NCC EFM EXAM 2025|ACTUAL EXAM QUESTIONS AND
ACCURATE ANSWERS|EXPERT VERIFIED FOR
GUARANTEED PASS|LATEST UPDATE
An abrupt rise in fetal bp can stimulate? - CORRECT ANSWER - variable decels
An acceleration of FHR that is elicited during fetal scalp stim indicates a fetal pH of at least? -
CORRECT ANSWER - 7.19
Baseline FHR variability is classified as? - CORRECT ANSWER - absent, minimal, moderate,
marked
chemoreceptors respond mainly to? - CORRECT ANSWER - hypoxemia
complete heart block increases fetal risk for? - CORRECT ANSWER - neonatal pacemaker
Decels that occur with <50% ctx: - CORRECT ANSWER - intermittent
during 1st stage of labor for women w/ no risk factors, efm should be reviewed every? -
CORRECT ANSWER - 30 min.
during 1st stage of labor for women w/complications, EFM should be reviewed every? -
CORRECT ANSWER - 15 min.
during 2nd stage labor for women requiring oxytocin, EFM should be reviewed every? -
CORRECT ANSWER - 5 min.
During an acute episode of fetal hypoxemia, fetal blood flow is redistributed primarily to the? -
CORRECT ANSWER - brain
,EFM tracing w/ absent variability and recurrent late decels would be categorized as? -
CORRECT ANSWER - abnormal (cat 3)
Fetal blood is most highly oxygenated in the? - CORRECT ANSWER - Ductus Venosous
Fetal hydrops may develop w? - CORRECT ANSWER - paroxysmal atrial tachy
Fetal metabolic acidemia is indicated by an umbilical artery cord blood gas pH of 6.94 & BE of?
- CORRECT ANSWER - >-12
Fetal respiratory academia is indicated by a pH of 7.04 and a PCO2 of? - CORRECT ANSWER -
>60
fetoscope works by detecting? - CORRECT ANSWER - sound of opening/closing of heart
valves
Fetus can survive in an environment w/ a PO2 equal to adult venous blood d/t? - CORRECT
ANSWER - increased O2 carrying capacity
FHR characteristic most predictive of a vigorous baby at birth is? - CORRECT ANSWER -
variability
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANSWER - sinusoidal
FHR pattern likely to develop w/severe fetal anemia? - CORRECT ANSWER - sinusoidal
FHR variability is dependent upon? - CORRECT ANSWER - cerebral oxygen and intact CNS
if baseline FHR is indeterminate, refer to prior? - CORRECT ANSWER - 10 min. window
,in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? -
CORRECT ANSWER - 2 min.
in the BPP the chronic marker is? - CORRECT ANSWER - AFV
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT
ANSWER - maternal repositioning
Intervillous space perfusion is dependent on? - CORRECT ANSWER - Adequate Uterine Blood
Flow
IV stadol may result in? - CORRECT ANSWER - transient sinusoidal (pseudosinusoidal)
likely cause of fetal tachy w/ moderate variability in a term fetus? - CORRECT ANSWER -
maternal fever
loss of FHR variability can result from? - CORRECT ANSWER - medication administration
marked variability is mediated by? - CORRECT ANSWER - adrenergic activity
Maternal Fetal Exchange is best promoted by which maternal position? - CORRECT ANSWER -
Either Rt or Lt Lateral
most common fetal arrhythmia? - CORRECT ANSWER - PAC
most commonly cited source of adverse outcome during labor? - CORRECT ANSWER -
communication failure
most consistent clinical sign of uterine rupture during tolac? - CORRECT ANSWER - recurrent
decels of bradycardia
, Over the course of pregnancy, the FHR baseline? - CORRECT ANSWER - decreases
Oxygen is transferred from mom to fetus via the placenta through? - CORRECT ANSWER -
Passive (Simple) Diffusion
pH: 6.98
PCO2: 49
HCO3: 16
BE:-16 - CORRECT ANSWER - metabolic acidemia
pH: 7.04
pCO2: 80
HCO3: 22
BE: -4 - CORRECT ANSWER - respiratory acidemia
pH: 7.22
pCO2: 50
HCO3: 24
BE: -3 - CORRECT ANSWER - normal acid-base status
(if pH is normal, answer is normal)
primary goal in treatment of late decels? - CORRECT ANSWER - maximize uteroplacentel
blood flow
Rationale for low dose oxytocin protocol? - CORRECT ANSWER - half-life of oxytocin
reactive NST in term fetus requires? - CORRECT ANSWER - 2 access 15x15 w/I 20 min.
short r-to-r intervals in fetal egg is indicative of? - CORRECT ANSWER - tachycardia
ACCURATE ANSWERS|EXPERT VERIFIED FOR
GUARANTEED PASS|LATEST UPDATE
An abrupt rise in fetal bp can stimulate? - CORRECT ANSWER - variable decels
An acceleration of FHR that is elicited during fetal scalp stim indicates a fetal pH of at least? -
CORRECT ANSWER - 7.19
Baseline FHR variability is classified as? - CORRECT ANSWER - absent, minimal, moderate,
marked
chemoreceptors respond mainly to? - CORRECT ANSWER - hypoxemia
complete heart block increases fetal risk for? - CORRECT ANSWER - neonatal pacemaker
Decels that occur with <50% ctx: - CORRECT ANSWER - intermittent
during 1st stage of labor for women w/ no risk factors, efm should be reviewed every? -
CORRECT ANSWER - 30 min.
during 1st stage of labor for women w/complications, EFM should be reviewed every? -
CORRECT ANSWER - 15 min.
during 2nd stage labor for women requiring oxytocin, EFM should be reviewed every? -
CORRECT ANSWER - 5 min.
During an acute episode of fetal hypoxemia, fetal blood flow is redistributed primarily to the? -
CORRECT ANSWER - brain
,EFM tracing w/ absent variability and recurrent late decels would be categorized as? -
CORRECT ANSWER - abnormal (cat 3)
Fetal blood is most highly oxygenated in the? - CORRECT ANSWER - Ductus Venosous
Fetal hydrops may develop w? - CORRECT ANSWER - paroxysmal atrial tachy
Fetal metabolic acidemia is indicated by an umbilical artery cord blood gas pH of 6.94 & BE of?
- CORRECT ANSWER - >-12
Fetal respiratory academia is indicated by a pH of 7.04 and a PCO2 of? - CORRECT ANSWER -
>60
fetoscope works by detecting? - CORRECT ANSWER - sound of opening/closing of heart
valves
Fetus can survive in an environment w/ a PO2 equal to adult venous blood d/t? - CORRECT
ANSWER - increased O2 carrying capacity
FHR characteristic most predictive of a vigorous baby at birth is? - CORRECT ANSWER -
variability
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANSWER - sinusoidal
FHR pattern likely to develop w/severe fetal anemia? - CORRECT ANSWER - sinusoidal
FHR variability is dependent upon? - CORRECT ANSWER - cerebral oxygen and intact CNS
if baseline FHR is indeterminate, refer to prior? - CORRECT ANSWER - 10 min. window
,in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? -
CORRECT ANSWER - 2 min.
in the BPP the chronic marker is? - CORRECT ANSWER - AFV
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT
ANSWER - maternal repositioning
Intervillous space perfusion is dependent on? - CORRECT ANSWER - Adequate Uterine Blood
Flow
IV stadol may result in? - CORRECT ANSWER - transient sinusoidal (pseudosinusoidal)
likely cause of fetal tachy w/ moderate variability in a term fetus? - CORRECT ANSWER -
maternal fever
loss of FHR variability can result from? - CORRECT ANSWER - medication administration
marked variability is mediated by? - CORRECT ANSWER - adrenergic activity
Maternal Fetal Exchange is best promoted by which maternal position? - CORRECT ANSWER -
Either Rt or Lt Lateral
most common fetal arrhythmia? - CORRECT ANSWER - PAC
most commonly cited source of adverse outcome during labor? - CORRECT ANSWER -
communication failure
most consistent clinical sign of uterine rupture during tolac? - CORRECT ANSWER - recurrent
decels of bradycardia
, Over the course of pregnancy, the FHR baseline? - CORRECT ANSWER - decreases
Oxygen is transferred from mom to fetus via the placenta through? - CORRECT ANSWER -
Passive (Simple) Diffusion
pH: 6.98
PCO2: 49
HCO3: 16
BE:-16 - CORRECT ANSWER - metabolic acidemia
pH: 7.04
pCO2: 80
HCO3: 22
BE: -4 - CORRECT ANSWER - respiratory acidemia
pH: 7.22
pCO2: 50
HCO3: 24
BE: -3 - CORRECT ANSWER - normal acid-base status
(if pH is normal, answer is normal)
primary goal in treatment of late decels? - CORRECT ANSWER - maximize uteroplacentel
blood flow
Rationale for low dose oxytocin protocol? - CORRECT ANSWER - half-life of oxytocin
reactive NST in term fetus requires? - CORRECT ANSWER - 2 access 15x15 w/I 20 min.
short r-to-r intervals in fetal egg is indicative of? - CORRECT ANSWER - tachycardia
