NCC EFM practice Questions and
Answers 2026
WhichBofBtheBfollowingBfactorsBcanBhaveBaBnegativeBeffectBonButerineBbloodBflow?
a.BHypertension
b.BEpidural
c.BHemorrhage
d.BDiabetes
e.BAllBofBtheBaboveB-BAnswere.BAllBofBtheBabove
StimulatingBtheBvagusBnerveBtypicallyBproduces:
a.BABdecreaseBinBtheBheartBrate
b.BAnBincreaseBinBtheBheartBrate
c.BAnBincreaseBinBstrokeBvolume
d.BNoBchangeB-BAnswera.BABdecreaseBinBtheBheartBrate
TheBvagusBnerveBbeginsBmaturationB26BtoB28Bweeks.BItsBdominanceBresultsBinBwhatBeffectBt
oBtheBFHRBbaseline?
a.BIncreasesBbaseline
b.BDecreasesBbaselineB-BAnswerb.BDecreasesBbaseline
T/F:BTheBmostBcommonBartifactBwithBtheBultrasoundBtransducerBsystemBforBfetalBheartBrateBi
sBincreasedBvariability.B-BAnswerTrue
T/F:BAllBfetalBmonitorsBcontainBaBlogicBsystemBdesignedBtoBrejectBartifact.B-BAnswerTrue
T/F:BFetalBarrhythmiasBcanBbeBseenBonBbothBinternalBandBexternalBmonitorBtracings.B-
BAnswerTrue
T/F:BVariabilityBandBperiodicBchangesBcanBbeBdetectedBwithBbothBinternalBandBexternalBmonit
oring.B-BAnswerTrue
T/F:BVariableBdecelerationsBareBaBvagalBresponse.B-BAnswerTrue
,T/F:BVariableBdecelerationsBareBtheBmostBfrequentlyBseenBfetalBheartBrateBdecelerationBpatter
nBinBlabor.B-BAnswerTrue
EtiologyBofBaBbaselineBFHRBofB165bpmBoccurringBforBtheBlastBhourBcanBbe:
1.BMaternalBsupineBhypotension
2.BMaternalBfever
3.BMaternalBdehydration
4.BUnknown
a.B1BandB2
b.B1,B2BandB3
c.B2,B3BandB4B-BAnswerc.B2,B3BandB4
TheBmostBprevalentBriskBfactorBassociatedBwithBfetalBdeathBbeforeBtheBonsetBofBlaborBis:
a.BLowBsocioeconomicBstatus
b.BFetalBmalpresentation
c.BUteroplacentalBinsufficiency
d.BUterineBanomaliesB-BAnswerc.BUteroplacentalBinsufficiency
WhichBofBtheBfollowingBconditionsBisBnotBanBindicationBforBantepartumBfetalBsurveillance?
a.BGestationalBhypertension
b.BDiabetesBinBpregnancy
c.BFetusBinBbreechBpresentation
d.BDecreasedBfetalBmovementB-BAnswerc.BFetusBinBbreechBpresentation
WhichBofBtheBfollowingBdoesBnotBaffectBtheBdegreeBofBfetalBactivity?
a.BVibroacousticBstimulation
b.BSmoking
c.BFetalBposition
d.BGestationalBageB-BAnswera.BVibroacousticBstimulation
,T/F:BUmbilicalBcordBinfluencesBthatBcanBalterBbloodBflowBincludeBtrueBknots,Bhematomas,Ban
dBnumberBofBumbilicalBvessels.B-BAnswerTrue
T/F:BLowBamplitudeBcontractionsBareBnotBanBearlyBsignBofBpretermBlabor.B-BAnswerFalse
T/F:BCorticosteroidBadministrationBmayBcauseBanBincreaseBinBFHRBaccelerations.B-BAnswerFalse
T/F:BCorticosteroidBadministrationBmayBcauseBanBincreaseBinBFHR.B-BAnswerTrue
T/F:BContractionsBcauseBanBincreaseBinButerineBvenousBpressureBandBaBdecreaseBinButerineBa
rteryBperfusion.B-BAnswerTrue
AsBaBresultBofBtheBintrinsicBfetalBresponseBtoBoxygenBdeprivation,BincreasedBcatecholamineBle
velsBcauseBtheBperipheralBbloodBflowBtoBdecreaseBwhileBtheBbloodBflowBtoBvitalBorgansBincr
eases.BTheseBflowBchangesBalongBwithBincreasedBcatecholamineBsecretionsBhaveBwhatBeffectB
onBfetalBbloodBpressureBandBfetalBheartBrate?B
A.BIncreaseBBPBandBincreaseBHR
B.BIncreaseBBPBandBdecreaseBHR
C.BDecreaseBBPBandBincreaseBHR
D.BDecreaseBBPBandBdecreaseBHRB-BAnswerB.BIncreaseBBPBandBdecreaseBHR
DuringBaBtermBantepartumBNSTB(non-
stressBtest),ByouBnoticeBseveralBvariableBdecelerationsBthatBdecreaseBatBleastB15BbpmBandBla
stBatBleastB15BsecBlong.BWhichBofBtheBfollowingBisBtheBleastBlikelyBexplanation?
