NCC ELECTRONIC FETAL MONITORING CERTIFICATION EFM
ACTUAL EXAM AND TEST BANK 2025 REAL EXAM QUESTIONS &
ANSWERS || GRADED A+ || LATEST UPDATE
What is your first intervention in management of a client experiencing variable decelerations?
CORRECT ANSWER>>
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
b. Change maternal position
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
What is the most probable cause of recurrent late decelerations? CORRECT ANSWER>>
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
,d. Maternal position change
a. Utero-placental insufficiency
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 is NOT used for antepartum fetal surveillance? CORRECT ANSWER>>
a. Fetal movement counting
b. Antepartum fetal heart rate testing
,c. Biophysical profile testing
d. Maternal HCG levels
d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal surveillance?
CORRECT ANSWER>>
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? CORRECT ANSWER>>
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age
a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window
d. 2 fetal heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery
b. Do a biophysical profile or contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment
a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
, c. Ultrasound vassessment vof vamniotic vfluid vvolume
d. Fetal vmovement vcounts
c. Ultrasound vassessment vof vamniotic vfluid vvolume
For va vcontraction vstress vtest vto vbe vinterpretable, v you vmust vhave va vminimum vof:
a. 5 vcontractions vin va v10-minute vwindow
b. 3 vcontractions vin va v10-minute vwindow
c. 4 vcontractions vin va v10-minute vwindow
d. 2 vcontractions vin va v10-minute vwindow
b. 3 vcontractions vin va v10 vminute vwindow
A vnegative vcontraction vstress vtest vis vone vin vwhich:
a. No vcontractions vare vseen
b. There vare vlate vdecelerations vwith v> v50% vof vthe vcontractions vseen
c. There vare vno vfetal vheart vrate vlate vdecelerations vwith vthe vcontractions
d. There vis vone vfetal vheart vrate vdeceleration vseen
c. There vare vno vfetal vheart vrate vlate vdecelerations vwith vthe vcontractions
According vto vAWHONN, vthe vnormal vbaseline vFetal vHeart vRate v(FHR) vis
A. 90-150 vbpm
B. 100-170 vbpm
C. 110-160 vbpm
D. 120-140 vbpm
C. v110-160 vbpm
What vare vthe vtwo vmost vimportant vcharacteristics vof vthe vFHR? vCORRECT vANSWER>>
A. vRate vand vdecelerations
B. vVariability vand vaccelerations
C. vVariability vand vdecelerations
D. vRate vand vvariability
B. vVariability vand vaccelerations
You vrecognize vthat van vFHR vtracing vhas vbeen vshowing va vdecrease vin vvariability vfor vthe vlast v45
vminutes. vYour vfirst vintervention vshould vbe vto
A. vEncourage vambulation
B. vAdminister voxygen
C. vDiscontinue vIV vfluids
D. vIncrease vPitocin vrate
B. vAdminister voxygen
Resuscitation vmeasures vimproves vthe vbaby's vvariability, vbut vthe vFHR vis vstill vnot vreactive. vYou
vattempt vfetal vscalp vstimulation v(FSE) vbecause vyou vknow vthat va vwell-oxygenated vfetus vwill
vrespond vto vFSE vwith va(n)
ACTUAL EXAM AND TEST BANK 2025 REAL EXAM QUESTIONS &
ANSWERS || GRADED A+ || LATEST UPDATE
What is your first intervention in management of a client experiencing variable decelerations?
CORRECT ANSWER>>
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
b. Change maternal position
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
What is the most probable cause of recurrent late decelerations? CORRECT ANSWER>>
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
,d. Maternal position change
a. Utero-placental insufficiency
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 is NOT used for antepartum fetal surveillance? CORRECT ANSWER>>
a. Fetal movement counting
b. Antepartum fetal heart rate testing
,c. Biophysical profile testing
d. Maternal HCG levels
d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal surveillance?
CORRECT ANSWER>>
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? CORRECT ANSWER>>
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age
a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window
d. 2 fetal heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery
b. Do a biophysical profile or contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment
a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
, c. Ultrasound vassessment vof vamniotic vfluid vvolume
d. Fetal vmovement vcounts
c. Ultrasound vassessment vof vamniotic vfluid vvolume
For va vcontraction vstress vtest vto vbe vinterpretable, v you vmust vhave va vminimum vof:
a. 5 vcontractions vin va v10-minute vwindow
b. 3 vcontractions vin va v10-minute vwindow
c. 4 vcontractions vin va v10-minute vwindow
d. 2 vcontractions vin va v10-minute vwindow
b. 3 vcontractions vin va v10 vminute vwindow
A vnegative vcontraction vstress vtest vis vone vin vwhich:
a. No vcontractions vare vseen
b. There vare vlate vdecelerations vwith v> v50% vof vthe vcontractions vseen
c. There vare vno vfetal vheart vrate vlate vdecelerations vwith vthe vcontractions
d. There vis vone vfetal vheart vrate vdeceleration vseen
c. There vare vno vfetal vheart vrate vlate vdecelerations vwith vthe vcontractions
According vto vAWHONN, vthe vnormal vbaseline vFetal vHeart vRate v(FHR) vis
A. 90-150 vbpm
B. 100-170 vbpm
C. 110-160 vbpm
D. 120-140 vbpm
C. v110-160 vbpm
What vare vthe vtwo vmost vimportant vcharacteristics vof vthe vFHR? vCORRECT vANSWER>>
A. vRate vand vdecelerations
B. vVariability vand vaccelerations
C. vVariability vand vdecelerations
D. vRate vand vvariability
B. vVariability vand vaccelerations
You vrecognize vthat van vFHR vtracing vhas vbeen vshowing va vdecrease vin vvariability vfor vthe vlast v45
vminutes. vYour vfirst vintervention vshould vbe vto
A. vEncourage vambulation
B. vAdminister voxygen
C. vDiscontinue vIV vfluids
D. vIncrease vPitocin vrate
B. vAdminister voxygen
Resuscitation vmeasures vimproves vthe vbaby's vvariability, vbut vthe vFHR vis vstill vnot vreactive. vYou
vattempt vfetal vscalp vstimulation v(FSE) vbecause vyou vknow vthat va vwell-oxygenated vfetus vwill
vrespond vto vFSE vwith va(n)
