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Exam (elaborations)

NCC EFM CERTIFICATION EXAM QUESTIONS AND ANSWERS 2025

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NCC EFM CERTIFICATION EXAM QUESTIONS AND ANSWERS 2025

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NCC EFM CERTIFICATION
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NCC EFM CERTIFICATION
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November 21, 2025
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2025/2026
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NCC EFM CERTIFICATION EXAM QUESTIONS AND ANSWERS 2025




Ductus venosus connects ______ to ______? - (ANSWER)Umb. vein to IVC



Foramen ovale connects _______to______? - (ANSWER)R. atrium to L. atrium



Ductus arteriosus connects _______ to _______? - (ANSWER)Pulm. artery to aorta



Normal rate - (ANSWER)110 to 160 BPM



Average baseline rate at 15wks gestation - (ANSWER)160 BPM



Average rate in fetus with heart block - (ANSWER)60 BPM (intrinsic ventricular or nodal rate)



Sympathetic effects - (ANSWER)Incr. HR, constricted peripheral and visceral blood vessels, vital organs
dilate and receive more blood



Gest. age at which autonomic nervous system is fully developed - (ANSWER)~ 32wks



Primary indicator of fetal oxygenation - (ANSWER)Presence or absence of variability



Location of chemoreceptors - (ANSWER)aortic arch



Chemoreceptors respond to? - (ANSWER)Changes in O2 and CO2



Location of baroreceptors - (ANSWER)Aortic arch and carotid bodies



Maximal reactivity occurs when? - (ANSWER)Late at night



Max duration of fetal nonreactivity? - (ANSWER)80min

, NCC EFM CERTIFICATION EXAM QUESTIONS AND ANSWERS 2025




Sensitivity - (ANSWER)Probablity of detecting a true positive



Specificity - (ANSWER)Probability that true negative will be detected



False positive - (ANSWER)erroneosly positive when reality is negative



False negative - (ANSWER)erroneously negative when reality is positive



NST - (ANSWER)Two 15x15 accels in 20min (up to 40min)



% of false positive CSTs? - (ANSWER)~ 30%



BPP components - (ANSWER)1) Fetal breathing movements

2) Gross body movements

3) Fetal tone

4) Reactive fetal heart rate

5) Qualitiative amniotic fluid volume



BPP Score of 10 - (ANSWER)Normal



BPP Score of 8 - (ANSWER)Nl infant, low risk of chronic asphyxia



BPP Score of 6 - (ANSWER)Borderline result - rpt in 24hrs



BPP Score of 4 - (ANSWER)Suspect chronic asphyxia

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