Download NCC EFM Mock Test Study Material [Q29-Q45]

Posted On May 20, 2026

Download NCC EFM Mock Test Study Material

EFM Questions Prepare with Learning Information

Q29. The fetal heart rate baseline is

documented in a 15 beats per minute range

established between periodic and episodic changes

normally between 110 and 170 beats per minute

Q30. The most common fetal heart rate pattern consistent with uterine rupture is

absent variability

loss of uterine pressure

prolonged and variable decelerations

Q31. Tachysystole can have a negative effect on fetal oxygenation during labor by

blocking active transport of oxygen to the fetus

increasing maternal blood pressure

interfering with reperfusion of the intervillous space

Q32. Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?

Autonomy

Fiduciary

Informed consent

Q33. A woman experiences an eclamptic seizure during the second stage of labor. An anticipated fetal heart rate abnormality post-seizure would be:

Bradycardia

Sinusoidal pattern

Variable decelerations

Q34. This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

Cesarean birth

Continue to observe

Give terbutaline

Q35. This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

Intermittent late decelerations

Variable decelerations

Wandering baseline

Q36. Fetal respiratory acidosis is most likely to present with which of the following fetal heart rate decelerations?

Early

Late

Variable

Q37. Fetal heart rate variability results from normal variance in fetal:

Cardiac responsiveness

Levels of carbon dioxide

R-R intervals

Q38. A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is

cesarean birth

continued pushing

vacuum-assisted vaginal birth

Q39. A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:

Adjust tocotransducer and continue to monitor

Admit for induction

Discharge to home

Q40. The ratio of oxyhemoglobin to the total amount of hemoglobin available is called oxygen

affinity

carrying capacity

saturation

Q41. The main reason intrauterine pressure catheters are placed is to:

Define the quality of the fetal baseline

Determine the contraction pattern

Rule out artifact

Q42. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

increasing the oxytocin

preparing for cesarean birth

preparing for operative vaginal birth

Q43. (Full question statement)
This tracing is consistent with:

Atrial flutter

Effects of butorphanol administration

Fetal-maternal transfusion

Q44. A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely: