NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
QUESTION BANK 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) {470 Q &
A} ALL ANSWERED / ALREADY GRADED A+ / EFM EXAM- NCC
Electronic Fetal Monitoring Certification Exam 2025 |
GUARANTEED PASS
Which statement best describes the relationship between maternal and fetal
hemoglobin levels?
A. Fetal hemoglobin is higher than maternal hemoglobin
B. Maternal hemoglobin is higher than fetal hemoglobin
C. Maternal and fetal hemoglobin are the same - ✔✔✔ Correct Answer > A. Fetal
hemoglobin is higher than maternal hemoglobin
When educating the patient about the ultrasound transducer, the nurse should
include the following:
A. Contraction strength can alter the ability to monitor the FHR
B. If baby moves, the tracing may "drop" or become erratic
C. The ultrasound detects electrical activity of the fetal heart - ✔✔✔ Correct
Answer > B. If baby moves, the tracing may "drop" or become erratic
The most common tachyarrhythmia in fetuses, supraventricular tachycardia,
typically occurs at a rate of _____ to _____ bpm with minimal or absent variability.
A. 160-200
,B. 200-240
C. 240-260 - ✔✔✔ Correct Answer > C. 240-260
As a contraction beings, partial umbilical cord compression causes occlusion of the
low-pressure vein and decreased return of blood to the fetal heart, resulting in
decreased CO, hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration - ✔✔✔ Correct Answer > A. Acceleration
With complete umbilical cord occlusion, the two umbilical arteries also become
occluded, resulting in sudden fetal hypertension, stimulation of the baroreceptors,
and a sudden _______ in FHR.
A. Increase
B. Decrease - ✔✔✔ Correct Answer > B. Decrease
EFM is an excellent _____ test for determining the presence or absence of
neurological injury.
A. Definitive
B. Diagnostic
C. Screening - ✔✔✔ Correct Answer > C. Screening
Central _______ are located in the medulla oblongata; peripheral _______ are
found in the carotid sinuses and aortic arch.
,A. Baroreceptors
B. Chemoreceptors - ✔✔✔ Correct Answer > B. Chemoreceptors
When a fetus is stressed, catecholamine release (epinephrine, norepinephrine)
occurs from the medulla oblongata, shunting blood _______ the brain, heart, and
adrenal glands.
A. Toward
B. Away from - ✔✔✔ Correct Answer > A. Toward
When coupling or tripling is apparent on the uterine activity tracing, this may be
indicative of a dysfunctional labor process and saturation (down regulation) of
uterine oxytocin receptor sites in response to excess exposure to oxytocin. Which
of the following interventions would be most appropriate?
A. Normal response; continue to increase oxytocin titration
B. Turn patient on side
C. Decrease or discontinue oxytocin infusion - ✔✔✔ Correct Answer > C.
Decrease or discontinue oxytocin infusion
In a patient with oxytocin-induced tachysystole with normal fetal heart tones,
which of the following should be the nurse's initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ✔✔✔ Correct Answer > A. Assist the patient to
lateral position
, In a patient with oxytocin-induced tachysystole with indeterminate or abnormal
fetal heart tones, which of the following should be the nurse's initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ✔✔✔ Correct Answer > B. Discontinue Pitocin
Because stroke volume in the fetus does not fluctuate significantly, fetal cardiac
output is _______ fetal heart rate.
A. Greater than
B. Less than
C. Approximately equal to - ✔✔✔ Correct Answer > C. Approximately equal to
In _____ sleep, the fetus may be observed to have infrequent or absent body
movements, normal FHR baseline, minimal variability, and a nonreactive NST, but
may respond to external stimuli. Such typically occurs by 28 to 32 weeks'
gestation.
A. REM (active sleep state)
B. Non-REM (quiet sleep state) - ✔✔✔ Correct Answer > B. Non-REM (quiet sleep
state)
Place the following steps for performing Leopold's maneuver in the appropriate
order.
