2025 NCC EFM Certification Exam Best Studying Material
with Questions from Actual Past Exam and 100% Correct
Answers
Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above ------------ Correct Answer ------------ e. All of the above
Fetal blood has a _______ affinity for oxygen compared with the mother's blood, which
facilitates adaptation to the low PO2 at which the placenta oxygenates the fetus.
A. Higher
B. Lower ------------ Correct Answer ------------ A. Higher
The fetus has a _______ cardiac output and heart rate than the adult, resulting in rapid
circulation.
A. Higher
B. Lower ------------ Correct Answer ------------ A. Higher
As the FHR increases, the myocardium consumes _____ oxygen.
A. More
B. Less ------------ Correct Answer ------------ A. More
A contraction stress test (CST) is performed. No decelerations were noted with the two
contractions that occurred over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory ------------ Correct Answer ----------- C. Unsatisfactory
In a patient whose CST reveals late decelerations with three out of the four induced contractions,
which of the following would be the least appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours ------------ Correct Answer ----------- C. Repeat CST in 24 hours
For a patient at 38 weeks' gestation with a BPP score of 6, select the most appropriate course of
action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery ------------ Correct Answer ----------- B. Consider induction of
labor
,Which of the following is a common EFM finding when monitoring a preterm fetus?
A. Decreased baseline
B. Variable decelerations
C. Increased FHR variability ------------ Correct Answer ------------ B. Variable decelerations
Which of the following is most strongly correlated with placental abruption?
A. Uncontrolled gestational diabetes
B. Multiple gestation
C. Uncontrolled hypertension ------------ Correct Answer ------------ C. Uncontrolled
hypertension
Which of the following is not typically associated with a postterm pregnancy?
A. Meconium-stained amniotic fluid
B. Presence of late decelerations in the fetal heart rate
C. Polyhydramnios ------------ Correct Answer ------------ C. Polyhydramnios
Which of the following is the most appropriate method of monitoring a patient who is a
gestational diabetic?
A. Daily NSTs
B. Twice-weekly BPPs
C. Weekly contraction stress tests ------------ Correct Answer ------------ B. Twice-weekly BPPs
Which of the following is not commonly caused by magnesium sulfate?
A. Increased FHR baseline
B. Decreased FHR variability
C. Decreased FHR accelerations ------------ Correct Answer ------------ A. Increased FHR
baseline
Which of the following FHR changes would not typically be seen in a mother with
chorioamnionitis?
A. Increased baseline
B. Increased variability
C. Decreased accelerations ------------ Correct Answer ------------ B. Increased variability
Which of the following is false regarding electronic fetal monitoring of twins?
A. Both twins must be monitored, as opposed to monitoring one twin at a time
B. Twins rarely have accelerations and decelerations simultaneously, and tracings should appear
distinctly different
C. Twins must be identified and monitored as A or B throughout the entire antenatal and
intrapartum periods ------------ Correct Answer ------------ B. Twins rarely have accelerations and
decelerations simultaneously, and tracings should appear distinctly different
pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
The nurse reviews the arterial gas results and concludes that the fetus had _____ acidosis. With
results such as these, you would expect a _____ resuscitation.
A. Metabolic; lengthy
,B. Metabolic; short
C. Respiratory; lengthy ------------ Correct Answer ------------ A. Metabolic; lengthy
Which of the following umbilical artery cord gases would most likely result in a fetus who had a
Category I strip, then had a cord prolapse and was delivered within 3 minutes?
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
B. pH 7.25, PO2 23, PCO2 46, HCO3 22, BE -8
C. pH 7.02, PO2 18, PCO2 56, HCO3 15, BE -18 ------------ Correct Answer ------------ A. pH
7.17, PO2 22, PCO2 70, HCO3 24, BE -5
Cord blood gases from one of the umbilical arteries best represent
A. The status of fetal acid-base balance
B. The status of maternal oxygenation
C. The status of placental function ------------ Correct Answer ------------ A. The status of fetal
acid-base balance
A modified biophysical profile (mBPP) is considered normal if
A. NST is reactive and mother reports at least 10 fetal movements in 2 hours
B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
C. There are no decelerations following contractions ------------ Correct Answer ------------ B.
NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
Which of the following is not a component of a BPP?
A. Amniotic fluid index (AFI)
B. Fetal breathing
C. Nonstress test (NST) ------------ Correct Answer ------------ A. Amniotic fluid index (AFI)
(Should be volume, not index)
A contraction stress test (CST) is done. During the testing, there were three contractions in 10
minutes, no decels, the baseline was 145, and there was moderate variability. This is interpreted
as
A. Negative
B. Positive
C. Suspicious ------------ Correct Answer ------------ A. Negative
Which of the following is most likely to result in absent end diastolic flow during umbilical
artery velocimetry?
A. Preeclampsia
B. Preterm labor
C. Previous cesarean delivery ------------ Correct Answer ------------ A. Preeclampsia
Which of the following best describes a condition in which there is decreased oxygen in the
tissues?
A. Acidosis
B. Hypoxemia
, C. Hypoxia ------------ Correct Answer ------------ C. Hypoxia
What is the maximum amount of time allotted for a nonstress test?
A. 20 minutes
B. 40 minutes
C. 60 minutes ------------ Correct Answer ------------ B. 40 minutes
A nonstress test (NST) is nonreactive after 40 minutes. The nurse should
A. Call the physician to plan for a possible induction
B. Call the physician to arrange for a BPP or CST
C. Perform vibroacoustic stimulation and monitor patient for 20 additional minutes ------------
Correct Answer ------------ B. Call the physician to arrange for a BPP or CST
(T/F) Contractions during a contraction stress test (CST) may be spontaneous or induced with
oxytocin or nipple stimulation. ------------ Correct Answer ------------ True
A contraction stress test (CST) is performed. Late decelerations were noted in three out of the
five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious ------------ Correct Answer ------------ A. Positive
A contraction stress test (CST) is performed. Late decelerations were noted in two out of the five
contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious ------------ Correct Answer ------------ C. Suspicious
A contraction stress test (CST) is performed. Two variable decelerations were seen on the FHR
tracing and there were four contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious ------------ Correct Answer ------------ B. Negative
A contraction stress test (CST) is performed. No decelerations were noted with the two
contractions that occurred over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory ------------ Correct Answer ------------ C. Unsatisfactory
A patient has a reactive NST and negative CST. Select the appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week ------------ Correct Answer ------------ C. Repeat in one week
A patient has a nonreactive NST and negative CST. Select the appropriate followup.
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