Advanced NCC EFM Exam Practice Questions
and answers updated 2026 graded A+
An abrupt rise in fetal bp can stimulate? - CORRECT ANS ***variable decels
An acceleration of FHR that is elicited during fetal scalp stim indicates a fetal pH of at least? - CORRECT
ANS ***7.19
Baseline FHR variability is classified as? - CORRECT ANS ***absent, minimal, moderate, marked
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANS ***sinusoidal
FHR pattern likely to develop w/severe fetal anemia? - CORRECT ANS ***sinusoidal
FHR variability is dependent upon? - CORRECT ANS ***cerebral oxygen and intact CNS
if baseline FHR is indeterminate, refer to prior? - CORRECT ANS ***10 min. window
in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? - CORRECT ANS
***2 min.
in the BPP the chronic marker is? - CORRECT ANS ***AFV
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT ANS
***maternal repositioning
Intervillous space perfusion is dependent on? - CORRECT ANS ***Adequate Uterine Blood Flow
IV stadol may result in? - CORRECT ANS ***transient sinusoidal (pseudosinusoidal)
, likely cause of fetal tachy w/ moderate variability in a term fetus? - CORRECT ANS ***maternal fever
loss of FHR variability can result from? - CORRECT ANS ***medication administration
marked variability is mediated by? - CORRECT ANS ***adrenergic activity
Maternal Fetal Exchange is best promoted by which maternal position? - CORRECT ANS ***Either Rt or
Lt Lateral
most common fetal arrhythmia? - CORRECT ANS ***PAC
most commonly cited source of adverse outcome during labor? - CORRECT ANS ***communication
failure
most consistent clinical sign of uterine rupture during tolac? - CORRECT ANS ***recurrent decels of
bradycardia
Over the course of pregnancy, the FHR baseline? - CORRECT ANS ***decreases
Oxygen is transferred from mom to fetus via the placenta through? - CORRECT ANS ***Passive (Simple)
Diffusion
pH: 6.98
chemoreceptors respond mainly to? - CORRECT ANS ***hypoxemia
complete heart block increases fetal risk for? - CORRECT ANS ***neonatal pacemaker
Decels that occur with <50% ctx: - CORRECT ANS ***intermittent
and answers updated 2026 graded A+
An abrupt rise in fetal bp can stimulate? - CORRECT ANS ***variable decels
An acceleration of FHR that is elicited during fetal scalp stim indicates a fetal pH of at least? - CORRECT
ANS ***7.19
Baseline FHR variability is classified as? - CORRECT ANS ***absent, minimal, moderate, marked
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANS ***sinusoidal
FHR pattern likely to develop w/severe fetal anemia? - CORRECT ANS ***sinusoidal
FHR variability is dependent upon? - CORRECT ANS ***cerebral oxygen and intact CNS
if baseline FHR is indeterminate, refer to prior? - CORRECT ANS ***10 min. window
in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? - CORRECT ANS
***2 min.
in the BPP the chronic marker is? - CORRECT ANS ***AFV
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT ANS
***maternal repositioning
Intervillous space perfusion is dependent on? - CORRECT ANS ***Adequate Uterine Blood Flow
IV stadol may result in? - CORRECT ANS ***transient sinusoidal (pseudosinusoidal)
, likely cause of fetal tachy w/ moderate variability in a term fetus? - CORRECT ANS ***maternal fever
loss of FHR variability can result from? - CORRECT ANS ***medication administration
marked variability is mediated by? - CORRECT ANS ***adrenergic activity
Maternal Fetal Exchange is best promoted by which maternal position? - CORRECT ANS ***Either Rt or
Lt Lateral
most common fetal arrhythmia? - CORRECT ANS ***PAC
most commonly cited source of adverse outcome during labor? - CORRECT ANS ***communication
failure
most consistent clinical sign of uterine rupture during tolac? - CORRECT ANS ***recurrent decels of
bradycardia
Over the course of pregnancy, the FHR baseline? - CORRECT ANS ***decreases
Oxygen is transferred from mom to fetus via the placenta through? - CORRECT ANS ***Passive (Simple)
Diffusion
pH: 6.98
chemoreceptors respond mainly to? - CORRECT ANS ***hypoxemia
complete heart block increases fetal risk for? - CORRECT ANS ***neonatal pacemaker
Decels that occur with <50% ctx: - CORRECT ANS ***intermittent
