NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
Whatwdiswdyourwdfirstwdinterventionwdinwdmanagementwdofwdawdclientwdexperiencingwdvariablewddecelerati
ons?wdCORRECTwdANSWER>>
a. Immediatewddelivery
b. Changewdmaternalwdposition
c. Nowdtreatmentwdindicated
d. Oxygen
e. Stopwdoxytocinwdinfusion
b.wdChangewdmaternalwdposition
EtiologywdofwdawdbaselinewdFHRwdofwd165bpmwdoccurringwd forwdthewdlastwdhourwdcanwdbe:
1. Maternalwdsupinewdhypotension
2. Maternalwdfever
3. Maternalwddehydration
4. Unknown
a.wd1wdandwd2
b.wd1,wd2wdandwd3
c.wd2,wd3wdandwd4
c.wd2,wd3wdandwd4
Whatwdiswdthewdmostwdprobablewdcausewdofwdrecurrentwdlatewddecelerations?wdCORRECTwdANSWER>>
a. Utero-placentalwdinsufficiency
b. Headwdcompression
c. Cordwdcompression
d. Maternalwdpositionwdchange
a. Utero-placentalwdinsufficiency
Thewdmostwdprevalentwdriskwdfactorwdassociatedwdwithwdfetalwddeathwdbeforewdthewdonsetwdofwdlaborwdis:
a. Lowwdsocioeconomicwdstatus
b. Fetalwdmalpresentation
c. Uteroplacentalwdinsufficiency
d. Uterinewdanomalies
c.wdUteroplacentalwdinsufficiency
WhichwdofwdthewdfollowingwdiswdNOTwdusedwdforwdantepartumwdfetalwdsurveillance?wdCORRECTwdANS
WER>>
a. Fetalwdmovementwdcounting
b. Antepartumwdfetalwdheartwdratewdtesting
,NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
c. Biophysicalwdprofilewdtesting
d. MaternalwdHCGwdlevels
d.wdMaternalwdHCGwdlevels
Whichwdofwdthewdfollowingwdconditionswdiswdnotwdanwdindicationwdforwdantepartumwdfetalwdsurveillan
ce?wdCORRECTwdANSWER>>
a. Gestationalwdhypertension
b. Diabeteswdinwdpregnancy
c. Fetuswdinwdbreechwdpresentation
d. Decreasedwdfetalwdmovement
c.wdFetuswdinwdbreechwdpresentation
Whichwdofwdthewdfollowingwddoeswdnotwdaffectwdthewddegreewdofwdfetalwdactivity?wdCORRECTwdANSWE
R>>
a. Vibroacousticwdstimulation
b. Smoking
c. Fetalwdposition
d. Gestationalwdage
a. Vibroacousticwdstimulation
Towdbewdconsideredwdreactive,wdawdnonstresswdtestwdmustwdhave:
a. 4wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
b. 2wdfetalwdheartwdratewdaccelerationswdinwdawd10wdminutewdwindow
c. 4wdfetalwdheartwdratewdaccelerationswdinwdawd40wdminutewdwindow
d. 2wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
d.wd2wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
Ifwdawdnonstresswdtestwdiswdnonreactivewdafterwd40wdminutes,wdthewdnextwdstepwdshouldwdbe:
a. Havewdthewdclientwdgowdhomewdandwddowdfetalwdmovementwdcounts
b. Dowdawdbiophysicalwdprofilewdorwdcontractionwdstresswdtest
c. Repeatwdthewdnonstresswdtestwdwithinwdawdweek
d. Admitwdthewdclientwdforwddelivery
b. Dowdawdbiophysicalwdprofilewdorwdcontractionwdstresswdtest
Allwdofwdthewdfollowingwdarewdcomponentswdofwdawdbiophysicalwdprofilewdexcept:
