NCC EFM Exam Practice Questions with Complete Solution, Exams of Obstetrics

NCC EFM Exam Practice Questions with Complete Solution

Typology: Exams

2025/2026

Available from 03/28/2026

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NCC EFM Exam Practice Questions with
Complete Solution
1. Oxygen is transferred from mom to fetus via the placenta through?: Passive
(Simple) Dittusion
2.
Intervillous
space
perfusion
is
dependent
on?:
Adequate
Uterine
Blood
Flow
3. Maternal Fetal Exchange is best promoted by which maternal position?:
Either
Rt or Lt Lateral
4.
What is transfer down the concentration gradient from higher to lower
called?: Dittusion
5. The most likely physical rationale for recurrent late decels after epidural
is?:
Maternal Sympathetic Blockade
6. Which FHR pattern would be anticipated when monitoring mono-mono
twins?: Variable Decels
7. Fetus can survive in an environment w/ a PO2 equal to adult venous blood
d/t?:
increased O2 carrying capacity
8. Variable decels are mediated primarily by?:
baroreceptors
9. The sympathetic branch of the ANS influences FHR to?:
increase
10. the average difference in baseline FHR b/w 30 & 40 weeks is?: 10bpm
usually 5-6; 10 is closest
11. Fetal blood is most highly oxygenated in the?: Ductus
Venosous
12. An abrupt rise in fetal bp can stimulate?: variable
decels
13.
During an acute episode of fetal hypoxemia, fetal blood flow is redistributed primarily to the?:
brain
14. Over the course of pregnancy, the FHR baseline?:
decreases
15.
FHR
variability
is
dependent
upon?:
cerebral
oxygen
and
intact
CNS
pf3
pf4

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NCC EFM Exam Practice Questions with

Complete Solution

1. Oxygen is transferred from mom to fetus via the placenta through?: Passive (Simple) Dittusion

2. Intervillous space perfusion is dependent on?: Adequate Uterine Blood Flow

3. Maternal Fetal Exchange is best promoted by which maternal position?: Either Rt or Lt Lateral

4. What is transfer down the concentration gradient from higher to lower called?: Dittusion

5. The most likely physical rationale for recurrent late decels after epidural is?: Maternal Sympathetic Blockade

6. Which FHR pattern would be anticipated when monitoring mono-mono twins?: Variable Decels

7. Fetus can survive in an environment w/ a PO2 equal to adult venous blood d/t?: increased O2 carrying capacity

8. Variable decels are mediated primarily by?: baroreceptors

9. The sympathetic branch of the ANS influences FHR to?: increase

10. the average difference in baseline FHR b/w 30 & 40 weeks is?: 10bpm usually 5-6; 10 is closest

11. Fetal blood is most highly oxygenated in the?: Ductus Venosous

12. An abrupt rise in fetal bp can stimulate?: variable decels

13. During an acute episode of fetal hypoxemia, fetal blood flow is redistributed primarily to the?: brain

14. Over the course of pregnancy, the FHR baseline?: decreases

15. FHR variability is dependent upon?: cerebral oxygen and intact CNS

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16. chemoreceptors respond mainly to?: hypoxemia

17. pH: 7.

pCO2: 50 HCO3: 24 BE: -3: normal acid-base status (if pH is normal, answer is normal)

18. Fetal respiratory academia is indicated by a pH of 7.04 and a PCO2 of?: >

19. pH: 6.

PCO2: 49

HCO3: 16

BE:-16: metabolic acidemia

20. pH: 7.

pCO2: 80 HCO3: 22 BE: -4: respiratory acidemia

21. Fetal metabolic acidemia is indicated by an umbilical artery cord blood gas pH of 6.94 & BE of?: >-

22. Decels that occur with <50% ctx:: intermittent

23. An acceleration of FHR that is elicited during fetal scalp stim indicates a fetal pH of at least?: 7.

24. FHR characteristic most predictive of a vigorous baby at birth is?: variability

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42. When using a doppler to determine FHR, autocorrelation:: compares successive reflective US waveforms at many

points

43. Sustained SVT increases fetal risk for:: CHF (hydrops)

44. toco detects changes in?: the shape of the uterine wall

45. fetoscope works by detecting?: sound of opening/closing of heart valves

46. short r-to-r intervals in fetal egg is indicative of?: tachycardia

47. most common fetal arrhythmia?: PAC

48. Fetal hydrops may develop w?: paroxysmal atrial tachy

49. complete heart block increases fetal risk for?: neonatal pacemaker

50. reactive NST in term fetus requires?: 2 access 15x15 w/I 20 min.

51. in the BPP the chronic marker is?: AFV

52. most commonly cited source of adverse outcome during labor?: communication failure