NCC EFM Question Answer
Stimulation of the vagus nerve in a healthy fetus will cause:
Decreased fetal heart rate
Increased cardiac contractility
Increased fetal blood pressure
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Vagal stimulation is part of the parasympathetic nervous system, which causes:
Slowing of the fetal heart rate (FHR)
Rapid but temporary changes in HR
Seen with head compression, scalp stimulation, or fetal movement
NICHD/NCC physiology explains:
Vagus nerve activation → acetylcholine release → slowed SA node firing → decrease in FHR
This mechanism is responsible for early decelerations during labor due to head compression.
Why the incorrect answers are wrong:
B. Increased cardiac contractility → sympathetic effect, not vagal.
C. Increased fetal blood pressure → also a sympathetic effect.
Correct answer: A. Decreased fetal heart rate
TESTED 10 Dec 2025
Copyright © 2014-2025 ACE4Sure. All Rights Reserved