A.BTrueBknot
B.BGestationalBdiabetes
C.BUmbilicalBcordBentanglement
D.BOligohydramniosB-BAnswerB.BGestationalBdiabetes
AllBofBtheBfollowingBareBlikelyBcausesBofBprolongedBdecelerationsBexcept:
A.BUterineBtachysystole
B.BProlapsedBcord
C.BMaternalBhypotension
, D.BMaternalBfeverB-BAnswerD.BMaternalBfever
AllBofBtheBfollowingBcouldBlikelyBcauseBminimalBvariabilityBinBFHRBexcept
A.BMagnesiumBsulfateBadministration
B.BFetalBsleepBcycle
C.BNarcoticBadministration
D.BEphedrineBadministrationB-BAnswerD.BEphedrineBadministration
WhenBanBIUPCBhasBbeenBplaced,BMontevideoBunitsBmustBbeB___BorBgreaterBforBadequateBc
ervicalBchangeBtoBoccur.
A.B100
B.B200
C.B300
D.B400B-BAnswerB.B200
WhatBwouldBbeBaBsuspectedBpHBinBaBfetusBwhoseBFHTsBincludedBrecurrentBlateBdeceleration
sBduringBlabor?
A.B7.10
B.B7.26
C.B7.32
D.B7.41B-BAnswerA.B7.10
TheBnurseBnotesBaBpatternBofBdecelerationsBonBtheBfetalBmonitorBthatBbeginsBshortlyBafterBt
heBcontractionBandBreturnsBtoBbaselineBjustBbeforeBtheBcontractionBisBover.BTheBcorrectBnurs
ingBresponseBisBto:
a.BGiveBtheBwomanBoxygenBbyBfacemaskBatB8-10BL/min
b.BPositionBtheBwomanBonBherBoppositeBside
c.BIncreaseBtheBrateBofBtheBwoman'sBintravenousBfluid
d.BContinueBtoBobserveBandBrecordBtheBnormalBpatternB-
BAnswerd.BContinueBtoBobserveBandBrecordBtheBnormalBpattern
Answers 2026
WhichBofBtheBfollowingBfactorsBcanBhaveBaBnegativeBeffectBonButerineBbloodBflow?
a.BHypertension
b.BEpidural
c.BHemorrhage
d.BDiabetes
e.BAllBofBtheBaboveB-BAnswere.BAllBofBtheBabove
StimulatingBtheBvagusBnerveBtypicallyBproduces:
a.BABdecreaseBinBtheBheartBrate
b.BAnBincreaseBinBtheBheartBrate
c.BAnBincreaseBinBstrokeBvolume
d.BNoBchangeB-BAnswera.BABdecreaseBinBtheBheartBrate
TheBvagusBnerveBbeginsBmaturationB26BtoB28Bweeks.BItsBdominanceBresultsBinBwhatBeffectBt
oBtheBFHRBbaseline?
a.BIncreasesBbaseline
b.BDecreasesBbaselineB-BAnswerb.BDecreasesBbaseline
T/F:BTheBmostBcommonBartifactBwithBtheBultrasoundBtransducerBsystemBforBfetalBheartBrateBi
sBincreasedBvariability.B-BAnswerTrue
T/F:BAllBfetalBmonitorsBcontainBaBlogicBsystemBdesignedBtoBrejectBartifact.B-BAnswerTrue
T/F:BFetalBarrhythmiasBcanBbeBseenBonBbothBinternalBandBexternalBmonitorBtracings.B-
BAnswerTrue
T/F:BVariabilityBandBperiodicBchangesBcanBbeBdetectedBwithBbothBinternalBandBexternalBmonit
oring.B-BAnswerTrue
T/F:BVariableBdecelerationsBareBaBvagalBresponse.B-BAnswerTrue
,T/F:BVariableBdecelerationsBareBtheBmostBfrequentlyBseenBfetalBheartBrateBdecelerationBpatter
nBinBlabor.B-BAnswerTrue
EtiologyBofBaBbaselineBFHRBofB165bpmBoccurringBforBtheBlastBhourBcanBbe:
1.BMaternalBsupineBhypotension
2.BMaternalBfever
3.BMaternalBdehydration
4.BUnknown
a.B1BandB2
b.B1,B2BandB3
c.B2,B3BandB4B-BAnswerc.B2,B3BandB4
TheBmostBprevalentBriskBfactorBassociatedBwithBfetalBdeathBbeforeBtheBonsetBofBlaborBis:
a.BLowBsocioeconomicBstatus
b.BFetalBmalpresentation
c.BUteroplacentalBinsufficiency
d.BUterineBanomaliesB-BAnswerc.BUteroplacentalBinsufficiency
WhichBofBtheBfollowingBconditionsBisBnotBanBindicationBforBantepartumBfetalBsurveillance?