1. Assess location of fetal back
2. Determine the descent of the presenting part
3. Identify the presenting part
QUESTION BANK 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) {470 Q &
A} ALL ANSWERED / ALREADY GRADED A+ / EFM EXAM- NCC
Electronic Fetal Monitoring Certification Exam 2025 |
GUARANTEED PASS
Which statement best describes the relationship between maternal and fetal
hemoglobin levels?
A. Fetal hemoglobin is higher than maternal hemoglobin
B. Maternal hemoglobin is higher than fetal hemoglobin
C. Maternal and fetal hemoglobin are the same - ✔✔✔ Correct Answer > A. Fetal
hemoglobin is higher than maternal hemoglobin
When educating the patient about the ultrasound transducer, the nurse should
include the following:
A. Contraction strength can alter the ability to monitor the FHR
B. If baby moves, the tracing may "drop" or become erratic
C. The ultrasound detects electrical activity of the fetal heart - ✔✔✔ Correct
Answer > B. If baby moves, the tracing may "drop" or become erratic
The most common tachyarrhythmia in fetuses, supraventricular tachycardia,
typically occurs at a rate of _____ to _____ bpm with minimal or absent variability.
A. 160-200
,B. 200-240
C. 240-260 - ✔✔✔ Correct Answer > C. 240-260
As a contraction beings, partial umbilical cord compression causes occlusion of the
low-pressure vein and decreased return of blood to the fetal heart, resulting in
decreased CO, hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration - ✔✔✔ Correct Answer > A. Acceleration
With complete umbilical cord occlusion, the two umbilical arteries also become
occluded, resulting in sudden fetal hypertension, stimulation of the baroreceptors,
and a sudden _______ in FHR.
A. Increase
B. Decrease - ✔✔✔ Correct Answer > B. Decrease
EFM is an excellent _____ test for determining the presence or absence of
neurological injury.
A. Definitive
B. Diagnostic
C. Screening - ✔✔✔ Correct Answer > C. Screening
Central _______ are located in the medulla oblongata; peripheral _______ are
found in the carotid sinuses and aortic arch.
,A. Baroreceptors
B. Chemoreceptors - ✔✔✔ Correct Answer > B. Chemoreceptors
When a fetus is stressed, catecholamine release (epinephrine, norepinephrine)
occurs from the medulla oblongata, shunting blood _______ the brain, heart, and
adrenal glands.
A. Toward
B. Away from - ✔✔✔ Correct Answer > A. Toward
When coupling or tripling is apparent on the uterine activity tracing, this may be
indicative of a dysfunctional labor process and saturation (down regulation) of
uterine oxytocin receptor sites in response to excess exposure to oxytocin. Which
of the following interventions would be most appropriate?
A. Normal response; continue to increase oxytocin titration
B. Turn patient on side
C. Decrease or discontinue oxytocin infusion - ✔✔✔ Correct Answer > C.
Decrease or discontinue oxytocin infusion
In a patient with oxytocin-induced tachysystole with normal fetal heart tones,
which of the following should be the nurse's initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ✔✔✔ Correct Answer > A. Assist the patient to
lateral position
, In a patient with oxytocin-induced tachysystole with indeterminate or abnormal
fetal heart tones, which of the following should be the nurse's initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ✔✔✔ Correct Answer > B. Discontinue Pitocin
Because stroke volume in the fetus does not fluctuate significantly, fetal cardiac
output is _______ fetal heart rate.
A. Greater than
B. Less than
C. Approximately equal to - ✔✔✔ Correct Answer > C. Approximately equal to
In _____ sleep, the fetus may be observed to have infrequent or absent body
movements, normal FHR baseline, minimal variability, and a nonreactive NST, but
may respond to external stimuli. Such typically occurs by 28 to 32 weeks'
gestation.
A. REM (active sleep state)
B. Non-REM (quiet sleep state) - ✔✔✔ Correct Answer > B. Non-REM (quiet sleep
state)
Place the following steps for performing Leopold's maneuver in the appropriate
order.
1. Assess location of fetal back
2. Determine the descent of the presenting part
3. Identify the presenting part
