1|Page
NCC EFM EXAM VERSION 1,2 AND 3 NEWEST 2026
ACTUAL EXAM COMPLETE 450 QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!!
The patient is in early labor with pitocin at 8 mu/min, and
FHR is Category I. In the next 15 minutes, there are 18
uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is
Category I
C. Turn the patient on her side and initiate an IV fluid bolus
- ANSWER-C. Turn the patient on her side and initiate an
IV fluid bolus
A woman at 38 weeks gestation is in labor. The labor has
been uneventful, and the fetal heart tracings have been
normal. Spontaneous rupture of membranes occurs; fetal
heart rate drops to 90 beats per minute for four minutes
and then resumes a normal pattern. The most likely
etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
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C. Possible cord compression - ANSWER-C. Possible
cord compression
A 42 week gestation woman has been diagnosed with
oligohydramnios. Based on this, a FHR change that can
be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration - ANSWER-C. Variable
deceleration
Mono-mono zygotic twins are prone to what type of
deceleration during labor?
A. Early
B. Late
C. Variable - ANSWER-C. Variable
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
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C. 60 minutes in the active phase of the first stage and
every 30 minutes in second stage - ANSWER-A. 15-30
minutes in the active phase of the first stage and every 5-
15 minutes in second stage
What fetal heart rate characteristics can be determined
with auscultation?
A. Baseline
B. Early decelerations
C. Variability - ANSWER-A. Baseline
When auscultating the fetal heart rate, the provider/nurse
should simultaneously assess the maternal
A. Blood pressure
B. Pain level
C. Radial pulse - ANSWER-C. Radial pulse
A woman has 10 fetal movements in one hour. This is
considered what kind of movement?
A. Decreased
B. Excessive
C. Normal - ANSWER-C. Normal
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If the pH is low, what other blood gas parameter is used to
determine if the acidosis is respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - ANSWER-B. PCO2
The following cord blood gasses are consistent with: pH
7.10, pCO2 70, pO2 25, base excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis - ANSWER-C. Respiratory
acidosis
A fetus at 36 weeks receives a biophysical profile (BBP)
score of 6. The amniotic fluid was scored as normal. The
expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week - ANSWER-B.
Repeat the test in 24 hours
NCC EFM EXAM VERSION 1,2 AND 3 NEWEST 2026
ACTUAL EXAM COMPLETE 450 QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!!
The patient is in early labor with pitocin at 8 mu/min, and
FHR is Category I. In the next 15 minutes, there are 18
uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is
Category I
C. Turn the patient on her side and initiate an IV fluid bolus
- ANSWER-C. Turn the patient on her side and initiate an
IV fluid bolus
A woman at 38 weeks gestation is in labor. The labor has
been uneventful, and the fetal heart tracings have been
normal. Spontaneous rupture of membranes occurs; fetal
heart rate drops to 90 beats per minute for four minutes
and then resumes a normal pattern. The most likely
etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
,2|Page
C. Possible cord compression - ANSWER-C. Possible
cord compression
A 42 week gestation woman has been diagnosed with
oligohydramnios. Based on this, a FHR change that can
be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration - ANSWER-C. Variable
deceleration
Mono-mono zygotic twins are prone to what type of
deceleration during labor?
A. Early
B. Late
C. Variable - ANSWER-C. Variable
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
,3|Page
C. 60 minutes in the active phase of the first stage and
every 30 minutes in second stage - ANSWER-A. 15-30
minutes in the active phase of the first stage and every 5-
15 minutes in second stage
What fetal heart rate characteristics can be determined
with auscultation?
A. Baseline
B. Early decelerations
C. Variability - ANSWER-A. Baseline
When auscultating the fetal heart rate, the provider/nurse
should simultaneously assess the maternal
A. Blood pressure
B. Pain level
C. Radial pulse - ANSWER-C. Radial pulse
A woman has 10 fetal movements in one hour. This is
considered what kind of movement?
A. Decreased
B. Excessive
C. Normal - ANSWER-C. Normal
, 4|Page
If the pH is low, what other blood gas parameter is used to
determine if the acidosis is respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - ANSWER-B. PCO2
The following cord blood gasses are consistent with: pH
7.10, pCO2 70, pO2 25, base excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis - ANSWER-C. Respiratory
acidosis
A fetus at 36 weeks receives a biophysical profile (BBP)
score of 6. The amniotic fluid was scored as normal. The
expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week - ANSWER-B.
Repeat the test in 24 hours
