NCC EFM EXAM Extra 470+ Practice Questions and
Answers
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - ANSWER c. Ultrasound assessment of amniotic fluid volume
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ANSWER b. 3 contractions in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - ANSWER c. There are no fetal heart rate late
decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ANSWER C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - ANSWER B. Variability and accelerations
,NCC EFM EXAM Extra 470+ Practice Questions and
Answers
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes.
Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ANSWER B. Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still not reactive. You attempt fetal
scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern - ANSWER A. Acceleration
You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical
profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below
A. 10
B. 6
C. 8 - ANSWER B. 6
When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor.
You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor - ANSWER A. Compare maternal pulse simultaneously with FHR
T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and number of
umbilical vessels. - ANSWER True
T/F: Low amplitude contractions are not an early sign of preterm labor. - ANSWER False
T/F: Preterm contractions are usually painful. - ANSWER False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. - ANSWER False
,NCC EFM EXAM Extra 470+ Practice Questions and
Answers
T/F: Corticosteroid administration may cause an increase in FHR. - ANSWER True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine artery
perfusion. - 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 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 - ANSWER B. Increase BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern as opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min - ANSWER D. Frequency of oscillations of two
to five cycles/min
All of the following are appropriate interventions for fetal tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
C. Perform SVE
D. Administer oxygen - ANSWER C. Perform SVE
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
, NCC EFM EXAM Extra 470+ Practice Questions and
Answers
C. Umbilical cord entanglement
D. Oligohydramnios - ANSWER 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 - ANSWER D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ANSWER B. Intermittent
_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ANSWER A. Recurrent
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 - ANSWER D. Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or greater for adequate cervical change
to occur.
Answers
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - ANSWER c. Ultrasound assessment of amniotic fluid volume
For a contraction stress test to be interpretable, you must have a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ANSWER b. 3 contractions in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen - ANSWER c. There are no fetal heart rate late
decelerations with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ANSWER C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - ANSWER B. Variability and accelerations
,NCC EFM EXAM Extra 470+ Practice Questions and
Answers
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes.
Your first intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ANSWER B. Administer oxygen
Resuscitation measures improves the baby's variability, but the FHR is still not reactive. You attempt fetal
scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern - ANSWER A. Acceleration
You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical
profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below
A. 10
B. 6
C. 8 - ANSWER B. 6
When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor.
You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor - ANSWER A. Compare maternal pulse simultaneously with FHR
T/F: Umbilical cord influences that can alter blood flow include true knots, hematomas, and number of
umbilical vessels. - ANSWER True
T/F: Low amplitude contractions are not an early sign of preterm labor. - ANSWER False
T/F: Preterm contractions are usually painful. - ANSWER False
T/F: Corticosteroid administration may cause an increase in FHR accelerations. - ANSWER False
,NCC EFM EXAM Extra 470+ Practice Questions and
Answers
T/F: Corticosteroid administration may cause an increase in FHR. - ANSWER True
T/F: Contractions cause an increase in uterine venous pressure and a decrease in uterine artery
perfusion. - 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 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 - ANSWER B. Increase BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern as opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min - ANSWER D. Frequency of oscillations of two
to five cycles/min
All of the following are appropriate interventions for fetal tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
C. Perform SVE
D. Administer oxygen - ANSWER C. Perform SVE
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
, NCC EFM EXAM Extra 470+ Practice Questions and
Answers
C. Umbilical cord entanglement
D. Oligohydramnios - ANSWER 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 - ANSWER D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ANSWER B. Intermittent
_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ANSWER A. Recurrent
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 - ANSWER D. Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or greater for adequate cervical change
to occur.