a. Contractionwdstresswdtest
b. Assessmentwdofwdfetalwdbreathing
c. Amnioticwdfluidwdvolumewdmeasurement
d. Fetalwdmovementwdassessment
a. Contractionwdstresswdtest
Awdmodifiedwdbiophysicalwdprofilewdincludeswdawdnonstresswdtestwdand:
a. Contractionwdstresswdtest
b. Ultrasoundwdassessmentwdofwdfetalwdmovement
,NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
c. Ultrasoundwdassessmentwdofwdamnioticwdfluidwdvolume
d. Fetalwdmovementwdcounts
c. Ultrasoundwdassessmentwdofwdamnioticwdfluidwdvolume
Forwdawdcontractionwdstresswdtestwdtowdbewdinterpretable,wd youwdmustwdhavewdawdminimumwdof:
a. 5wdcontractionswdinwdawd10-minutewdwindow
b. 3wdcontractionswdinwdawd10-minutewdwindow
c. 4wdcontractionswdinwdawd10-minutewdwindow
d. 2wdcontractionswdinwdawd10-minutewdwindow
b. 3wdcontractionswdinwdawd10wdminutewdwindow
Awdnegativewdcontractionwdstresswdtestwdiswdonewdinwdwhich:
a. Nowdcontractionswdarewdseen
b. Therewdarewdlatewddecelerationswdwithwd>wd50%wdofwdthewdcontractionswdseen
c. Therewdarewdnowdfetalwdheartwdratewdlatewddecelerationswdwithwdthewdcontractions
d. Therewdiswdonewdfetalwdheartwdratewddecelerationwdseen
c. Therewdarewdnowdfetalwdheartwdratewdlatewddecelerationswdwithwdthewdcontractions
AccordingwdtowdAWHONN,wdthewdnormalwdbaselinewdFetalwdHeartwdRatewd(FHR)wdis
A. 90-150wdbpm
B. 100-170wdbpm
C. 110-160wdbpm
D. 120-140wdbpm
C.wd110-160wdbpm
WhatwdarewdthewdtwowdmostwdimportantwdcharacteristicswdofwdthewdFHR?wdCORRECTwdANSWER>>
A.wdRatewdandwddecelerations
B.wdVariabilitywdandwdaccelerations
C.wdVariabilitywdandwddecelerations
D.wdRatewdandwdvariability
B.wdVariabilitywdandwdaccelerations
YouwdrecognizewdthatwdanwdFHRwdtracingwdhaswdbeenwdshowingwdawddecreasewdinwdvariabilitywdforwdthewdla
stwd45wdminutes.wdYourwdfirstwdinterventionwdshouldwdbewdto
A.wdEncouragewdambulation
B.wdAdministerwdoxygen
C.wdDiscontinuewdIVwdfluids
D.wdIncreasewdPitocinwdrate
B.wdAdministerwdoxygen
Resuscitationwdmeasureswdimproveswdthewdbaby'swdvariability,wdbutwdthewdFHRwdiswdstillwdnotwdreactiv
e.wdYouwdattemptwdfetalwdscalpwdstimulationwd(FSE)wdbecausewdyouwdknowwdthatwdawdwell-
oxygenatedwdfetuswdwillwdrespondwdtowdFSEwdwithwda(n)
, NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
A.wdAcceleration
B.wdDeceleration
C.wdFetalwdmovement
D.wdSleepwdpattern
A.wdAcceleration
YouwdarewdevaluatingwdawdclientwdinwdthewdPrenatalwdTestingwdDepartmentwdwhowdhaswdjustwdcompl
etedwdawdbiophysicalwdprofilewd(BPP).wdYouwdsuspectwdthatwdtherewdcouldwdbewdchronicwdfetalwdasphy
xiawdbecausewdthewdscorewdiswdbelow
A.wd10
B.wd6
C.wd8
B.wd6
Whenwdusingwdawdfetalwdscalpwdelectrodewd(FSE),wdyouwdnoticewdanwdabnormallywdlowwdFHRwdonwdth
ewdmonitor.wdYouwdshouldwdfirst
