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NEW MODIFIED EFM NCC EXAM
CERTIFICATION| NCC EFM STUDY GUIDE
QUESTIONS WITH ANSWERS TESTED AND
APPROVED!!!
Bradycardia in the second stage of labor following a previously normal tracing may be
caused by fetal
A. Hypoxemia
B. Rotation
C. Vagal stimulation -- ANSWER--C. Vagal stimulation
Which of the following factors is not likely to cause uteroplacental insufficiency?
A. Late-term gestation
B. Preeclampsia
C. Gestational diabetes
D. Polyhydramnios
E. Maternal smoking or drug use -- ANSWER--D. Polyhydramnios
The normal FHR baseline
A. Decreases during labor
B. Fluctuates during labor
C. Increases during labor -- ANSWER--B. Fluctuates during labor
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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 -- ANSWER--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 -- 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 -- ANSWER--a. Vibroacoustic stimulation
T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and
number of umbilical vessels. -- ANSWER--True
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T/F: Low amplitude contractions are not an early sign of preterm labor. -- ANSWER--False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. -- ANSWER-
False
T/F: Corticosteroid administration may cause an increase in FHR. -- ANSWER--True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine
artery perfusion. -- ANSWER--True
At how many weeks gestation should FHR variability be normal in manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks -- ANSWER--B. 28 weeks
Reduced respiratory gas exchange from persistent decelerations may cause a rise in fetal
PCO2, which leads first to _______ _______, then _______ _______.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
C. Respiratory alkalosis; metabolic alkalosis
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D. Respiratory acidosis; metabolic acidosis -- ANSWER--B. Respiratory acidosis; metabolic
acidosis
Decreased intervillious exchange of oxygenated blood resulting in fetal hypoxia is typically
present in _______.
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations -- ANSWER--B. Late decelerations
Place the following interventions for a sinusoidal FHR in the correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1 -- ANSWER--D. 3, 2, 4, 1
Which of the following factors can have a negative effect on uterine blood flow?
pg. 4
NEW MODIFIED EFM NCC EXAM
CERTIFICATION| NCC EFM STUDY GUIDE
QUESTIONS WITH ANSWERS TESTED AND
APPROVED!!!
Bradycardia in the second stage of labor following a previously normal tracing may be
caused by fetal
A. Hypoxemia
B. Rotation
C. Vagal stimulation -- ANSWER--C. Vagal stimulation
Which of the following factors is not likely to cause uteroplacental insufficiency?
A. Late-term gestation
B. Preeclampsia
C. Gestational diabetes
D. Polyhydramnios
E. Maternal smoking or drug use -- ANSWER--D. Polyhydramnios
The normal FHR baseline
A. Decreases during labor
B. Fluctuates during labor
C. Increases during labor -- ANSWER--B. Fluctuates during labor
pg. 1
, Page 2 of 87
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 -- ANSWER--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 -- 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 -- ANSWER--a. Vibroacoustic stimulation
T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and
number of umbilical vessels. -- ANSWER--True
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T/F: Low amplitude contractions are not an early sign of preterm labor. -- ANSWER--False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. -- ANSWER-
False
T/F: Corticosteroid administration may cause an increase in FHR. -- ANSWER--True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine
artery perfusion. -- ANSWER--True
At how many weeks gestation should FHR variability be normal in manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks -- ANSWER--B. 28 weeks
Reduced respiratory gas exchange from persistent decelerations may cause a rise in fetal
PCO2, which leads first to _______ _______, then _______ _______.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
C. Respiratory alkalosis; metabolic alkalosis
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D. Respiratory acidosis; metabolic acidosis -- ANSWER--B. Respiratory acidosis; metabolic
acidosis
Decreased intervillious exchange of oxygenated blood resulting in fetal hypoxia is typically
present in _______.
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations -- ANSWER--B. Late decelerations
Place the following interventions for a sinusoidal FHR in the correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1 -- ANSWER--D. 3, 2, 4, 1
Which of the following factors can have a negative effect on uterine blood flow?
pg. 4
