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Fetal Heart Monitoring 2025: Practice Questions & Answers for NCC EFM Certification

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Prepare for your 2025 EFM certification with our complete fetal heart monitor guide. Features practice questions, answers, and explanations for tracing interpretation, decelerations, and interventions.

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1|Page



Fetal Heart Monitors Questions With Complete
Solutions




A full description of a fetal heart rate (FHR) tracing
requires a qualitative and quantitative description of all
of the following except:


Select Your Answer:
a. Baseline rate
b. Presence of accelerations
c. Baseline fetal heart rate variability
d. Beat-to-beat fetal heart rate variability
e. Periodic or episodic decelerations
f. Changes or trends of fetal heart rate patterns over
time - .....ANSWER ...✔✔ d. Beat-to-beat fetal heart
rate variability


Which of the following is/are included in a full
description of fetal heart rate baseline?


Select Your Answer:

,2|Page



a. Fetal heart rate accelerations
b. Fetal heart rate decelerations
c. Periods of marked fetal heart rate variability
d. All of the above
e. None of the above - .....ANSWER ...✔✔ e. None
of the above


Fetal heart rate tachycardia is defined as a baseline
fetal heart rate:


Select Your Answer: Feedback
a. ≥ 180 beats per minute
b. > 180 beats per minute
c. ≥ 160 beats per minute
d. > 160 beats per minute
e. ≥ 200 beats per minute - .....ANSWER ...✔✔ d. >
160 beats per minute


Normal baseline FHR range - .....ANSWER ...✔✔
110-160 BPM


FHR Bradycardia - .....ANSWER ...✔✔ <110 BPM

,3|Page




FHR Tachycardia - .....ANSWER ...✔✔ >160 BPM


Evaluation of a fetal heart rate pattern must take into
account maternal medical conditions as well as
estimated gestational age.


Select Your Answer:
True
False - .....ANSWER ...✔✔ True


Baseline variability is defined as fluctuations in the
baseline that are regular in amplitude and frequency.


Select Your Answer:
True
False - .....ANSWER ...✔✔ False


According to the NICHD definitions of fetal heart rate
variability, which of the following is NOT accurate?


Select Your Answer:

, 4|Page



a. Undetectable = absent fetal heart rate variability
b. Detectable but ≤ 5 bpm = minimal fetal heart rate
variability
c. 6 to 25 bpm = average fetal heart rate variability
d. Greater than 25 bpm = marked fetal heart rate
variability
e. None of the above - .....ANSWER ...✔✔ c. 6 to 25
bpm = average fetal heart rate variability


Short-term (beat-to-beat) variability is distinct from
long-term variability and should be visually determined
and documented separately.


Select Your Answer:
True
False - .....ANSWER ...✔✔ False


amplitude range is detectable but ≤ 5 beats/minute -
.....ANSWER ...✔✔ Minimal FHR variability


undetectable - .....ANSWER ...✔✔ Absent FHR
variability

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