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NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) EXAM A&B QUESTION
BANK LATEST 2026-2027 ALL 500+ QUESTIONS
AND DETAILED SOLUTIONS
Question: A fetal heart rate pattern that the NICHD has identified as predictive of current or
impending fetal asphyxia so severe that the fetus is at risk of neurologic damage or death is
A. Baseline tachycardia with absent variability
B. Minimal baseline variability with recurrent late decelerations
C. Recurrent late or variable decelerations with absent variability - CORRECT ANSWER✔✔C.
Recurrent late or variable decelerations with absent variability
Question: A fetal heart rate pattern that can occur when there is a prolapsed cord is
A. Marked variability
B. Prolonged decelerations
C. Tachycardia - CORRECT ANSWER✔✔B. Prolonged decelerations
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Question: The patient is in early labor with pitocin at 8 mu/min, and FHR is Category I. In the
next 15 minutes, there are 18 uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is Category I
C. Turn the patient on her side and initiate an IV fluid bolus - CORRECT ANSWER✔✔C. Turn the
patient on her side and initiate an IV fluid bolus
Question: A woman at 38 weeks gestation is in labor. The labor has been uneventful, and the
fetal heart tracings have been normal. Spontaneous rupture of membranes occurs; fetal heart
rate drops to 90 beats per minute for four minutes and then resumes a normal pattern. The
most likely etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
C. Possible cord compression - CORRECT ANSWER✔✔C. Possible cord compression
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Question: A 42 week gestation woman has been diagnosed with oligohydramnios. Based on
this, a FHR change that can be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration - CORRECT ANSWER✔✔C. Variable deceleration
Question: Mono-mono zygotic twins are prone to what type of deceleration during labor?
A. Early
B. Late
C. Variable - CORRECT ANSWER✔✔C. Variable
Question: What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
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d. Decreased O2 levels
e. A & C
f. A & B
g. C & D - CORRECT ANSWER✔✔g. C & D
Question: The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what
effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline - CORRECT ANSWER✔✔b. Decreases baseline
Question: T/F: Oxygen exchange in the placenta takes place in the intervillous space. -
CORRECT ANSWER✔✔True
Q:Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) EXAM A&B QUESTION
BANK LATEST 2026-2027 ALL 500+ QUESTIONS
AND DETAILED SOLUTIONS
Question: A fetal heart rate pattern that the NICHD has identified as predictive of current or
impending fetal asphyxia so severe that the fetus is at risk of neurologic damage or death is
A. Baseline tachycardia with absent variability
B. Minimal baseline variability with recurrent late decelerations
C. Recurrent late or variable decelerations with absent variability - CORRECT ANSWER✔✔C.
Recurrent late or variable decelerations with absent variability
Question: A fetal heart rate pattern that can occur when there is a prolapsed cord is
A. Marked variability
B. Prolonged decelerations
C. Tachycardia - CORRECT ANSWER✔✔B. Prolonged decelerations
, Page 2 of 292
Question: The patient is in early labor with pitocin at 8 mu/min, and FHR is Category I. In the
next 15 minutes, there are 18 uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is Category I
C. Turn the patient on her side and initiate an IV fluid bolus - CORRECT ANSWER✔✔C. Turn the
patient on her side and initiate an IV fluid bolus
Question: A woman at 38 weeks gestation is in labor. The labor has been uneventful, and the
fetal heart tracings have been normal. Spontaneous rupture of membranes occurs; fetal heart
rate drops to 90 beats per minute for four minutes and then resumes a normal pattern. The
most likely etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
C. Possible cord compression - CORRECT ANSWER✔✔C. Possible cord compression
, Page 3 of 292
Question: A 42 week gestation woman has been diagnosed with oligohydramnios. Based on
this, a FHR change that can be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration - CORRECT ANSWER✔✔C. Variable deceleration
Question: Mono-mono zygotic twins are prone to what type of deceleration during labor?
A. Early
B. Late
C. Variable - CORRECT ANSWER✔✔C. Variable
Question: What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
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d. Decreased O2 levels
e. A & C
f. A & B
g. C & D - CORRECT ANSWER✔✔g. C & D
Question: The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what
effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline - CORRECT ANSWER✔✔b. Decreases baseline
Question: T/F: Oxygen exchange in the placenta takes place in the intervillous space. -
CORRECT ANSWER✔✔True
Q:Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
