1|Page
NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 2026|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - correct-answer - D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct-answer - B. Intermittent
,2|Page
_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct-answer - A. Recurrent
All of the following could likely cause minimal variability in FHR except
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration - correct-answer - D. Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or greater for
adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 - correct-answer - B. 200
,3|Page
The ________ increases the heart rate and strengthens myocardial contractions
through the release of epinephrine and nonepinephrine.
A. Sympathetic nervous system
B. Parasympathetic nervous system - correct-answer - A. Sympathetic nervous
system
The ________, through stimulation of the vagus nerve, reduces FHR and
maintains variability.
A. Sympathetic nervous system
B. Parasympathetic nervous system - correct-answer - B. Parasympathetic
nervous system
What would be a suspected pH in a fetus whose FHTs included recurrent late
decelerations during labor?
A. 7.10
, 4|Page
B. 7.26
C. 7.32
D. 7.41 - correct-answer - A. 7.10
What is the most common cause of sinusoidal patterns?
A. Prolapsed cord
B. Rh incompatibility
C. Recurrent late decelerations
D. Oligohydramnios - correct-answer - B. Rh incompatibility
Before ___ weeks of gestation, an increase in FHR that peaks at least 10 bpm
above the baseline and lasts at least 10 seconds is considered an acceleration.
A. 28
B. 30
C. 32
D. 36 - correct-answer - C. 32
NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 2026|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
All of the following are likely causes of prolonged decelerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - correct-answer - D. Maternal fever
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct-answer - B. Intermittent
,2|Page
_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct-answer - A. Recurrent
All of the following could likely cause minimal variability in FHR except
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration - correct-answer - D. Ephedrine administration
When an IUPC has been placed, Montevideo units must be ___ or greater for
adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 - correct-answer - B. 200
,3|Page
The ________ increases the heart rate and strengthens myocardial contractions
through the release of epinephrine and nonepinephrine.
A. Sympathetic nervous system
B. Parasympathetic nervous system - correct-answer - A. Sympathetic nervous
system
The ________, through stimulation of the vagus nerve, reduces FHR and
maintains variability.
A. Sympathetic nervous system
B. Parasympathetic nervous system - correct-answer - B. Parasympathetic
nervous system
What would be a suspected pH in a fetus whose FHTs included recurrent late
decelerations during labor?
A. 7.10
, 4|Page
B. 7.26
C. 7.32
D. 7.41 - correct-answer - A. 7.10
What is the most common cause of sinusoidal patterns?
A. Prolapsed cord
B. Rh incompatibility
C. Recurrent late decelerations
D. Oligohydramnios - correct-answer - B. Rh incompatibility
Before ___ weeks of gestation, an increase in FHR that peaks at least 10 bpm
above the baseline and lasts at least 10 seconds is considered an acceleration.
A. 28
B. 30
C. 32
D. 36 - correct-answer - C. 32
