NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) EXAM, PRACTICE
EXAM AND TEST BANK 2026 ACCURATE
REAL EXAM QUESTIONS AND ANSWERS
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline
B. Early decelerations
C. Variability - correct answer A. Baseline
When auscultating the fetal heart rate, the provider/nurse should simultaneously
assess the maternal
A. Blood pressure
B. Pain level
C. Radial pulse - correct answer C. Radial pulse
A woman has 10 fetal movements in one hour. This is considered what kind of
movement?
A. Decreased
,B. Excessive
C. Normal - correct answer C. Normal
If the pH is low, what other blood gas parameter is used to determine if the acidosis is
respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - correct answer B. PCO2
The following cord blood gasses are consistent with: pH 7.10, pCO2 70, pO2 25, base
excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis - correct answer C. Respiratory acidosis
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic fluid
was scored as normal. The expected management is
A. Immediate delivery
,B. Repeat the test in 24 hours
C. Schedule the next test in one week - correct answer B. Repeat the test in 24 hours
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile
score is 4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section - correct answer B. Induction of labor
A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm.
The nurse is using vibroacoustic stimulation to reduce the length of time needed to
obtain the NST. Fetal well-being requires
A. 1 acceleration to 145 bpm
B. 2 accelerations to 140 bpm
C. 2 accelerations to at least 145 bpm - correct answer C. 2 accelerations to at least
145 bpm
, A woman desires a natural childbirth. The nurse puts pressure on her to get an
epidural. This is an example of going against which ethical principle?
A. Autonomy
B. Beneficence
C. Justice - correct answer A. Autonomy
One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture - correct answer C. The
organization creates a safety-oriented culture
One example of evidence-based practice related to fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
C. Using electronic fetal monitoring to prevent cerebral palsy - correct answer B.
Intermittent auscultation for the low-risk patient
CERTIFICATION (EFM) EXAM, PRACTICE
EXAM AND TEST BANK 2026 ACCURATE
REAL EXAM QUESTIONS AND ANSWERS
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline
B. Early decelerations
C. Variability - correct answer A. Baseline
When auscultating the fetal heart rate, the provider/nurse should simultaneously
assess the maternal
A. Blood pressure
B. Pain level
C. Radial pulse - correct answer C. Radial pulse
A woman has 10 fetal movements in one hour. This is considered what kind of
movement?
A. Decreased
,B. Excessive
C. Normal - correct answer C. Normal
If the pH is low, what other blood gas parameter is used to determine if the acidosis is
respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - correct answer B. PCO2
The following cord blood gasses are consistent with: pH 7.10, pCO2 70, pO2 25, base
excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis - correct answer C. Respiratory acidosis
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic fluid
was scored as normal. The expected management is
A. Immediate delivery
,B. Repeat the test in 24 hours
C. Schedule the next test in one week - correct answer B. Repeat the test in 24 hours
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile
score is 4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section - correct answer B. Induction of labor
A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm.
The nurse is using vibroacoustic stimulation to reduce the length of time needed to
obtain the NST. Fetal well-being requires
A. 1 acceleration to 145 bpm
B. 2 accelerations to 140 bpm
C. 2 accelerations to at least 145 bpm - correct answer C. 2 accelerations to at least
145 bpm
, A woman desires a natural childbirth. The nurse puts pressure on her to get an
epidural. This is an example of going against which ethical principle?
A. Autonomy
B. Beneficence
C. Justice - correct answer A. Autonomy
One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture - correct answer C. The
organization creates a safety-oriented culture
One example of evidence-based practice related to fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
C. Using electronic fetal monitoring to prevent cerebral palsy - correct answer B.
Intermittent auscultation for the low-risk patient