A.wdComparewdmaternalwdpulsewdsimultaneouslywdwithwdFHR
B.wdRemovewdFSE
C.wdCallwdthewddoctorwdimmediately
D.wdTurnwdoffwdthewdmonitor
A.wdComparewdmaternalwdpulsewdsimultaneouslywdwithwdFHR
Aswdawdresultwdofwdthewdintrinsicwdfetalwdresponsewdtowdoxygenwddeprivation,wdincreasedwdcatechola
minewdlevelswdcausewdthewdperipheralwdbloodwdflowwdtowddecreasewdwhilewdthewdbloodwdflowwdtowdvitalw
dorganswdincreases.wdThesewdflowwdchangeswdalongwdwithwdincreasedwdcatecholaminewdsecretionswdh
avewdwhatwdeffectwdonwdfetalwdbloodwdpressurewdandwdfetalwdheartwdrate?wdCORRECTwdANSWER>
>
A.wdIncreasewdBPwdandwdincreasewdHR
B.wdIncreasewdBPwdandwddecreasewdHR
C.wdDecreasewdBPwdandwdincreasewdHR
D.wdDecreasewdBPwdandwddecreasewdHR
B.wdIncreasewdBPwdandwddecreasewdHR
Allwdofwdthewdfollowingwdmightwdindicatewdawdpseudosinusoidalwdpatternwdaswdopposedwdtowdawdsinusoidal
wdpattern,wdexcept:
A.wdRecentwdadministrationwdofwdnarcoticswdtowdmother
B.wdAccelerationswdinwdFHR
C.wdModeratewdvariability
D.wdFrequencywdofwdoscillationswdofwdtwowdtowdfivewdcycles/min
D.wdFrequencywdofwdoscillationswdofwdtwowdtowdfivewdcycles/min
Allwdofwdthewdfollowingwdarewdappropriatewdinterventionswdforwdfetalwdtachycardiawdexcept:
A.wdIncreasewdmaternalwdIVwdfluidwdrate
B.wdAssesswdmaternalwdvitalwdsigns
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
Whatwdiswdyourwdfirstwdinterventionwdinwdmanagementwdofwdawdclientwdexperiencingwdvariablewddecelerati
ons?wdCORRECTwdANSWER>>
a. Immediatewddelivery
b. Changewdmaternalwdposition
c. Nowdtreatmentwdindicated
d. Oxygen
e. Stopwdoxytocinwdinfusion
b.wdChangewdmaternalwdposition
EtiologywdofwdawdbaselinewdFHRwdofwd165bpmwdoccurringwd forwdthewdlastwdhourwdcanwdbe:
1. Maternalwdsupinewdhypotension
2. Maternalwdfever
3. Maternalwddehydration
4. Unknown
a.wd1wdandwd2
b.wd1,wd2wdandwd3
c.wd2,wd3wdandwd4
c.wd2,wd3wdandwd4
Whatwdiswdthewdmostwdprobablewdcausewdofwdrecurrentwdlatewddecelerations?wdCORRECTwdANSWER>>
a. Utero-placentalwdinsufficiency
b. Headwdcompression
c. Cordwdcompression
d. Maternalwdpositionwdchange
a. Utero-placentalwdinsufficiency
Thewdmostwdprevalentwdriskwdfactorwdassociatedwdwithwdfetalwddeathwdbeforewdthewdonsetwdofwdlaborwdis:
a. Lowwdsocioeconomicwdstatus
b. Fetalwdmalpresentation
c. Uteroplacentalwdinsufficiency
d. Uterinewdanomalies
c.wdUteroplacentalwdinsufficiency
WhichwdofwdthewdfollowingwdiswdNOTwdusedwdforwdantepartumwdfetalwdsurveillance?wdCORRECTwdANS
WER>>
a. Fetalwdmovementwdcounting
b. Antepartumwdfetalwdheartwdratewdtesting
,NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
c. Biophysicalwdprofilewdtesting
d. MaternalwdHCGwdlevels
d.wdMaternalwdHCGwdlevels
