NCC EFM CERTIFICATION EXAM NEWEST ACTUAL
COMPLETE 400 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!(2025)
What is your first intervention in management of a patient experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - CORRECT ANSWERS-b. Change maternal position
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 ANSWERS-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 ANSWERS-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 ANSWERS-c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing
d. Maternal HCG levels - CORRECT ANSWERS-d. Maternal HCG levels
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - CORRECT ANSWERS-d. 2 fetal heart
rate accelerations in a 20 minute window
,If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery - CORRECT ANSWERS-b. Do a biophysical profile or contraction
stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - CORRECT ANSWERS-a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - CORRECT ANSWERS-c. Ultrasound assessment of amniotic fluid
volume
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - CORRECT ANSWERS-b. 3 contractions in a 10
minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
, c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - CORRECT ANSWERS-c. There are no fetal
heart rate late decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - CORRECT ANSWERS-C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - CORRECT ANSWERS-B. Variability and accelerations
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes. Your
first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - CORRECT ANSWERS-B. Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still not reactive. You attempt fetal
scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern - CORRECT ANSWERS-A. Acceleration
COMPLETE 400 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!(2025)
What is your first intervention in management of a patient experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - CORRECT ANSWERS-b. Change maternal position
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 ANSWERS-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 ANSWERS-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 ANSWERS-c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing
d. Maternal HCG levels - CORRECT ANSWERS-d. Maternal HCG levels
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - CORRECT ANSWERS-d. 2 fetal heart
rate accelerations in a 20 minute window
,If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery - CORRECT ANSWERS-b. Do a biophysical profile or contraction
stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - CORRECT ANSWERS-a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - CORRECT ANSWERS-c. Ultrasound assessment of amniotic fluid
volume
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - CORRECT ANSWERS-b. 3 contractions in a 10
minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
, c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - CORRECT ANSWERS-c. There are no fetal
heart rate late decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - CORRECT ANSWERS-C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - CORRECT ANSWERS-B. Variability and accelerations
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes. Your
first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - CORRECT ANSWERS-B. Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still not reactive. You attempt fetal
scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern - CORRECT ANSWERS-A. Acceleration
