NCC EFM Question Answer
The baseline fetal heart rate decreases with gestational age as a result of an increase in:
Catecholamine production
Intrinsic ventricular rate
Parasympathetic tone
Comprehensive and Detailed Explanation From Exact Extract–Based NCC C-EFM References:
As gestation advances:
Vagal (parasympathetic) control increases,
Sympathetic dominance decreases,
Resulting in a lower baseline heart rate.
NCC physiology teaching:
“Baseline FHR decreases with advancing gestational age due to maturation and increasing parasympathetic tone.”
Why the others are incorrect:
Catecholamines increase heart rate, not decrease it.
Intrinsic ventricular rate does not change significantly with gestational age.
Thus, the correct physiologic factor is increased parasympathetic tone.
TESTED 10 Dec 2025
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