1|Pag
ma ma ma ma ma
e
NCC Electronic Fetal Monitoring ma ma ma
Certification EFM Actual Exam and Test Bank ma ma ma ma ma ma ma
2026
FHR patterns are those associated with uterine contractions.
ma ma ma ma ma ma ma
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-A. Periodic ma ma
FHR patterns are those that are not associated with uterine contractions.
ma ma ma ma ma ma ma ma ma ma
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-B. Episodic ma ma
Which of the following is not a likely cause of a sinusoidal FHR pattern?
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Chronic fetal bleeding ma ma
B. Fetal hypoxia or anemia
ma ma ma
C. Triple screen positive for Trisomy 21
ma ma ma ma ma
D. Fetal isoimmunization -correct-answer-C. Triple screen positive for Trisomy 21
ma ma ma ma ma ma ma ma
,2|Pag
ma ma ma ma ma
e
Which of the following factors is not likely to cause uteroplacental insufficiency?
ma ma ma ma ma ma ma ma ma ma ma
A. Late-term gestation ma
B. Preeclampsia
C. Gestational diabetes ma
D. Polyhydramnios
E. Maternal smoking or drug use -correct-answer-D. Polyhydramnios
ma ma ma ma ma ma
Which of the following are considered determinants of fetal well-
ma ma ma ma ma ma ma ma ma
being? (Select all that apply).ma ma ma ma
A. Absence of decelerations in FHR ma ma ma ma
B. Palpation of fetal movement ma ma ma
C. Presence of accelerations in FHR ma ma ma ma
D. Moderate variability in FHR ma ma ma
E. Presence of early decelerations in second stage -correct-answer-
ma ma ma ma ma ma ma
C. Presence of accelerations in FHR
ma ma ma ma ma
D. Moderate variability in FHR
ma ma ma ma
When auscultation is used for fetal assessment during labor for a low-
ma ma ma ma ma ma ma ma ma ma ma
risk woman, the FHR should be auscultated in the first stage of labor every
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. 5 min
ma ma
,3|Pag
ma ma ma ma ma
e
B. 15-30 min
ma ma
C. 60 min -correct-answer-B. 15-30 min
ma ma ma ma ma
For a low- ma ma
risk woman in the second stage of labor, the FHR should be auscultated every
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. 5-15 min
ma ma
B. 30 min
ma ma
C. 60 min -correct-answer-A. 5-15 min
ma ma ma ma ma
The normal FHR baseline
ma ma ma
A. Decreases during labor
ma ma ma
B. Fluctuates during labor
ma ma ma
C. Increases during labor -correct-answer-B. Fluctuates during labor
ma ma ma ma ma ma ma
Bradycardia in the second stage of labor following a previously normal tracing ma
ma ma ma ma ma ma ma ma ma ma ma ma
y be caused by fetal
ma ma ma ma
A. Hypoxemia
ma
B. Rotation
ma
C. Vagal stimulation -correct-answer-C. Vagal stimulation
ma ma ma ma ma
, 4|Pag
ma ma ma ma ma
e
A likely cause of fetal tachycardia with moderate variability is
ma ma ma ma ma ma ma ma ma
A. Fetal hypoxemia
ma ma
B. Maternal fever
ma ma
C. Vagal stimulation -correct-answer-B. Maternal fever
ma ma ma ma ma
Reduction in FHR variability can result from ma ma ma ma ma ma
A. Fetal scalp stimulation
ma ma ma
B. Medication administration
ma ma
C. Vaginal examination -correct-answer-B. Medication administration
ma ma ma ma ma
The primary goal in treatment for late decelerations is to
ma ma ma ma ma ma ma ma ma
A. Correct cord compression
ma ma ma
B. Improve maternal oxygenation
ma ma ma
C. Maximize uteroplacental blood flow -correct-answer-
ma ma ma ma ma
C. Maximize uteroplacental blood flow
ma ma ma ma
The most frequently observed type of FHR deceleration is
ma ma ma ma ma ma ma ma
A. Early
ma
B. Late
ma
C. Variable -correct-answer-C. Variable
ma ma ma
ma ma ma ma ma
e
NCC Electronic Fetal Monitoring ma ma ma
Certification EFM Actual Exam and Test Bank ma ma ma ma ma ma ma
2026
FHR patterns are those associated with uterine contractions.
ma ma ma ma ma ma ma
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-A. Periodic ma ma
FHR patterns are those that are not associated with uterine contractions.
ma ma ma ma ma ma ma ma ma ma
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-B. Episodic ma ma
Which of the following is not a likely cause of a sinusoidal FHR pattern?
