Comprehensive and Detailed Explanation From Exact Extract–Based NCC C-EFM References:
Fetal baroreceptors, located primarily in the carotid sinus and aortic arch, respond to increases in fetal arterial pressure. When activated, they stimulate the vagus nerve, causing:
Reflex parasympathetic activation
Decreased FHR (vagal slowing)
This is a well-established physiologic mechanism referenced throughout NCC’s physiology domain. NCC emphasizes that variable decelerations, especially short deep drops, can occur when transient increases in fetal blood pressure from cord compression activate these baroreceptors.
Option B, decreased PO₂, relates to chemoreceptor-mediated responses—not baroreceptors.
Option C, reflex tachycardia, is mediated by sympathetic activation and occurs when BP falls, not rises.
Thus, the correct physiologic response is A. Decreased heart rate.
[References:NCC C-EFM Candidate Guide (2025); NCC Content Outline (Physiology Domain); AWHONN Fetal Heart Monitoring; Menihan Electronic Fetal Monitoring; Creasy & Resnik Maternal–Fetal Physiology; Simpson & Creehan Perinatal Nursing., ]