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NCC EFM EXAM 2026 WITH
QUESTIONS AND ANSWERS
Which of the following factors can have a negative effect on uterine blood
flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above - correct answer-e. All of the above
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change - correct answer-a. A decrease in the heart rate
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
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T/F: The most common artifact with the ultrasound transducer system for
fetal heart rate is increased variability. - correct answer-True
T/F: All fetal monitors contain a logic system designed to reject artifact. -
correct answer-True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - correct answer-True
T/F: Variability and periodic changes can be detected with both internal and
external monitoring. - correct answer-True
T/F: Variable decelerations are a vagal response. - correct answer-True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - correct answer-True
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
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4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - correct answer-c. 2, 3 and 4
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 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
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
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c. Fetal position
d. Gestational age - correct answer-a. Vibroacoustic stimulation
T/F: Umbilical cord influences that can alter blood flow include true knots,
hematomas, and number of umbilical vessels. - correct answer-True
T/F: Low amplitude contractions are not an early sign of preterm labor. -
correct answer-False
T/F: Corticosteroid administration may cause an increase in FHR
accelerations. - correct answer-False
T/F: Corticosteroid administration may cause an increase in FHR. - correct
answer-True
T/F: Contractions cause an increase in uterine venous pressure and a
decrease in uterine artery perfusion. - correct answer-True
As a result of the intrinsic fetal response to oxygen deprivation, increased
catecholamine levels cause the peripheral blood flow to decrease while the
blood flow to vital organs increases. These flow changes along with
NCC EFM EXAM 2026 WITH
QUESTIONS AND ANSWERS
Which of the following factors can have a negative effect on uterine blood
flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above - correct answer-e. All of the above
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change - correct answer-a. A decrease in the heart rate
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
,2 |Page
T/F: The most common artifact with the ultrasound transducer system for
fetal heart rate is increased variability. - correct answer-True
T/F: All fetal monitors contain a logic system designed to reject artifact. -
correct answer-True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - correct answer-True
T/F: Variability and periodic changes can be detected with both internal and
external monitoring. - correct answer-True
T/F: Variable decelerations are a vagal response. - correct answer-True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - correct answer-True
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
,3 |Page
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - correct answer-c. 2, 3 and 4
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 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
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
, 4 |Page
c. Fetal position
d. Gestational age - correct answer-a. Vibroacoustic stimulation
T/F: Umbilical cord influences that can alter blood flow include true knots,
hematomas, and number of umbilical vessels. - correct answer-True
T/F: Low amplitude contractions are not an early sign of preterm labor. -
correct answer-False
T/F: Corticosteroid administration may cause an increase in FHR
accelerations. - correct answer-False
T/F: Corticosteroid administration may cause an increase in FHR. - correct
answer-True
T/F: Contractions cause an increase in uterine venous pressure and a
decrease in uterine artery perfusion. - correct answer-True
As a result of the intrinsic fetal response to oxygen deprivation, increased
catecholamine levels cause the peripheral blood flow to decrease while the
blood flow to vital organs increases. These flow changes along with