Whichwdofwdthewdfollowingwdconditionswdiswdnotwdanwdindicationwdforwdantepartumwdfetalwdsurveillan
ce?wdCORRECTwdANSWER>>
a. Gestationalwdhypertension
b. Diabeteswdinwdpregnancy
c. Fetuswdinwdbreechwdpresentation
d. Decreasedwdfetalwdmovement
c.wdFetuswdinwdbreechwdpresentation
Whichwdofwdthewdfollowingwddoeswdnotwdaffectwdthewddegreewdofwdfetalwdactivity?wdCORRECTwdANSWE
R>>
a. Vibroacousticwdstimulation
b. Smoking
c. Fetalwdposition
d. Gestationalwdage
a. Vibroacousticwdstimulation
Towdbewdconsideredwdreactive,wdawdnonstresswdtestwdmustwdhave:
a. 4wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
b. 2wdfetalwdheartwdratewdaccelerationswdinwdawd10wdminutewdwindow
c. 4wdfetalwdheartwdratewdaccelerationswdinwdawd40wdminutewdwindow
d. 2wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
d.wd2wdfetalwdheartwdratewdaccelerationswdinwdawd20wdminutewdwindow
Ifwdawdnonstresswdtestwdiswdnonreactivewdafterwd40wdminutes,wdthewdnextwdstepwdshouldwdbe:
a. Havewdthewdclientwdgowdhomewdandwddowdfetalwdmovementwdcounts
b. Dowdawdbiophysicalwdprofilewdorwdcontractionwdstresswdtest
c. Repeatwdthewdnonstresswdtestwdwithinwdawdweek
d. Admitwdthewdclientwdforwddelivery
b. Dowdawdbiophysicalwdprofilewdorwdcontractionwdstresswdtest
Allwdofwdthewdfollowingwdarewdcomponentswdofwdawdbiophysicalwdprofilewdexcept:
a. Contractionwdstresswdtest
b. Assessmentwdofwdfetalwdbreathing
c. Amnioticwdfluidwdvolumewdmeasurement
d. Fetalwdmovementwdassessment
a. Contractionwdstresswdtest
Awdmodifiedwdbiophysicalwdprofilewdincludeswdawdnonstresswdtestwdand:
a. Contractionwdstresswdtest
b. Ultrasoundwdassessmentwdofwdfetalwdmovement
,NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
c. Ultrasoundwdassessmentwdofwdamnioticwdfluidwdvolume
d. Fetalwdmovementwdcounts
c. Ultrasoundwdassessmentwdofwdamnioticwdfluidwdvolume
Forwdawdcontractionwdstresswdtestwdtowdbewdinterpretable,wd youwdmustwdhavewdawdminimumwdof:
a. 5wdcontractionswdinwdawd10-minutewdwindow
b. 3wdcontractionswdinwdawd10-minutewdwindow
c. 4wdcontractionswdinwdawd10-minutewdwindow
d. 2wdcontractionswdinwdawd10-minutewdwindow
b. 3wdcontractionswdinwdawd10wdminutewdwindow
Awdnegativewdcontractionwdstresswdtestwdiswdonewdinwdwhich:
a. Nowdcontractionswdarewdseen
b. Therewdarewdlatewddecelerationswdwithwd>wd50%wdofwdthewdcontractionswdseen
c. Therewdarewdnowdfetalwdheartwdratewdlatewddecelerationswdwithwdthewdcontractions
d. Therewdiswdonewdfetalwdheartwdratewddecelerationwdseen
c. Therewdarewdnowdfetalwdheartwdratewdlatewddecelerationswdwithwdthewdcontractions
AccordingwdtowdAWHONN,wdthewdnormalwdbaselinewdFetalwdHeartwdRatewd(FHR)wdis
A. 90-150wdbpm
B. 100-170wdbpm
C. 110-160wdbpm
D. 120-140wdbpm
C.wd110-160wdbpm
