NCC EFM practice Exam Questions and
Answers (Latest Update 2025)
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 - Correct Answer ✅e. All of the above
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 - Correct Answer ✅a. A decrease in the heart
rate
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 - Correct Answer ✅b. Decreases
baseline
T/F: The most common artifact with the ultrasound transducer
system for fetal heart rate is increased variability. - Correct
Answer ✅True
,NCC EFM practice Exam Questions and
Answers (Latest Update 2025)
T/F: All fetal monitors contain a logic system designed to
reject artifact. - Correct Answer ✅True
T/F: Fetal arrhythmias can be seen on both internal and
external monitor tracings. - Correct Answer ✅True
T/F: Variability and periodic changes can be detected with
both internal and external monitoring. - Correct Answer
✅True
T/F: Variable decelerations are a vagal response. - Correct
Answer ✅True
T/F: Variable decelerations are the most frequently seen fetal
heart rate deceleration pattern in labor. - Correct Answer
✅True
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
,NCC EFM practice Exam Questions and
Answers (Latest Update 2025)
b. 1, 2 and 3
c. 2, 3 and 4 - Correct Answer ✅c. 2, 3 and 4
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 Answer ✅c. Uteroplacental
insufficiency
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 Answer ✅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
, NCC EFM practice Exam Questions and
Answers (Latest Update 2025)
d. Gestational age - Correct Answer ✅a. Vibroacoustic
stimulation
T/F: Umbilical cord influences that can alter blood flow include
true knots, hematomas, and number of umbilical vessels. -
Correct Answer ✅True
T/F: Low amplitude contractions are not an early sign of
preterm labor. - Correct Answer ✅False
T/F: Corticosteroid administration may cause an increase in
FHR accelerations. - Correct Answer ✅False
T/F: Corticosteroid administration may cause an increase in
FHR. - Correct Answer ✅True
T/F: Contractions cause an increase in uterine venous
pressure and a decrease in uterine artery perfusion. -
Correct Answer ✅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?
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