NCC EFM Practice Exam/Questions
with 100% correct solutions/Latest
Update//2023/2024.
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 - -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 - -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 - -b. Decreases baseline
-T/F: The most common artifact with the ultrasound transducer system for fetal
heart rate is increased variability. - -True
-T/F: All fetal monitors contain a logic system designed to reject artifact. - -True
-T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - -True
-T/F: Variability and periodic changes can be detected with both internal and
external monitoring. - -True
-T/F: Variable decelerations are a vagal response. - -True
-T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - -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
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - -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 - -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 - -c. Fetus in breech presentation
-Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - -a. Vibroacoustic stimulation
-T/F: Umbilical cord influences that can alter blood flow include true knots,
hematomas, and number of umbilical vessels. - -True
-T/F: Low amplitude contractions are not an early sign of preterm labor. - -False
-T/F: Corticosteroid administration may cause an increase in FHR accelerations. -
-False
-T/F: Corticosteroid administration may cause an increase in FHR. - -True
-T/F: Contractions cause an increase in uterine venous pressure and a decrease in
uterine artery perfusion. - -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 increased
catecholamine secretions have what effect on fetal blood pressure and fetal heart
rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR - -B. Increase BP and decrease HR
-During a term antepartum NST (non-stress test), you notice several variable
decelerations that decrease at least 15 bpm and last at least 15 sec long. Which of
the following is the least likely explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
D. Oligohydramnios - -B. Gestational diabetes
, -All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - -D. Maternal fever
-All of the following could likely cause minimal variability in FHR except
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration - -D. Ephedrine administration
-When an IUPC has been placed, Montevideo units must be ___ or greater for
adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 - -B. 200
-What would be a suspected pH in a fetus whose FHTs included recurrent late
decelerations during labor?
A. 7.10
B. 7.26
C. 7.32
D. 7.41 - -A. 7.10
-The nurse notes a pattern of decelerations on the fetal monitor that begins
shortly after the contraction and returns to baseline just before the contraction is
over. The correct nursing response is to:
a. Give the woman oxygen by facemask at 8-10 L/min
b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal pattern - -d. Continue to observe and
record the normal pattern
-Determining the FHR baseline requires the nurse to approximate the mean FHR
rounded to increments of 5 bpm during a ___-minute window (excluding
accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20 - -C. 10
-Which of the following interventions would best stimulate an acceleration in the
FHR?
A. Provide juice to patient
B. Perform vaginal exam
C. Turn patient on left side
D. Vibroacoustic stimulation - -B. Perform vaginal exam
Scalp stimulation
with 100% correct solutions/Latest
Update//2023/2024.
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 - -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 - -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 - -b. Decreases baseline
-T/F: The most common artifact with the ultrasound transducer system for fetal
heart rate is increased variability. - -True
-T/F: All fetal monitors contain a logic system designed to reject artifact. - -True
-T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - -True
-T/F: Variability and periodic changes can be detected with both internal and
external monitoring. - -True
-T/F: Variable decelerations are a vagal response. - -True
-T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - -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
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - -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 - -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 - -c. Fetus in breech presentation
-Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - -a. Vibroacoustic stimulation
-T/F: Umbilical cord influences that can alter blood flow include true knots,
hematomas, and number of umbilical vessels. - -True
-T/F: Low amplitude contractions are not an early sign of preterm labor. - -False
-T/F: Corticosteroid administration may cause an increase in FHR accelerations. -
-False
-T/F: Corticosteroid administration may cause an increase in FHR. - -True
-T/F: Contractions cause an increase in uterine venous pressure and a decrease in
uterine artery perfusion. - -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 increased
catecholamine secretions have what effect on fetal blood pressure and fetal heart
rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR - -B. Increase BP and decrease HR
-During a term antepartum NST (non-stress test), you notice several variable
decelerations that decrease at least 15 bpm and last at least 15 sec long. Which of
the following is the least likely explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
D. Oligohydramnios - -B. Gestational diabetes
, -All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - -D. Maternal fever
-All of the following could likely cause minimal variability in FHR except
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration - -D. Ephedrine administration
-When an IUPC has been placed, Montevideo units must be ___ or greater for
adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 - -B. 200
-What would be a suspected pH in a fetus whose FHTs included recurrent late
decelerations during labor?
A. 7.10
B. 7.26
C. 7.32
D. 7.41 - -A. 7.10
-The nurse notes a pattern of decelerations on the fetal monitor that begins
shortly after the contraction and returns to baseline just before the contraction is
over. The correct nursing response is to:
a. Give the woman oxygen by facemask at 8-10 L/min
b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal pattern - -d. Continue to observe and
record the normal pattern
-Determining the FHR baseline requires the nurse to approximate the mean FHR
rounded to increments of 5 bpm during a ___-minute window (excluding
accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20 - -C. 10
-Which of the following interventions would best stimulate an acceleration in the
FHR?
A. Provide juice to patient
B. Perform vaginal exam
C. Turn patient on left side
D. Vibroacoustic stimulation - -B. Perform vaginal exam
Scalp stimulation
