NCC EFM EXAM LATEST 2025 REAL EXAM
WITH 150 QUESTIONS AND DETAIED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Which position best promotes maternal-fetal exchange? - CORRECT
or L lateral. Change positions Qhour.
ANS✔✔ R
What on a strip indicates no academia in the fetus? - CORRECT
ANS✔✔ Moderate variability
The FHR develops recurrent late decelerations soon after the epidural
injection. The most likely physiologic rationale is ... ? - CORRECT
ANS✔✔ Maternal sympathetic blockade
When monitoring monochorionic monoamniotic (mono-mono) twins,
what are you expecting to see on the strip in FHR? - CORRECT
ANS✔✔ Variable decelerations
Variable decorations are mediated primarily by what? - CORRECT
Baroreceptors
ANS✔✔
The sympathetic branch of the autonomic nervous system influences the
FHR to what? - ANSWER- Increase
Uteroplacental blood flow is reduced by what percentage during normal
contractions? - CORRECT ANS✔✔ 60%. You want at least 1 minute
rest between contractions
The most highly oxygenated blood in fetal circulation is the what? -
,ANSWER- Ductus venous
An abrupt rise in fetal BP can stimulate what? - CORRECT ANS✔✔
Variable decelerations
During an acute episode of fetal hypoxemia, fetal blood flow is
redistributed primarily to the ? - CORRECT ANS✔✔ Brain
Fetus can survive in an environment with a PO2 equal to adult venous
blood due to what? - CORRECT ANS✔✔ Increased oxygen affinity
The fetus's ability to regulate cardiac output is based upon altering their
what? - ANSWER- Heart rate
The FHR characteristic most predictive of a vigorous baby at birth is? -
CORRECT ANS✔✔ Variability
The term that refers to decelerations occurring with less than 50% of
contractions is ? - CORRECT ANS✔✔ Intermittent
In any 10 minute segment of FHR tracing, the minimum
baseline duration must be at least how long? - ANSWER- 2
minutes
A FHR pattern likely to develop with severe fetal anemia is called what?
- CORRECT ANS✔✔ Sinusoidal pattern
Baseline FHR variability is classified as? - CORRECT ANS✔✔
Absent, minimal, moderate, or marked
Late decelerations with moderate variability are most likely due to? -
ANSWER- Fetal stress
, For low-risk women without oxytocin during first stage of labor, fetal
assessment using EFM should occur how often? - CORRECT ANS✔✔
Q30 minutes
For women with risk-factors (e.g. Oxytocin) during first stage of labor,
fetal assessment using EFM should occur how often? - CORRECT
ANS✔✔ Q15 minutes
For women receiving Oxytocin while actively pushing, fetal assessment
using EFM should occur how often? - CORRECT ANS✔✔ Q5 minutes
A likely cause of fetal tachycardia with moderate variability in a term
fetus is what? - CORRECT ANS✔✔ Maternal fever
Fetal scalp stimulation is appropriate in the context of? - CORRECT
ANS✔✔ Minimal variability
During the first stage of labor, amnioinfusion is an appropriate
intervention for what? - CORRECT ANS✔✔ Recurrent variable
decelerations
Initial treatment for recurrent late decelerations with moderate variability
during the first stage of labor is what? - CORRECT ANS✔✔ Maternal
positioning
Maternal oxygen for intrauterine resuscitation should be given at what
rate? - CORRECT ANS✔✔ 10L/Minute
Rationale for increasing Oxytocin no more frequently than Q30 minutes
is based upon the what? - CORRECT ANS✔✔ Half-life of Oxytocin
Oxygen would be appropriate for intrauterine resuscitation based
upon?
- ANSWER- Absent variability
WITH 150 QUESTIONS AND DETAIED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Which position best promotes maternal-fetal exchange? - CORRECT
or L lateral. Change positions Qhour.
ANS✔✔ R
What on a strip indicates no academia in the fetus? - CORRECT
ANS✔✔ Moderate variability
The FHR develops recurrent late decelerations soon after the epidural
injection. The most likely physiologic rationale is ... ? - CORRECT
ANS✔✔ Maternal sympathetic blockade
When monitoring monochorionic monoamniotic (mono-mono) twins,
what are you expecting to see on the strip in FHR? - CORRECT
ANS✔✔ Variable decelerations
Variable decorations are mediated primarily by what? - CORRECT
Baroreceptors
ANS✔✔
The sympathetic branch of the autonomic nervous system influences the
FHR to what? - ANSWER- Increase
Uteroplacental blood flow is reduced by what percentage during normal
contractions? - CORRECT ANS✔✔ 60%. You want at least 1 minute
rest between contractions
The most highly oxygenated blood in fetal circulation is the what? -
,ANSWER- Ductus venous
An abrupt rise in fetal BP can stimulate what? - CORRECT ANS✔✔
Variable decelerations
During an acute episode of fetal hypoxemia, fetal blood flow is
redistributed primarily to the ? - CORRECT ANS✔✔ Brain
Fetus can survive in an environment with a PO2 equal to adult venous
blood due to what? - CORRECT ANS✔✔ Increased oxygen affinity
The fetus's ability to regulate cardiac output is based upon altering their
what? - ANSWER- Heart rate
The FHR characteristic most predictive of a vigorous baby at birth is? -
CORRECT ANS✔✔ Variability
The term that refers to decelerations occurring with less than 50% of
contractions is ? - CORRECT ANS✔✔ Intermittent
In any 10 minute segment of FHR tracing, the minimum
baseline duration must be at least how long? - ANSWER- 2
minutes
A FHR pattern likely to develop with severe fetal anemia is called what?
- CORRECT ANS✔✔ Sinusoidal pattern
Baseline FHR variability is classified as? - CORRECT ANS✔✔
Absent, minimal, moderate, or marked
Late decelerations with moderate variability are most likely due to? -
ANSWER- Fetal stress
, For low-risk women without oxytocin during first stage of labor, fetal
assessment using EFM should occur how often? - CORRECT ANS✔✔
Q30 minutes
For women with risk-factors (e.g. Oxytocin) during first stage of labor,
fetal assessment using EFM should occur how often? - CORRECT
ANS✔✔ Q15 minutes
For women receiving Oxytocin while actively pushing, fetal assessment
using EFM should occur how often? - CORRECT ANS✔✔ Q5 minutes
A likely cause of fetal tachycardia with moderate variability in a term
fetus is what? - CORRECT ANS✔✔ Maternal fever
Fetal scalp stimulation is appropriate in the context of? - CORRECT
ANS✔✔ Minimal variability
During the first stage of labor, amnioinfusion is an appropriate
intervention for what? - CORRECT ANS✔✔ Recurrent variable
decelerations
Initial treatment for recurrent late decelerations with moderate variability
during the first stage of labor is what? - CORRECT ANS✔✔ Maternal
positioning
Maternal oxygen for intrauterine resuscitation should be given at what
rate? - CORRECT ANS✔✔ 10L/Minute
Rationale for increasing Oxytocin no more frequently than Q30 minutes
is based upon the what? - CORRECT ANS✔✔ Half-life of Oxytocin
Oxygen would be appropriate for intrauterine resuscitation based
upon?
- ANSWER- Absent variability
