NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2026 FINAL
◉ First step in intermittent auscultation. Answer: Auscultate FHR
for 30-60 seconds without a contraction to identify rhythm.
◉ contraindications for FSE. Answer: inability to identify presenting
part
placenta previa
Active herpes or HIV
Hep B or C
◉ Why do uterine contractions not affect healthy term newborns.
Answer: increased O2 affinity
vascular shunts
cardiac output high
increased glycogen stores in myocardium
◉ What do mild contractions feel like on palpation. Answer:
fingertip to nose; easy to indent
,◉ What do moderate contractions feel like on palpation. Answer:
finger to chin; firm and difficult to indent
◉ What do strong contractions feel like on palpation. Answer: finger
to forehead; rigid, boardlike
◉ First stage of labor. Answer: Latent: irregular and frequent
contractions casuing cervical softening, 0-6 cm
Active: increased cervical dilation rate and fetal part descends, 6-10
cm
◉ Second stage of labor. Answer: Complete dilation to delivery
(pushing)
◉ Risks of delayed pushing. Answer: increased maternal blood loss
chorio
decreased umbilical cord pH
◉ Adequate contractions in first stage of labor. Answer: 100-250
MVU
◉ Adequate contractions in second stage of labor. Answer: 300-400
MVU's
, ◉ Adequate resting tone in first stage. Answer: At least 60 seconds
◉ Adequate resting tone in second stage. Answer: 45-60 seconds
◉ Tachysystole. Answer: >5 contractions in a 10 min period
averaged over 30 minutes
◉ Hypertonus. Answer: >20-25 mmHg or uterus that doesnt return
to soft after contraction
◉ Causes of tachysystole. Answer: cervical ripening
oxytocin
placental abruption
uterine overdistention from amnioinfusion, multiple gestation or
macrosomia
◉ Risks of tachysystole. Answer: fetal anemia and decreased
cerebral oxygen
Do not wait for decelerations to correct tachysystole
◉ Corrective measures for tachysystole. Answer: Change position
IV fluid bolus
decrease or stop pitocin
CERTIFICATION EXAM 2026 FINAL
◉ First step in intermittent auscultation. Answer: Auscultate FHR
for 30-60 seconds without a contraction to identify rhythm.
◉ contraindications for FSE. Answer: inability to identify presenting
part
placenta previa
Active herpes or HIV
Hep B or C
◉ Why do uterine contractions not affect healthy term newborns.
Answer: increased O2 affinity
vascular shunts
cardiac output high
increased glycogen stores in myocardium
◉ What do mild contractions feel like on palpation. Answer:
fingertip to nose; easy to indent
,◉ What do moderate contractions feel like on palpation. Answer:
finger to chin; firm and difficult to indent
◉ What do strong contractions feel like on palpation. Answer: finger
to forehead; rigid, boardlike
◉ First stage of labor. Answer: Latent: irregular and frequent
contractions casuing cervical softening, 0-6 cm
Active: increased cervical dilation rate and fetal part descends, 6-10
cm
◉ Second stage of labor. Answer: Complete dilation to delivery
(pushing)
◉ Risks of delayed pushing. Answer: increased maternal blood loss
chorio
decreased umbilical cord pH
◉ Adequate contractions in first stage of labor. Answer: 100-250
MVU
◉ Adequate contractions in second stage of labor. Answer: 300-400
MVU's
, ◉ Adequate resting tone in first stage. Answer: At least 60 seconds
◉ Adequate resting tone in second stage. Answer: 45-60 seconds
◉ Tachysystole. Answer: >5 contractions in a 10 min period
averaged over 30 minutes
◉ Hypertonus. Answer: >20-25 mmHg or uterus that doesnt return
to soft after contraction
◉ Causes of tachysystole. Answer: cervical ripening
oxytocin
placental abruption
uterine overdistention from amnioinfusion, multiple gestation or
macrosomia
◉ Risks of tachysystole. Answer: fetal anemia and decreased
cerebral oxygen
Do not wait for decelerations to correct tachysystole
◉ Corrective measures for tachysystole. Answer: Change position
IV fluid bolus
decrease or stop pitocin
