NCC EFM FINAL EXAM 2026-2027 ACTUAL
COMPREHENSIVE TEST BANK FINAL EXAM AND
PRACTICE QUESTIONS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
In a fetal heart rate tracing with marked variability, which of the
following is likely the cause?
A. Recent ephedrine administration
B. Recent epidural placement
C. Fetal acidemia
A. Recent ephedrine administration
A fetal heart rate change that can be seen after administration of
butorphanol (Stadol) is
A. Bradycardia
B. Marked variability
C. Sinusoidal-appearing
C. Sinusoidal-appearing
The FHR pattern that is likely to be seen with maternal hypothermia
is
A. Bradycardia
B. Marked variability
C. Tachycardia
A. Bradycardia
,Baseline FHR variability is determined in what amount of time,
excluding accelerations and decelerations?
A. 10 min
B. 20 min
C. 30 min
A. 10 min
Which of the following tachyarrhythmia’s can result in fetal
hydrops?
A. Persistent supraventricular tachycardia
B. Premature atrial contractions
C. Sinus tachycardia
A. Persistent supraventricular tachycardia
A preterm fetus with persistent supraventricular tachycardia that is
not hydropic is best treated with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline
A. Digoxin
The initial response in treating a primigravida being induced for
preeclampsia who has a seizure is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
C. Perform an immediate cesarean delivery
B. Initiate magnesium sulfate
,Which FHR sounds are counted with a stethoscope and a fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular
C. Ventricular
When using auscultation to determine FHR baseline, the FHR
should be counted after the contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec
C. 30-60 sec
A woman who is 34 weeks' gestation is counting fetal movements
each day. Today she counted eight fetal movements in a two-
hour period.
Based on her kick counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation
C. Notify her provider for further evaluation
A BPP score of 6 is considered
A. Abnormal
B. Normal
C. Equivocal
C. Equivocal
, As fetal hypoxia (asphyxia) worsens, the last component of the BPP
to disappear is fetal
A. Breathing
B. Movement
C. Tone
C. Tone
The legal term that describes a failure to meet the required
standard of care is
A. Breach of duty
B. Negligence
C. Proximate cause
A. Breach of duty
Regarding the reliability of EFM, there is
A. Good interobserver reliability
B. Good intraobserver reliability
C. Poor interobserver and intraobserver reliability
C. Poor interobserver and intraobserver reliability
The objective of intrapartum FHR monitoring is to assess for fetal
A. Acidemia
B. Oxygenation
C. Well-being
B. Oxygenation
COMPREHENSIVE TEST BANK FINAL EXAM AND
PRACTICE QUESTIONS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
In a fetal heart rate tracing with marked variability, which of the
following is likely the cause?
A. Recent ephedrine administration
B. Recent epidural placement
C. Fetal acidemia
A. Recent ephedrine administration
A fetal heart rate change that can be seen after administration of
butorphanol (Stadol) is
A. Bradycardia
B. Marked variability
C. Sinusoidal-appearing
C. Sinusoidal-appearing
The FHR pattern that is likely to be seen with maternal hypothermia
is
A. Bradycardia
B. Marked variability
C. Tachycardia
A. Bradycardia
,Baseline FHR variability is determined in what amount of time,
excluding accelerations and decelerations?
A. 10 min
B. 20 min
C. 30 min
A. 10 min
Which of the following tachyarrhythmia’s can result in fetal
hydrops?
A. Persistent supraventricular tachycardia
B. Premature atrial contractions
C. Sinus tachycardia
A. Persistent supraventricular tachycardia
A preterm fetus with persistent supraventricular tachycardia that is
not hydropic is best treated with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline
A. Digoxin
The initial response in treating a primigravida being induced for
preeclampsia who has a seizure is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
C. Perform an immediate cesarean delivery
B. Initiate magnesium sulfate
,Which FHR sounds are counted with a stethoscope and a fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular
C. Ventricular
When using auscultation to determine FHR baseline, the FHR
should be counted after the contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec
C. 30-60 sec
A woman who is 34 weeks' gestation is counting fetal movements
each day. Today she counted eight fetal movements in a two-
hour period.
Based on her kick counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation
C. Notify her provider for further evaluation
A BPP score of 6 is considered
A. Abnormal
B. Normal
C. Equivocal
C. Equivocal
, As fetal hypoxia (asphyxia) worsens, the last component of the BPP
to disappear is fetal
A. Breathing
B. Movement
C. Tone
C. Tone
The legal term that describes a failure to meet the required
standard of care is
A. Breach of duty
B. Negligence
C. Proximate cause
A. Breach of duty
Regarding the reliability of EFM, there is
A. Good interobserver reliability
B. Good intraobserver reliability
C. Poor interobserver and intraobserver reliability
C. Poor interobserver and intraobserver reliability
The objective of intrapartum FHR monitoring is to assess for fetal
A. Acidemia
B. Oxygenation
C. Well-being
B. Oxygenation
