaln vitaln signs
