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Exam (elaborations)

NCC Electronic Fetal Monitoring Certification exam

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NCC certification, Electronic Fetal Monitoring, EFM exam, C-EFM, fetal heart rate interpretation, NICHD terminology, Category I II III, fetal variability, accelerations, early decelerations, late decelerations, variable decelerations, prolonged decelerations, uterine activity, tachysystole, Montevideo units, nonstress test, NST, contraction stress test, CST, biophysical profile, BPP, amniotic fluid index, AFI, vibroacoustic stimulation, fetal scalp electrode, FSE, intrauterine pressure catheter, IUPC, umbilical cord gases, fetal acidosis, metabolic acidosis, respiratory acidosis, fetal dysrhythmias, supraventricular tachycardia, SVT, perinatal nursing, obstetric nursing, labor and delivery, maternal-fetal medicine, intrauterine resuscitation, amnioinfusion, terbutaline, betamethasone, magnesium sulfate, NCC study guide, digital download, EFM practice questions

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NCC Electronic Fetal Monitoring Certification exam
2026\2027
_____ are abnormal FHR rhythms associated with disordered impulse formation, conduction, or
both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias - CORRECT ANSWER C. Dysrhythmias

_____ are patterns of abnormal FHR associated with variability in R-to-R intervals, but with
normal P-waves preceding normal QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias - CORRECT ANSWER A. Arrhythmias

_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - CORRECT ANSWER B. Venous

_____ denotes the ability of cardiac cells to conduct electrical impulses from one cell to another.
A. Automaticity
B. Excitability
C. Conductivity - CORRECT ANSWER C. Conductivity

_____ denotes the readiness of cardiac cells to receive and respond to electrical stimuli.
A. Automaticity
B. Excitability
C. Conductivity - CORRECT ANSWER B. Excitability

_____ denotes the spontaneous, rhythmic depolarization of cardiac cells.
A. Automaticity
B. Excitability
C. Conductivity - CORRECT ANSWER A. Automaticity

_______ _______ occurs when the HCO3 concentration is higher than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - CORRECT ANSWER B. Base excess

,_______ _______ occurs when the HCO3 concentration is lower than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - CORRECT ANSWER A. Base deficit

_______ _______ occurs when there is high PCO2 with normal bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - CORRECT ANSWER B. Respiratory acidosis

_______ _______ occurs when there is low bicarbonate (base excess) in the presence of
normal pressure of carbon dioxide (PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - CORRECT ANSWER A. Metabolic acidosis

_______ are protective stretch receptors located in the aortic arch and the carotid sinuses at
the bifurcation of the external and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries - CORRECT ANSWER A. Baroreceptors

_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - CORRECT ANSWER A. Recurrent

_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - CORRECT ANSWER B. Intermittent

_______ denotes a decrease in oxygen content of the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - CORRECT ANSWER C. Hypoxemia

_______ denotes a decrease in oxygenation of the fetal tissues.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - CORRECT ANSWER B. Hypoxia

,_______ denotes an increase in carbon dioxide in the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - CORRECT ANSWER A. Hypercapnia
_______ denotes an increase in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - CORRECT ANSWER B. Acidemia

_______ denotes an increase in hydrogen ions in the fetal tissues.
A. Acidosis
B. Acidemia
C. Hypercapnia - CORRECT ANSWER A. Acidosis

_______ FHR patterns are those associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular - CORRECT ANSWER A. Periodic

_______ FHR patterns are those that are not associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular - CORRECT ANSWER B. Episodic

_______ is defined as the energy-consuming process of metabolism. - CORRECT ANSWER
Anabolism

_______ is defined as the energy-releasing process of metabolism. - CORRECT ANSWER
Catabolism

_______ primarily function(s) to regulate respiratory activity and control circulation by
responding to changes in arterial PO2, PCO2, and acid-base balance.
A. Baroreceptors
B. Chemoreceptors
C. Cardioregulatory center - CORRECT ANSWER B. Chemoreceptors

_______ represents increased sympathetic or decreased parasympathetic autonomic tone.
A. Bradycardia
B. Tachycardia - CORRECT ANSWER B. Tachycardia

, _______ respond to increases in fetal arterial blood pressure by detecting the amount of stretch
and sending impulses via the vagus nerve to the midbrain, decreasing FHR, CO, and BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins - CORRECT ANSWER A. Baroreceptors

_______ variability warrants cesarean section delivery.
A. Minimal

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