NCC ELECTRONIC FETAL
MONITORING CERTIFICATION EXAM
COMPLETE (EFM) AND
PRACTICE EXAM
QUESTIONS WITH DETAILED ANSWERS
GRADED A+
D
What is the most probable cause of recurrent late decelerations?
O
a. Utero-placental insufficiency
N
b. Head compression
O
c. Cord compression
T
d. Maternal position change - ✔✔✔ Correct Answer > a. Utero-placental insufficiency
C
O
PY
The most prevalent risk factor associated with fetal death before the onset of labor
is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies - ✔✔✔ Correct Answer > c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
,c. Biophysical profile testing
d. Maternal HCG levels - ✔✔✔ Correct Answer > d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement - ✔✔✔ Correct Answer > c. Fetus in breech presentation
D
Which of the following does not affect the degree of fetal activity?
O
a. Vibroacoustic stimulation
N
b. Smoking
O
T
c. Fetal position
C
d. Gestational age - ✔✔✔ Correct Answer > a. Vibroacoustic stimulation
O
PY
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - ✔✔✔ Correct Answer > d.
2 fetal heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
,c. Repeat the nonstress test within a week
d. Admit the client for delivery - ✔✔✔ Correct Answer > b. Do a biophysical profile
or contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ✔✔✔ Correct Answer > a. Contraction stress test
D
A modified biophysical profile includes a nonstress test and:
O
a. Contraction stress test
N
b. Ultrasound assessment of fetal movement
O
T
c. Ultrasound assessment of amniotic fluid volume
C
d. Fetal movement counts - ✔✔✔ Correct Answer > c. Ultrasound assessment of
amniotic fluid volume
O
PY
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ✔✔✔ Correct Answer > b. 3 contractions
in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
, b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - ✔✔✔ Correct Answer > c. There
are no fetal heart rate late decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ✔✔✔ Correct Answer > C. 110-160 bpm
D
O
What are the two most important characteristics of the FHR?
N
A. Rate and decelerations
O
T
B. Variability and accelerations
C
C. Variability and decelerations
O
D. Rate and variability - ✔✔✔ Correct Answer > B. Variability and accelerations
PY
You recognize that an FHR tracing has been showing a decrease in variability for
the last 45 minutes. Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ✔✔✔ Correct Answer > B. Administer oxygen
MONITORING CERTIFICATION EXAM
COMPLETE (EFM) AND
PRACTICE EXAM
QUESTIONS WITH DETAILED ANSWERS
GRADED A+
D
What is the most probable cause of recurrent late decelerations?
O
a. Utero-placental insufficiency
N
b. Head compression
O
c. Cord compression
T
d. Maternal position change - ✔✔✔ Correct Answer > a. Utero-placental insufficiency
C
O
PY
The most prevalent risk factor associated with fetal death before the onset of labor
is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies - ✔✔✔ Correct Answer > c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
,c. Biophysical profile testing
d. Maternal HCG levels - ✔✔✔ Correct Answer > d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement - ✔✔✔ Correct Answer > c. Fetus in breech presentation
D
Which of the following does not affect the degree of fetal activity?
O
a. Vibroacoustic stimulation
N
b. Smoking
O
T
c. Fetal position
C
d. Gestational age - ✔✔✔ Correct Answer > a. Vibroacoustic stimulation
O
PY
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - ✔✔✔ Correct Answer > d.
2 fetal heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
,c. Repeat the nonstress test within a week
d. Admit the client for delivery - ✔✔✔ Correct Answer > b. Do a biophysical profile
or contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ✔✔✔ Correct Answer > a. Contraction stress test
D
A modified biophysical profile includes a nonstress test and:
O
a. Contraction stress test
N
b. Ultrasound assessment of fetal movement
O
T
c. Ultrasound assessment of amniotic fluid volume
C
d. Fetal movement counts - ✔✔✔ Correct Answer > c. Ultrasound assessment of
amniotic fluid volume
O
PY
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ✔✔✔ Correct Answer > b. 3 contractions
in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
, b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - ✔✔✔ Correct Answer > c. There
are no fetal heart rate late decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ✔✔✔ Correct Answer > C. 110-160 bpm
D
O
What are the two most important characteristics of the FHR?
N
A. Rate and decelerations
O
T
B. Variability and accelerations
C
C. Variability and decelerations
O
D. Rate and variability - ✔✔✔ Correct Answer > B. Variability and accelerations
PY
You recognize that an FHR tracing has been showing a decrease in variability for
the last 45 minutes. Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ✔✔✔ Correct Answer > B. Administer oxygen
