NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) ACTUAL EXAM QUESTIONS
AND ANSWERS EXPERT VERIFIED FOR GUARANTEED
PASS GRADED A+
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 .......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.
,age 2 of 164
c. Increases cardiac output by increasing fetal movement.
.......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 .......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 .......Answer.........g. C & D
,age 3 of 164
The vagus nerve begins maturation 26 to 28 weeks. Its
dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline .......Answer.........b. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the
intervillous space. .......Answer.........True
T/F: The parasympathetic nervous system is a cardioaccelerator.
.......Answer.........False
T/F: Baroreceptors are stretch receptors which respond to
increases or decreases in blood pressure. .......Answer.........True
T/F: There are two electronic fetal monitoring methods of
obtaining the fetal heart rate: the ultrasound transducer and the
fetal spiral electrode. .......Answer.........True
T/F: Variability can be determined with the fetoscope.
.......Answer.........False
, age 4 of 164
T/F: Because the ultrasound transducer and toco transducer are
sealed units, they can be dipped in warm water to make
cleaning easier. .......Answer.........False
T/F: The most common artifact with the ultrasound transducer
system for fetal heart rate is increased variability.
.......Answer.........True
T/F: All fetal monitors contain a logic system designed to reject
artifact. .......Answer.........True
T/F: The monitor should always be tested before starting a
tracing, either external or internal mode and labeled a test.
.......Answer.........True
T/F: In the U.S. the paper speed on the fetal monitor is set at
3cm/min. .......Answer.........True
T/F: Both internal and external monitoring methods are equally
accurate means of obtaining the fetal heart rate and contraction
patterns. .......Answer.........False