NCC EFM Cert. Exam UPDATED
ACTUAL Exam Questions and CORRECT
ANSWERS
Ductus venosus connects ______ to ______? - CORRECT ANSWER- ✔✔Umb. vein to IVC
Foramen ovale connects _______to______? - CORRECT ANSWER- ✔✔R. atrium to L.
atrium
Ductus arteriosus connects _______ to _______? - CORRECT ANSWER- ✔✔Pulm. artery
to aorta
Normal rate - CORRECT ANSWER- ✔✔110 to 160 BPM
Average baseline rate at 15wks gestation - CORRECT ANSWER- ✔✔160 BPM
Average rate in fetus with heart block - CORRECT ANSWER- ✔✔60 BPM (intrinsic
ventricular or nodal rate)
Sympathetic effects - CORRECT ANSWER- ✔✔Incr. HR, constricted peripheral and
visceral blood vessels, vital organs dilate and receive more blood
Gest. age at which autonomic nervous system is fully developed - CORRECT ANSWER-
✔✔~ 32wks
Primary indicator of fetal oxygenation - CORRECT ANSWER- ✔✔Presence or absence of
variability
Location of chemoreceptors - CORRECT ANSWER- ✔✔aortic arch
Chemoreceptors respond to? - CORRECT ANSWER- ✔✔Changes in O2 and CO2
, Location of baroreceptors - CORRECT ANSWER- ✔✔Aortic arch and carotid bodies
Maximal reactivity occurs when? - CORRECT ANSWER- ✔✔Late at night
Max duration of fetal nonreactivity? - CORRECT ANSWER- ✔✔80min
Sensitivity - CORRECT ANSWER- ✔✔Probablity of detecting a true positive
Specificity - CORRECT ANSWER- ✔✔Probability that true negative will be detected
False positive - CORRECT ANSWER- ✔✔erroneosly positive when reality is negative
False negative - CORRECT ANSWER- ✔✔erroneously negative when reality is positive
NST - CORRECT ANSWER- ✔✔Two 15x15 accels in 20min (up to 40min)
% of false positive CSTs? - CORRECT ANSWER- ✔✔~ 30%
BPP components - CORRECT ANSWER- ✔✔1) Fetal breathing movements
2) Gross body movements
3) Fetal tone
4) Reactive fetal heart rate
5) Qualitiative amniotic fluid volume
BPP Score of 10 - CORRECT ANSWER- ✔✔Normal
BPP Score of 8 - CORRECT ANSWER- ✔✔Nl infant, low risk of chronic asphyxia
ACTUAL Exam Questions and CORRECT
ANSWERS
Ductus venosus connects ______ to ______? - CORRECT ANSWER- ✔✔Umb. vein to IVC
Foramen ovale connects _______to______? - CORRECT ANSWER- ✔✔R. atrium to L.
atrium
Ductus arteriosus connects _______ to _______? - CORRECT ANSWER- ✔✔Pulm. artery
to aorta
Normal rate - CORRECT ANSWER- ✔✔110 to 160 BPM
Average baseline rate at 15wks gestation - CORRECT ANSWER- ✔✔160 BPM
Average rate in fetus with heart block - CORRECT ANSWER- ✔✔60 BPM (intrinsic
ventricular or nodal rate)
Sympathetic effects - CORRECT ANSWER- ✔✔Incr. HR, constricted peripheral and
visceral blood vessels, vital organs dilate and receive more blood
Gest. age at which autonomic nervous system is fully developed - CORRECT ANSWER-
✔✔~ 32wks
Primary indicator of fetal oxygenation - CORRECT ANSWER- ✔✔Presence or absence of
variability
Location of chemoreceptors - CORRECT ANSWER- ✔✔aortic arch
Chemoreceptors respond to? - CORRECT ANSWER- ✔✔Changes in O2 and CO2
, Location of baroreceptors - CORRECT ANSWER- ✔✔Aortic arch and carotid bodies
Maximal reactivity occurs when? - CORRECT ANSWER- ✔✔Late at night
Max duration of fetal nonreactivity? - CORRECT ANSWER- ✔✔80min
Sensitivity - CORRECT ANSWER- ✔✔Probablity of detecting a true positive
Specificity - CORRECT ANSWER- ✔✔Probability that true negative will be detected
False positive - CORRECT ANSWER- ✔✔erroneosly positive when reality is negative
False negative - CORRECT ANSWER- ✔✔erroneously negative when reality is positive
NST - CORRECT ANSWER- ✔✔Two 15x15 accels in 20min (up to 40min)
% of false positive CSTs? - CORRECT ANSWER- ✔✔~ 30%
BPP components - CORRECT ANSWER- ✔✔1) Fetal breathing movements
2) Gross body movements
3) Fetal tone
4) Reactive fetal heart rate
5) Qualitiative amniotic fluid volume
BPP Score of 10 - CORRECT ANSWER- ✔✔Normal
BPP Score of 8 - CORRECT ANSWER- ✔✔Nl infant, low risk of chronic asphyxia
