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2025 NCC EFM CERTIFICATION EXAM | ALL
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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 e. All of the above https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 1/
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. c. Increases cardiac output by increasing fetal movement. 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 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 g. C & D https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 2/
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased variability. True T/F: All fetal monitors contain a logic system designed to reject artifact. True T/F: The monitor should always be tested before starting a tracing, either external or internal mode and labeled a test. True T/F: The paper speed on the fetal monitor should always be set at 1cm/min. False T/F: Both internal and external monitoring methods are equally accurate means of obtaining the fetal heart rate and contraction patterns. False T/F: The external toco is usually placed over the uterine fundus to pick up contractions. True T/F: The external toco gives measurable uterine pressure. False T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present. False https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 4/
T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back, as the fetal heart is heard best there. True T/F: The spiral electrode is used to more accurately determine the frequency, duration, and intensity of uterine contractions. False T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal. False T/F: The intrauterine catheter is used to pick up the fetal heart rate. False T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died. True T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. True T/F: Variability and periodic changes can be detected with both internal and external monitoring. True T/F: Variable decelerations are a result of cord compression. True https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 5/
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated. False 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 b. Change maternal position Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
- Maternal supine hypotension
- Maternal fever
- Maternal dehydration
- Unknown a. 1 and 2 b. 1, 2 and 3 c. 2, 3 and 4 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 a. Utero-placental insufficiency https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 7/
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 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 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 c. Fetus in breech presentation https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-jus… 8/
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 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 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 b. 3 contractions in a 10 minute window https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 10/
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 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 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 B. Variability and accelerations https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 11/
When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor. You should first A. Compare maternal pulse simultaneously with FHR B. Remove FSE C. Call the doctor immediately D. Turn off the monitor A. Compare maternal pulse simultaneously with FHR T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and number of umbilical vessels. True T/F: Low amplitude contractions are not an early sign of preterm labor. False T/F: Preterm contractions are usually painful. False T/F: Corticosteroid administration may cause an increase in FHR accelerations. False T/F: Corticosteroid administration may cause an increase in FHR. True https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 13/
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine artery perfusion. True As a result of the intrinsic fetal response to oxygen deprivation, increased catecholamine levels cause the peripheral blood flow to decrease while the blood flow to vital organs increases. These flow changes along with increased catecholamine secretions have what effect on fetal blood pressure and fetal heart rate? A. Increase BP and increase HR B. Increase BP and decrease HR C. Decrease BP and increase HR D. Decrease BP and decrease HR B. Increase BP and decrease HR https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 14/
All of the following are likely causes of prolonged decelerations except: A. Uterine tachysystole B. Prolapsed cord C. Maternal hypotension D. Maternal fever D. Maternal fever _______ decelerations occur with less than 50% of contractions. A. Recurrent B. Intermittent C. Repetitive B. Intermittent _______ decelerations occur with greater than or equal to 50% of contractions. A. Recurrent B. Intermittent C. Repetitive A. Recurrent All of the following could likely cause minimal variability in FHR except A. Magnesium sulfate administration B. Fetal sleep cycle C. Narcotic administration D. Ephedrine administration D. Ephedrine administration https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 16/
When an IUPC has been placed, Montevideo units must be ___ or greater for adequate cervical change to occur. A. 100 B. 200 C. 300 D. 400
B. 200
The ________ increases the heart rate and strengthens myocardial contractions through the release of epinephrine and nonepinephrine. A. Sympathetic nervous system B. Parasympathetic nervous system A. Sympathetic nervous system The ________, through stimulation of the vagus nerve, reduces FHR and maintains variability. A. Sympathetic nervous system B. Parasympathetic nervous system B. Parasympathetic nervous system https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 17/
The expected response of the fetal heart rate to active fetal movement of a 31-week gestational age fetus is: a. Suppression of normal short term variability for 15 seconds b. Acceleration of at least 15 beats per minute for 15 seconds c. Acceleration followed by a 15-second deceleration of the heart rate d. Acceleration of at least 10 beats per minute for 10 seconds d. Acceleration of at least 10 beats per minute for 10 seconds The nurse notes a pattern of variable decelerations to 75 bpm on the fetal monitor. The initial nursing action is to: a. Reposition the woman b. Administer oxygen c. Increase the intravenous fluid infusion d. Stimulate the fetal scalp a. Reposition the woman The tocotransducer should be placed: a. In the suprapubic area b. In the fundal area c. Over the xiphoid process d. Within the uterus b. In the fundal area https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 19/
The nurse notes a pattern of decelerations on the fetal monitor that begins shortly after the contraction and returns to baseline just before the contraction is over. The correct nursing response is to: a. Give the woman oxygen by facemask at 8-10 L/min b. Position the woman on her opposite side c. Increase the rate of the woman's intravenous fluid d. Continue to observe and record the normal pattern d. Continue to observe and record the normal pattern Determining the FHR baseline requires the nurse to approximate the mean FHR rounded to increments of 5 bpm during a ___-minute window (excluding accelerations and decelerations). A. 2 B. 5 C. 10 D. 20
C. 10
https://quizlet.com/996328257/2025-ncc-efm-certification-exam-all-questions-and-correct-answers-already-graded-a-verified-answers-latest-exam-ju… 20/