a.BGestationalBhypertension
b.BDiabetesBinBpregnancy
c.BFetusBinBbreechBpresentation
d.BDecreasedBfetalBmovementB-BAnswerc.BFetusBinBbreechBpresentation
WhichBofBtheBfollowingBdoesBnotBaffectBtheBdegreeBofBfetalBactivity?
a.BVibroacousticBstimulation
b.BSmoking
c.BFetalBposition
d.BGestationalBageB-BAnswera.BVibroacousticBstimulation
,T/F:BUmbilicalBcordBinfluencesBthatBcanBalterBbloodBflowBincludeBtrueBknots,Bhematomas,Ban
dBnumberBofBumbilicalBvessels.B-BAnswerTrue
T/F:BLowBamplitudeBcontractionsBareBnotBanBearlyBsignBofBpretermBlabor.B-BAnswerFalse
T/F:BCorticosteroidBadministrationBmayBcauseBanBincreaseBinBFHRBaccelerations.B-BAnswerFalse
T/F:BCorticosteroidBadministrationBmayBcauseBanBincreaseBinBFHR.B-BAnswerTrue
T/F:BContractionsBcauseBanBincreaseBinButerineBvenousBpressureBandBaBdecreaseBinButerineBa
rteryBperfusion.B-BAnswerTrue
AsBaBresultBofBtheBintrinsicBfetalBresponseBtoBoxygenBdeprivation,BincreasedBcatecholamineBle
velsBcauseBtheBperipheralBbloodBflowBtoBdecreaseBwhileBtheBbloodBflowBtoBvitalBorgansBincr
eases.BTheseBflowBchangesBalongBwithBincreasedBcatecholamineBsecretionsBhaveBwhatBeffectB
onBfetalBbloodBpressureBandBfetalBheartBrate?B
A.BIncreaseBBPBandBincreaseBHR
B.BIncreaseBBPBandBdecreaseBHR
C.BDecreaseBBPBandBincreaseBHR
D.BDecreaseBBPBandBdecreaseBHRB-BAnswerB.BIncreaseBBPBandBdecreaseBHR
DuringBaBtermBantepartumBNSTB(non-
stressBtest),ByouBnoticeBseveralBvariableBdecelerationsBthatBdecreaseBatBleastB15BbpmBandBla
stBatBleastB15BsecBlong.BWhichBofBtheBfollowingBisBtheBleastBlikelyBexplanation?
A.BTrueBknot
B.BGestationalBdiabetes
C.BUmbilicalBcordBentanglement
D.BOligohydramniosB-BAnswerB.BGestationalBdiabetes
AllBofBtheBfollowingBareBlikelyBcausesBofBprolongedBdecelerationsBexcept:
A.BUterineBtachysystole
B.BProlapsedBcord
C.BMaternalBhypotension
, D.BMaternalBfeverB-BAnswerD.BMaternalBfever
AllBofBtheBfollowingBcouldBlikelyBcauseBminimalBvariabilityBinBFHRBexcept
A.BMagnesiumBsulfateBadministration
B.BFetalBsleepBcycle
C.BNarcoticBadministration
D.BEphedrineBadministrationB-BAnswerD.BEphedrineBadministration
WhenBanBIUPCBhasBbeenBplaced,BMontevideoBunitsBmustBbeB___BorBgreaterBforBadequateBc
ervicalBchangeBtoBoccur.
A.B100
B.B200
C.B300
D.B400B-BAnswerB.B200
WhatBwouldBbeBaBsuspectedBpHBinBaBfetusBwhoseBFHTsBincludedBrecurrentBlateBdeceleration
sBduringBlabor?
A.B7.10
B.B7.26
C.B7.32
D.B7.41B-BAnswerA.B7.10
TheBnurseBnotesBaBpatternBofBdecelerationsBonBtheBfetalBmonitorBthatBbeginsBshortlyBafterBt
heBcontractionBandBreturnsBtoBbaselineBjustBbeforeBtheBcontractionBisBover.BTheBcorrectBnurs
ingBresponseBisBto:
a.BGiveBtheBwomanBoxygenBbyBfacemaskBatB8-10BL/min
b.BPositionBtheBwomanBonBherBoppositeBside
c.BIncreaseBtheBrateBofBtheBwoman'sBintravenousBfluid
d.BContinueBtoBobserveBandBrecordBtheBnormalBpatternB-
BAnswerd.BContinueBtoBobserveBandBrecordBtheBnormalBpattern