NCC EFM CERTIFICATION ACTUAL EXAM |150 COMPLETE QUESTIONS WITH
EXPERT SOLUTIONS| 2026 LATEST UPDATED| A+
1. When properly placed on the maternal abdomen, the ultrasound transducer detects the: fetal heart movements
2. To best determine fetal tolerance of labor, auscultation should be done: after a contraction
3. During amnioinfusion, the infusion should be stopped periodically to assess changes in: baseline uterine
pressure
4. When contractions are occurring too frequently, this results in what physiologic occurrence?: decreased
uteroplacental blood flow
5. The progressive decrease in fetal heart rate baseline as gestation advances is considered to be a result of
maturation of the: parasympathetic nervous system
6. Normal PCO2 and decreased HCO3 are consistent with what type acidemia-
: metabolic acidemia
7. When late decelerations occur in the presence of moderate variability this is most likely due to chemoreceptor
mediated response to transient: hypoxemia 8. to confirm baseline rate, atleast how many minutes of tracing is
needed for review: 10 minutes
9. based on the NICHD definitions this tracing is an example of: bradycardia
10. A sinusoidal fetal heart rate pattern is characterized by: smooth repetitive oscillations
11. Accelerations that are 10 minutes or more are considered: baseline change 12. The fetal heart rate pattern
shown has been ongoing for 12 minutes. The next step to determine the baseline is to: review the previous 10
minutes of the tracing
13. Using NICHD terminology, the variability in the tracing shown would be interpreted as: absent
, 14. A woman in labor on oxytocin develops tachysystole but the other EFM parameters are within normal limits.
The next step is to: decrease oxytocin
15. The fetal heart rate monitor shown was obtained via spiral electrode. The
tracing is consistent with: fetal heart rate dysrhythmia
16. The leading non obstetrical cause of maternal mortality is: trauma
17. Which type of end diastolic flow is an indication for expediate delivery?: reverse
18. A patient at 30 weeks gestation with monochorionic-monoamniotic twins presents to the labor triage for
monitoring. What would the clinical expect to see on the fetal monitor tracing: variable decelerations
19. This fetal heart rate tracing would be characterized as: cat I
20. The quantification of a deceleration is made by the: combination of depth and duration time
21. Early decelerations are characterized by the nadir of deceleration occurring: at the peak of contraction
22. This representative 10 minute tracing is consistent with: Late decelerations
23. A characteristic of a prolonged deceleration is that it: occurs for more than 2 but less than 10 minutes
24. This tracing is interpreted as: cat III
25. The most likely cause for the tracing shown is: Vagal stimulation during second stage of labor
26. After 20 minutes a Non-stress test is nonreactive. The next step is to: Extend testing time for another 20
minutes
27. As gestational age advances umbilical artery velocity decreases secondary to: placental resistance
28. Which of the following can cause a blunted response to vibroacoustic stimulation: magnesium sulfate
EXPERT SOLUTIONS| 2026 LATEST UPDATED| A+
1. When properly placed on the maternal abdomen, the ultrasound transducer detects the: fetal heart movements
2. To best determine fetal tolerance of labor, auscultation should be done: after a contraction
3. During amnioinfusion, the infusion should be stopped periodically to assess changes in: baseline uterine
pressure
4. When contractions are occurring too frequently, this results in what physiologic occurrence?: decreased
uteroplacental blood flow
5. The progressive decrease in fetal heart rate baseline as gestation advances is considered to be a result of
maturation of the: parasympathetic nervous system
6. Normal PCO2 and decreased HCO3 are consistent with what type acidemia-
: metabolic acidemia
7. When late decelerations occur in the presence of moderate variability this is most likely due to chemoreceptor
mediated response to transient: hypoxemia 8. to confirm baseline rate, atleast how many minutes of tracing is
needed for review: 10 minutes
9. based on the NICHD definitions this tracing is an example of: bradycardia
10. A sinusoidal fetal heart rate pattern is characterized by: smooth repetitive oscillations
11. Accelerations that are 10 minutes or more are considered: baseline change 12. The fetal heart rate pattern
shown has been ongoing for 12 minutes. The next step to determine the baseline is to: review the previous 10
minutes of the tracing
13. Using NICHD terminology, the variability in the tracing shown would be interpreted as: absent
, 14. A woman in labor on oxytocin develops tachysystole but the other EFM parameters are within normal limits.
The next step is to: decrease oxytocin
15. The fetal heart rate monitor shown was obtained via spiral electrode. The
tracing is consistent with: fetal heart rate dysrhythmia
16. The leading non obstetrical cause of maternal mortality is: trauma
17. Which type of end diastolic flow is an indication for expediate delivery?: reverse
18. A patient at 30 weeks gestation with monochorionic-monoamniotic twins presents to the labor triage for
monitoring. What would the clinical expect to see on the fetal monitor tracing: variable decelerations
19. This fetal heart rate tracing would be characterized as: cat I
20. The quantification of a deceleration is made by the: combination of depth and duration time
21. Early decelerations are characterized by the nadir of deceleration occurring: at the peak of contraction
22. This representative 10 minute tracing is consistent with: Late decelerations
23. A characteristic of a prolonged deceleration is that it: occurs for more than 2 but less than 10 minutes
24. This tracing is interpreted as: cat III
25. The most likely cause for the tracing shown is: Vagal stimulation during second stage of labor
26. After 20 minutes a Non-stress test is nonreactive. The next step is to: Extend testing time for another 20
minutes
27. As gestational age advances umbilical artery velocity decreases secondary to: placental resistance
28. Which of the following can cause a blunted response to vibroacoustic stimulation: magnesium sulfate
