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NCC EFM EXAM VERSION 1,2 AND 3 NEWEST 2025
ACTUAL EXAM COMPLETE 450 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ ||BRAND NEW
VERSION!!
NCC EFM EXAM VERSION 1
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes. Your first intervention should be to
- Encourage ambulation
- Administer oxygen
- Discontinue IV fluids
- Increase Pitocin rate - CORRECT ANSWER -B. Administer
oxygen
Resuscitation measures improves the baby's variability, but the FHR is still not reactive. You attempt fetal scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)
- Acceleration
- Deceleration
- Fetal movement 1 / 4
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- Sleep pattern - CORRECT ANSWER -A. Acceleration
You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below
- 10
- 6
C. 8 - CORRECT ANSWER -B. 6
When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor. You should first
- Compare maternal pulse simultaneously with FHR
- Remove FSE
- Call the doctor immediately
- Turn off the monitor - CORRECT ANSWER -A. Compare
maternal pulse simultaneously with FHR
T/F: Umbilical cord influences that can alter blood flow include
true knots, hematomas, and number of umbilical vessels. - CORRECT ANSWER -True
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T/F: Low amplitude contractions are not an early sign of preterm
labor. - CORRECT ANSWER -False
T/F: Preterm contractions are usually painful. - CORRECT
ANSWER-False
T/F: Corticosteroid administration may cause an increase in
FHR accelerations. - CORRECT ANSWER -False
T/F: Corticosteroid administration may cause an increase in
FHR. - CORRECT ANSWER -True
T/F: Contractions cause an increase in uterine venous pressure
and a decrease in uterine artery perfusion. - CORRECT ANSWER-True
As a result of the intrinsic fetal response to oxygen deprivation, increased catecholamine levels cause the peripheral blood flow to decrease while the blood flow to vital organs increases. These flow changes along with increased catecholamine secretions have what effect on fetal blood pressure and fetal heart rate?
- Increase BP and increase HR
- Increase BP and decrease HR
- Decrease BP and increase HR 3 / 4
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- Decrease BP and decrease HR - CORRECT ANSWER -B.
Increase BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern as
opposed to a sinusoidal pattern, except:
- Recent administration of narcotics to mother
- Accelerations in FHR
- Moderate variability
- Frequency of oscillations of two to five cycles/min -
CORRECT ANSWER -D. Frequency of oscillations of two to five cycles/min
All of the following are appropriate interventions for fetal
tachycardia except:
- Increase maternal IV fluid rate
- Assess maternal vital signs
- Perform SVE
- Administer oxygen - CORRECT ANSWER -C. Perform SVE
During a term antepartum NST (non-stress test), you notice several variable decelerations that decrease at least 15 bpm and last at least 15 sec long. Which of the following is the least likely explanation?
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