NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
P0 at 42 wks in active labor. AROM 2 hours ago thick
meconium, now 4cm dilated. Tracing is Cat 1. The
appropriate intervention is:
A. continue to monitor and observe
b. perform amnioinfusion
c. plase ISE - <<Answers>>>a. continue to monitor and
observe
P1 at 39wks IOL gHTN. Pit at 7mU. SVE 1 hour ago 4cm.
Increased dark bloody show and abdominal pain. Tracing
showing quivering ctx pattern. After turning off pit. Next
intervention is:
a. administer terbutaline
b. palpate the uterus for rigidity
c. perform SVE - <<Answers>>>b. palpate uterus for rigidity
P2 at 37 wks, in MVA. Obvious compound fracture to right
femur. Hysterical crying, pain everywhere. BP 90/68, RR 45,
HR 160. Tracing Cat 3. Priority intervention is:
a. administer pain medication
b. order ultrasound
c. stabilize mother - <<Answers>>>c. stabilize mother
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
TOLAC IOL, 5/70/0, membranes intact. Vomitted and then
large amount of blood per vagina. Now with severe abdominal
pain and cat 3 tracing. This is characteristic of:
a. placenta previa
b. uterine rupture
c. vasa previa - <<Answers>>>b. uterine rupture
MonoMono twins are prone to what type of decelerations
during labor - <<Answers>>>variable decels
DiDi twins, appear to be tracing same FH, A has ISE and B
has external. Appropriate action is:
a. apply a different monitor
b. continue to observe
c. readjust the ultrasound transducer for baby B -
<<Answers>>>c. readjust the ultrasound transducer for baby
B
P1 IOL, BMI 43, SVE 2cm, cannot trace externally next step:
a. continue to readjust external devices
b. hand hold monitor in place
c. place internal monitors - <<Answers>>>c. place internal
monitors
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
During labor, the recommended fetal heart rate assessment
interval for auscultation is every
A. 15-30 minutes in the active phase of the first stage and
every 5-15 minutes in second stage
B. 15 minutes no matter what stage of labor
C. 60 minutes in the active phase of the first stage and every
30 minutes in second stage - <<Answers>>>A. 15-30 minutes
in the active phase of the first stage and every 5-15 minutes in
second stage
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - <<Answers>>>B. R to R
intervals of the fetal heart
The optimal location for the ultrasound transducer for the
fetus - <<Answers>>>the fetal back
First step when contraction pattern is weird with IUPC in
place - <<Answers>>>re zero the IUPC
Membranes ruptured 60 minutes ago and now you see
prolonged deceleration, first step: - <<Answers>>>perform a
vaginal exam
, NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
A woman who is admitted for an induction of labor with
oxytocin is questioning the need for continuous EFM. The
appropriate response to the woman is.
A. hospital policy requires all patients have continuous EFM
B. I would like to answer your questions about continuous
monitoring and give you some information about why it is
recommended
C. Nurses have more training with continuous monitoring
than with intermittent auscultation so it is safer for you and
baby - <<Answers>>>B. I would like to answer your
questions about continuous monitoring and give you some
information about why it is recommended
The process by which oxygen and carbon dioxide pass from a
region of higher concentration to one of lower concentration
is called:
a. active transport
b. simple diffusion
c. facilitated diffusion - <<Answers>>>B. simple diffusion
The greater affinity that fetal hemoglobin has for oxygen
allows for:
a. easier release of oxygen to the tissues
b. greater binding of oxygen
ANSWERS
P0 at 42 wks in active labor. AROM 2 hours ago thick
meconium, now 4cm dilated. Tracing is Cat 1. The
appropriate intervention is:
A. continue to monitor and observe
b. perform amnioinfusion
c. plase ISE - <<Answers>>>a. continue to monitor and
observe
P1 at 39wks IOL gHTN. Pit at 7mU. SVE 1 hour ago 4cm.
Increased dark bloody show and abdominal pain. Tracing
showing quivering ctx pattern. After turning off pit. Next
intervention is:
a. administer terbutaline
b. palpate the uterus for rigidity
c. perform SVE - <<Answers>>>b. palpate uterus for rigidity
P2 at 37 wks, in MVA. Obvious compound fracture to right
femur. Hysterical crying, pain everywhere. BP 90/68, RR 45,
HR 160. Tracing Cat 3. Priority intervention is:
a. administer pain medication
b. order ultrasound
c. stabilize mother - <<Answers>>>c. stabilize mother
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
TOLAC IOL, 5/70/0, membranes intact. Vomitted and then
large amount of blood per vagina. Now with severe abdominal
pain and cat 3 tracing. This is characteristic of:
a. placenta previa
b. uterine rupture
c. vasa previa - <<Answers>>>b. uterine rupture
MonoMono twins are prone to what type of decelerations
during labor - <<Answers>>>variable decels
DiDi twins, appear to be tracing same FH, A has ISE and B
has external. Appropriate action is:
a. apply a different monitor
b. continue to observe
c. readjust the ultrasound transducer for baby B -
<<Answers>>>c. readjust the ultrasound transducer for baby
B
P1 IOL, BMI 43, SVE 2cm, cannot trace externally next step:
a. continue to readjust external devices
b. hand hold monitor in place
c. place internal monitors - <<Answers>>>c. place internal
monitors
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
During labor, the recommended fetal heart rate assessment
interval for auscultation is every
A. 15-30 minutes in the active phase of the first stage and
every 5-15 minutes in second stage
B. 15 minutes no matter what stage of labor
C. 60 minutes in the active phase of the first stage and every
30 minutes in second stage - <<Answers>>>A. 15-30 minutes
in the active phase of the first stage and every 5-15 minutes in
second stage
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - <<Answers>>>B. R to R
intervals of the fetal heart
The optimal location for the ultrasound transducer for the
fetus - <<Answers>>>the fetal back
First step when contraction pattern is weird with IUPC in
place - <<Answers>>>re zero the IUPC
Membranes ruptured 60 minutes ago and now you see
prolonged deceleration, first step: - <<Answers>>>perform a
vaginal exam
, NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
ANSWERS
A woman who is admitted for an induction of labor with
oxytocin is questioning the need for continuous EFM. The
appropriate response to the woman is.
A. hospital policy requires all patients have continuous EFM
B. I would like to answer your questions about continuous
monitoring and give you some information about why it is
recommended
C. Nurses have more training with continuous monitoring
than with intermittent auscultation so it is safer for you and
baby - <<Answers>>>B. I would like to answer your
questions about continuous monitoring and give you some
information about why it is recommended
The process by which oxygen and carbon dioxide pass from a
region of higher concentration to one of lower concentration
is called:
a. active transport
b. simple diffusion
c. facilitated diffusion - <<Answers>>>B. simple diffusion
The greater affinity that fetal hemoglobin has for oxygen
allows for:
a. easier release of oxygen to the tissues
b. greater binding of oxygen