WhatwdarewdthewdtwowdmostwdimportantwdcharacteristicswdofwdthewdFHR?wdCORRECTwdANSWER>>
A.wdRatewdandwddecelerations
B.wdVariabilitywdandwdaccelerations
C.wdVariabilitywdandwddecelerations
D.wdRatewdandwdvariability
B.wdVariabilitywdandwdaccelerations
YouwdrecognizewdthatwdanwdFHRwdtracingwdhaswdbeenwdshowingwdawddecreasewdinwdvariabilitywdforwdthewdla
stwd45wdminutes.wdYourwdfirstwdinterventionwdshouldwdbewdto
A.wdEncouragewdambulation
B.wdAdministerwdoxygen
C.wdDiscontinuewdIVwdfluids
D.wdIncreasewdPitocinwdrate
B.wdAdministerwdoxygen
Resuscitationwdmeasureswdimproveswdthewdbaby'swdvariability,wdbutwdthewdFHRwdiswdstillwdnotwdreactiv
e.wdYouwdattemptwdfetalwdscalpwdstimulationwd(FSE)wdbecausewdyouwdknowwdthatwdawdwell-
oxygenatedwdfetuswdwillwdrespondwdtowdFSEwdwithwda(n)
, NCCwdELECTRONICwdFETALwdMONITORINGwdCERTIFICATIONwd(EFM)wdACTUALwdEXAMwd
ANDwdTESTwdBANKwd2025wdREALwdEXAMwdQUESTIONSwdANDwdANSWERSwdEXPERTwdVERIF
IEDwdFORwdGUARANTEEDwdPASSwdGRADEDwdA+
A.wdAcceleration
B.wdDeceleration
C.wdFetalwdmovement
D.wdSleepwdpattern
A.wdAcceleration
YouwdarewdevaluatingwdawdclientwdinwdthewdPrenatalwdTestingwdDepartmentwdwhowdhaswdjustwdcompl
etedwdawdbiophysicalwdprofilewd(BPP).wdYouwdsuspectwdthatwdtherewdcouldwdbewdchronicwdfetalwdasphy
xiawdbecausewdthewdscorewdiswdbelow
A.wd10
B.wd6
C.wd8
B.wd6
Whenwdusingwdawdfetalwdscalpwdelectrodewd(FSE),wdyouwdnoticewdanwdabnormallywdlowwdFHRwdonwdth
ewdmonitor.wdYouwdshouldwdfirst
A.wdComparewdmaternalwdpulsewdsimultaneouslywdwithwdFHR
B.wdRemovewdFSE
C.wdCallwdthewddoctorwdimmediately
D.wdTurnwdoffwdthewdmonitor
A.wdComparewdmaternalwdpulsewdsimultaneouslywdwithwdFHR
Aswdawdresultwdofwdthewdintrinsicwdfetalwdresponsewdtowdoxygenwddeprivation,wdincreasedwdcatechola
minewdlevelswdcausewdthewdperipheralwdbloodwdflowwdtowddecreasewdwhilewdthewdbloodwdflowwdtowdvitalw
dorganswdincreases.wdThesewdflowwdchangeswdalongwdwithwdincreasedwdcatecholaminewdsecretionswdh
avewdwhatwdeffectwdonwdfetalwdbloodwdpressurewdandwdfetalwdheartwdrate?wdCORRECTwdANSWER>
>
A.wdIncreasewdBPwdandwdincreasewdHR
B.wdIncreasewdBPwdandwddecreasewdHR
C.wdDecreasewdBPwdandwdincreasewdHR
D.wdDecreasewdBPwdandwddecreasewdHR
B.wdIncreasewdBPwdandwddecreasewdHR
Allwdofwdthewdfollowingwdmightwdindicatewdawdpseudosinusoidalwdpatternwdaswdopposedwdtowdawdsinusoidal
wdpattern,wdexcept:
A.wdRecentwdadministrationwdofwdnarcoticswdtowdmother
B.wdAccelerationswdinwdFHR
C.wdModeratewdvariability
D.wdFrequencywdofwdoscillationswdofwdtwowdtowdfivewdcycles/min
D.wdFrequencywdofwdoscillationswdofwdtwowdtowdfivewdcycles/min
Allwdofwdthewdfollowingwdarewdappropriatewdinterventionswdforwdfetalwdtachycardiawdexcept:
A.wdIncreasewdmaternalwdIVwdfluidwdrate
B.wdAssesswdmaternalwdvitalwdsigns