1|Page
NCC EFM EXAM VERSION 1,2 AND 3 NEWEST
2026/2027 ACTUAL EXAM COMPLETE 450
QUESTIONS AND 100%CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
The patient is in early labor with pitocin at 8 mu/min, and
FHR is Category I. In the next 15 minutes, there are 18
uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is
Category I
C. Turn the patient on her side and initiate an IV fluid bolus
- ANSWER-C. Turn the patient on her side and initiate an
IV fluid bolus
,2|Page
What would be a suspected pH in a fetus whose FHTs
included recurrent late decelerations during labor?
A. 7.10
B. 7.26
C. 7.32
D. 7.41 - ANSWER-A. 7.10
What is the most common cause of sinusoidal patterns?
A. Prolapsed cord
B. Rh incompatibility
C. Recurrent late decelerations
D. Oligohydramnios - ANSWER-B. Rh incompatibility
(Anemia!!!)
,3|Page
Before ___ weeks of gestation, an increase in FHR that
peaks at least 10 bpm above the baseline and lasts at
least 10 seconds is considered an acceleration.
A. 28
B. 30
C. 32
D. 36 - ANSWER-C. 32
The expected response of the fetal heart rate to active
fetal movement of a 31-week gestational age fetus is:
a. Suppression of normal short term variability for 15
seconds
b. Acceleration of at least 15 beats per minute for 15
seconds
, 4|Page
c. Acceleration followed by a 15-second deceleration of
the heart rate
d. Acceleration of at least 10 beats per minute for 10
seconds - ANSWER-d. Acceleration of at least 10 beats
per minute for 10 seconds
The nurse notes a pattern of variable decelerations to 75
bpm on the fetal monitor. The initial nursing action is to:
a. Reposition the woman
b. Administer oxygen
c. Increase the intravenous fluid infusion
d. Stimulate the fetal scalp - ANSWER-a. Reposition the
woman
NCC EFM EXAM VERSION 1,2 AND 3 NEWEST
2026/2027 ACTUAL EXAM COMPLETE 450
QUESTIONS AND 100%CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
The patient is in early labor with pitocin at 8 mu/min, and
FHR is Category I. In the next 15 minutes, there are 18
uterine contractions. Recommended management is to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is
Category I
C. Turn the patient on her side and initiate an IV fluid bolus
- ANSWER-C. Turn the patient on her side and initiate an
IV fluid bolus
,2|Page
What would be a suspected pH in a fetus whose FHTs
included recurrent late decelerations during labor?
A. 7.10
B. 7.26
C. 7.32
D. 7.41 - ANSWER-A. 7.10
What is the most common cause of sinusoidal patterns?
A. Prolapsed cord
B. Rh incompatibility
C. Recurrent late decelerations
D. Oligohydramnios - ANSWER-B. Rh incompatibility
(Anemia!!!)
,3|Page
Before ___ weeks of gestation, an increase in FHR that
peaks at least 10 bpm above the baseline and lasts at
least 10 seconds is considered an acceleration.
A. 28
B. 30
C. 32
D. 36 - ANSWER-C. 32
The expected response of the fetal heart rate to active
fetal movement of a 31-week gestational age fetus is:
a. Suppression of normal short term variability for 15
seconds
b. Acceleration of at least 15 beats per minute for 15
seconds
, 4|Page
c. Acceleration followed by a 15-second deceleration of
the heart rate
d. Acceleration of at least 10 beats per minute for 10
seconds - ANSWER-d. Acceleration of at least 10 beats
per minute for 10 seconds
The nurse notes a pattern of variable decelerations to 75
bpm on the fetal monitor. The initial nursing action is to:
a. Reposition the woman
b. Administer oxygen
c. Increase the intravenous fluid infusion
d. Stimulate the fetal scalp - ANSWER-a. Reposition the
woman
