2025 COMPLETE NCC ELECTRONIC FETAL
MONITORING CERTIFICATION EXAM (EFM) AND
PRACTICE EXAM | ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+
| GUARANTEED EXCELLENCE PASS
A complete description of an FHR tracing requires a qualitative and quantitative
description of all of the following except
A. Baseline rate
B. Beat-to-beat variability
C. Changes or trends in the FHR patterns over time - ✔✔✔ Correct Answer > B. Beat-to-
beat variability
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic
fluid was scored as normal. The expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week - ✔✔✔ Correct Answer > B. Repeat the test in 24
hours
Which of the following is not an intervention that should be implemented in a
patient with uterine tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
,C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section - ✔✔✔ Correct Answer > D. Prepare patient for
cesarean section
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile
score is 4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section - ✔✔✔ Correct Answer > B. Induction of labor
A Category I FHR tracing requires which of the following?
A. Baseline rate 110-160 bpm
B. Accelerations
C. No late, variable, or early decelerations - ✔✔✔ Correct Answer > A. Baseline rate
110-160 bpm
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
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 Answer > e. All of the above
How does the fetus compensate for decreased maternal circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement. - ✔✔✔ Correct Answer > b.
Increases cardiac output by increasing it's heart rate.
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 Answer > a. A decrease in the heart rate
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
e. A & C
f. A & B
g. C & D - ✔✔✔ Correct Answer > g. C & D
, 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 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
MONITORING CERTIFICATION EXAM (EFM) AND
PRACTICE EXAM | ACCURATE REAL EXAM
QUESTIONS WITH DETAILED ANSWERS GRADED A+
| GUARANTEED EXCELLENCE PASS
A complete description of an FHR tracing requires a qualitative and quantitative
description of all of the following except
A. Baseline rate
B. Beat-to-beat variability
C. Changes or trends in the FHR patterns over time - ✔✔✔ Correct Answer > B. Beat-to-
beat variability
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic
fluid was scored as normal. The expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week - ✔✔✔ Correct Answer > B. Repeat the test in 24
hours
Which of the following is not an intervention that should be implemented in a
patient with uterine tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
,C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section - ✔✔✔ Correct Answer > D. Prepare patient for
cesarean section
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile
score is 4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section - ✔✔✔ Correct Answer > B. Induction of labor
A Category I FHR tracing requires which of the following?
A. Baseline rate 110-160 bpm
B. Accelerations
C. No late, variable, or early decelerations - ✔✔✔ Correct Answer > A. Baseline rate
110-160 bpm
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
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 Answer > e. All of the above
How does the fetus compensate for decreased maternal circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement. - ✔✔✔ Correct Answer > b.
Increases cardiac output by increasing it's heart rate.
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 Answer > a. A decrease in the heart rate
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
e. A & C
f. A & B
g. C & D - ✔✔✔ Correct Answer > g. C & D
, 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 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
