NCC Electronic Fetal Monitoring Certification Exam
Questions with Verified Answers |2026/2027 Update |
A+ Graded
A wandering FHR baseline may be indicative of
A. Fetal seizure activity
B. Impending fetal death
C. Maternal medication administration - Answer -B. Impending fetal death
The FHR pattern that is likely to be seen with maternal hypothermia is
A. Bradycardia
B. Marked variability
C. Tachycardia - Answer -A. Bradycardia
Baseline FHR variability is determined in what amount of time, excluding accelerations and
decelerations?
A. 10 min
B. 20 min
C. 30 min - Answer -A. 10 min
One possible cause of a sinusoidal FHR pattern from fetal hypoxemia is
A. Fetal anemia
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,B. Fetal thumb sucking
C. Maternal administration of a narcotic - Answer -A. Fetal anemia
Which of the following tachyarrhythmias can result in fetal hydrops?
A. Persistent supraventricular tachycardia
B. Premature atrial contractions
C. Sinus tachycardia - Answer -A. Persistent supraventricular tachycardia
A preterm fetus with persistent supraventricular tachycardia that is not hydropic is best treated
with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - Answer -A. Digoxin
The maternal medical condition that predisposes the fetus to a heart block is
A. Lupus erythematosus
B. Marfan's disease
C. Mitral valve prolapse - Answer -A. Lupus erythematosus
The initial response in treating a primigravida being induced for preeclampsia who has a seizure
is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
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,C. Perform an immediate cesarean delivery - Answer -B. Initiate magnesium sulfate
Which FHR sounds are counted with a stethoscope and a fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular - Answer -C. Ventricular
When using auscultation to determine FHR baseline, the FHR should be counted after the
contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec - Answer -C. 30-60 sec
Which of the following characteristics can be determined using FHR auscultation?
A. Baseline
B. Type of decelerations
C. Variability - Answer -A. Baseline
One advantage of using a fetoscope is that it can
A. Allow more rapid detection of a baseline change
B. More accurately assess the FHR variability
C. Verify the presence of an irregular rhythm - Answer -C. Verify the presence of an irregular
rhythm
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, According to ACOG, intermittent auscultation is appropriate for
A. All pregnancies
B. Neither complicated nor uncomplicated pregnancies
C. Uncomplicated pregnancies - Answer -C. Uncomplicated pregnancies
A woman who is 34 weeks' gestation is counting fetal movements each day. Today she counted
eight fetal movements in a two-hour period. Based on her kick counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation - Answer -C. Notify her provider for further
evaluation
A BPP score of 6 is considered
A. Abnormal
B. Normal
C. Equivocal - Answer -C. Equivocal
A modified BPP reveals the following: reactive NST with moderate variability; AFI of 7. This test
would be interpreted as
A. Abnormal
B. Equivocal
C. Normal - Answer -C. Normal
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Questions with Verified Answers |2026/2027 Update |
A+ Graded
A wandering FHR baseline may be indicative of
A. Fetal seizure activity
B. Impending fetal death
C. Maternal medication administration - Answer -B. Impending fetal death
The FHR pattern that is likely to be seen with maternal hypothermia is
A. Bradycardia
B. Marked variability
C. Tachycardia - Answer -A. Bradycardia
Baseline FHR variability is determined in what amount of time, excluding accelerations and
decelerations?
A. 10 min
B. 20 min
C. 30 min - Answer -A. 10 min
One possible cause of a sinusoidal FHR pattern from fetal hypoxemia is
A. Fetal anemia
1|Page
,B. Fetal thumb sucking
C. Maternal administration of a narcotic - Answer -A. Fetal anemia
Which of the following tachyarrhythmias can result in fetal hydrops?
A. Persistent supraventricular tachycardia
B. Premature atrial contractions
C. Sinus tachycardia - Answer -A. Persistent supraventricular tachycardia
A preterm fetus with persistent supraventricular tachycardia that is not hydropic is best treated
with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - Answer -A. Digoxin
The maternal medical condition that predisposes the fetus to a heart block is
A. Lupus erythematosus
B. Marfan's disease
C. Mitral valve prolapse - Answer -A. Lupus erythematosus
The initial response in treating a primigravida being induced for preeclampsia who has a seizure
is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
2|Page
,C. Perform an immediate cesarean delivery - Answer -B. Initiate magnesium sulfate
Which FHR sounds are counted with a stethoscope and a fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular - Answer -C. Ventricular
When using auscultation to determine FHR baseline, the FHR should be counted after the
contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec - Answer -C. 30-60 sec
Which of the following characteristics can be determined using FHR auscultation?
A. Baseline
B. Type of decelerations
C. Variability - Answer -A. Baseline
One advantage of using a fetoscope is that it can
A. Allow more rapid detection of a baseline change
B. More accurately assess the FHR variability
C. Verify the presence of an irregular rhythm - Answer -C. Verify the presence of an irregular
rhythm
3|Page
, According to ACOG, intermittent auscultation is appropriate for
A. All pregnancies
B. Neither complicated nor uncomplicated pregnancies
C. Uncomplicated pregnancies - Answer -C. Uncomplicated pregnancies
A woman who is 34 weeks' gestation is counting fetal movements each day. Today she counted
eight fetal movements in a two-hour period. Based on her kick counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation - Answer -C. Notify her provider for further
evaluation
A BPP score of 6 is considered
A. Abnormal
B. Normal
C. Equivocal - Answer -C. Equivocal
A modified BPP reveals the following: reactive NST with moderate variability; AFI of 7. This test
would be interpreted as
A. Abnormal
B. Equivocal
C. Normal - Answer -C. Normal
4|Page