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. Chronic fetal bleeding ma ma
B. Fetal hypoxia or anemia
ma ma ma
C. Triple screen positive for Trisomy 21
ma ma ma ma ma
D. Fetal isoimmunization -correct-answer-C. Triple screen positive for Trisomy 21
ma ma ma ma ma ma ma ma
,2|Pag
ma ma ma ma ma
e
Which of the following factors is not likely to cause uteroplacental insufficiency?
ma ma ma ma ma ma ma ma ma ma ma
A. Late-term gestation ma
B. Preeclampsia
C. Gestational diabetes ma
D. Polyhydramnios
E. Maternal smoking or drug use -correct-answer-D. Polyhydramnios
ma ma ma ma ma ma
Which of the following are considered determinants of fetal well-
ma ma ma ma ma ma ma ma ma
being? (Select all that apply).ma ma ma ma
A. Absence of decelerations in FHR ma ma ma ma
B. Palpation of fetal movement ma ma ma
C. Presence of accelerations in FHR ma ma ma ma
D. Moderate variability in FHR ma ma ma
E. Presence of early decelerations in second stage -correct-answer-
ma ma ma ma ma ma ma
C. Presence of accelerations in FHR
ma ma ma ma ma
D. Moderate variability in FHR
ma ma ma ma
When auscultation is used for fetal assessment during labor for a low-
ma ma ma ma ma ma ma ma ma ma ma
risk woman, the FHR should be auscultated in the first stage of labor every
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. 5 min
ma ma
,3|Pag
ma ma ma ma ma
e
B. 15-30 min
ma ma
C. 60 min -correct-answer-B. 15-30 min
ma ma ma ma ma
For a low- ma ma
risk woman in the second stage of labor, the FHR should be auscultated every
ma ma ma ma ma ma ma ma ma ma ma ma ma
A. 5-15 min
ma ma
B. 30 min
ma ma
C. 60 min -correct-answer-A. 5-15 min
ma ma ma ma ma
The normal FHR baseline
ma ma ma
A. Decreases during labor
ma ma ma
B. Fluctuates during labor
ma ma ma
C. Increases during labor -correct-answer-B. Fluctuates during labor
ma ma ma ma ma ma ma
Bradycardia in the second stage of labor following a previously normal tracing ma
ma ma ma ma ma ma ma ma ma ma ma ma
y be caused by fetal
ma ma ma ma
A. Hypoxemia
ma
B. Rotation
ma
C. Vagal stimulation -correct-answer-C. Vagal stimulation
ma ma ma ma ma
, 4|Pag
ma ma ma ma ma
e
A likely cause of fetal tachycardia with moderate variability is
ma ma ma ma ma ma ma ma ma
A. Fetal hypoxemia
ma ma
B. Maternal fever
ma ma
C. Vagal stimulation -correct-answer-B. Maternal fever
ma ma ma ma ma
Reduction in FHR variability can result from ma ma ma ma ma ma
A. Fetal scalp stimulation
ma ma ma
B. Medication administration
ma ma
C. Vaginal examination -correct-answer-B. Medication administration
ma ma ma ma ma
The primary goal in treatment for late decelerations is to
ma ma ma ma ma ma ma ma ma
A. Correct cord compression
ma ma ma
B. Improve maternal oxygenation
ma ma ma
C. Maximize uteroplacental blood flow -correct-answer-
ma ma ma ma ma
C. Maximize uteroplacental blood flow
ma ma ma ma
The most frequently observed type of FHR deceleration is
ma ma ma ma ma ma ma ma
A. Early
ma
B. Late
ma
C. Variable -correct-answer-C. Variable
ma ma ma