NCC Electronic Fetal Monitoring Final Competency
Certification Study Guide Exam Questions with Certified for
Accuracy Answers 2024/2025
Oxygen is transferred from the mother to the fetus via the placenta through
A. Active transport
B. Passive diffusion
C. Facilitated diffusion - correct answer B. Passive diffusion
Resting tone and intensity of uterine contractions cannot be assessed by
A. External tocodynamometer
B. Manual palpation
C. Intrauterine pressure catheter - correct answer A. External tocodynamometer
The FHR characteristic most predictive of a well-oxygenated baby at the time observed
is
A. Moderate variability
B. Stable baseline rate
C. Absence of decelerations - correct answer A. Moderate variability
In the context of hypoxemia, fetal blood flow is shifted to the
A. Brain
B. Liver
C. Lungs - correct answer A. Brain
Baroreceptor-mediated decelerations are
A. Early
B. Late
C. Variable - correct answer C. Variable
,The primary goal in the treatment of variable decelerations is to
A. Correct umbilical cord compression
B. Improve maternal oxygenation
C. Maximize blood flow to the uterus - correct answer A. Correct umbilical cord
compression
Umbilical artery gas results reflect the status of the
A. Mother
B. Fetus
C. Placenta - correct answer B. Fetus
An appropriate initial treatment for recurrent late decelerations with moderate variability
during first stage labor is
A. Amnioinfusion
B. Maternal repositioning
C. Oxygen at 10L per nonrebreather face mask - correct answer B. Maternal
repositioning
Most fetal dysrhythmias are not life-threatening, except for _______, which may lead to
fetal congestive heart failure. - correct answer Supraventricular tachycardia
Medications, prematurity, fetal sleep, fetal dysrhythmia, anesthetic agents, or cardiac
anomalies may result in _______ variability. - correct answer Decreased
In the presence of late or variable decelerations, two parameters that indicate adequate
fetal oxygenation are _____ and _____. - correct answer Moderate variability; normal
baseline rate
To correctly interpret a baseline FHR as tachycardic or bradycardic, the rate must
persist for a minimum of _____ min. - correct answer 10
,In assessing fetal well-being, the most important characteristic of the FHR is
A. Rate
B. Variability
C. Presence of accelerations
D. Absence of decelerations - correct answer B. Variability
Stimulation of the _____ _____ _____ releases acetylcholine, resulting in decreased
FHR. - correct answer Parasympathetic nervous system
The _____ _____ _____ maintains transmission of beat-to-beat variability. - correct
answer Parasympathetic nervous system
Stimulation of the _____ _____ _____ releases catecholamines, resulting in increased
FHR. - correct answer Sympathetic nervous system
Stimulation of _____ results in abrupt decreases in FHR, CO, and BP. - correct answer
Baroreceptors
Baroreceptors influence _____ decelerations with moderate variability. - correct
answer Variable
Following an ultrasound which revealed decreased amniotic fluid, a woman at term is
admitted in early labor. It should be recognized that oligohydramnios often results in
fetal heart rate decelerations that are
A. Late in onset or occur after the peak of the contraction
B. Synchronous with that of the contraction
C. Varied in depth and duration - correct answer C. Varied in depth and duration
In comparing early and late decelerations, a distinguishing factor between the two is
A. Onset time to the nadir of the deceleration
, B. The number of decelerations that occur
C. Timing in relation to contractions - correct answer C. Timing in relation to
contractions
The underlying cause of early decelerations is decreased
A. Baroceptor response
B. Increased peripheral resistance
C. Vagal reflex - correct answer C. Vagal reflex
Glucose is transferred across the placenta via _____ _____. - correct answer
Facilitated diffusion
Oxygen, carbon dioxide, water, electrolytes, urea, uric acid, fatty acids, fat-soluble
vitamins, narcotics barbiturates, anesthetics, and antibiotics are transferred across the
placenta via _____ _____. - correct answer Simple (passive) diffusion
Amino acids, water-soluble vitamins, calcium, phosphorus, iron, and iodine are
transferred across the placenta via _____ _____. - correct answer Active transport
Well-oxygenated fetal blood enters the _____ ventricle, which supplies the heart and
brain. Less-oxygenated blood enters the ______ ventricle, which supplies the rest of the
body. - correct answer Left; right
The _____ _____ allows relatively well-oxygenated blood to enter the fetal heart
directly, bypassing the liver. - correct answer Ductus venosus
The _____ _____ allows blood to bypass the lungs, flowing from the pulmonary artery
to the aorta. - correct answer Ductus arteriosus
The _____ _____ is the shunt that bypasses the fetal lungs, moving blood from the right
atrium to the left atrium. - correct answer Foramen ovale
Certification Study Guide Exam Questions with Certified for
Accuracy Answers 2024/2025
Oxygen is transferred from the mother to the fetus via the placenta through
A. Active transport
B. Passive diffusion
C. Facilitated diffusion - correct answer B. Passive diffusion
Resting tone and intensity of uterine contractions cannot be assessed by
A. External tocodynamometer
B. Manual palpation
C. Intrauterine pressure catheter - correct answer A. External tocodynamometer
The FHR characteristic most predictive of a well-oxygenated baby at the time observed
is
A. Moderate variability
B. Stable baseline rate
C. Absence of decelerations - correct answer A. Moderate variability
In the context of hypoxemia, fetal blood flow is shifted to the
A. Brain
B. Liver
C. Lungs - correct answer A. Brain
Baroreceptor-mediated decelerations are
A. Early
B. Late
C. Variable - correct answer C. Variable
,The primary goal in the treatment of variable decelerations is to
A. Correct umbilical cord compression
B. Improve maternal oxygenation
C. Maximize blood flow to the uterus - correct answer A. Correct umbilical cord
compression
Umbilical artery gas results reflect the status of the
A. Mother
B. Fetus
C. Placenta - correct answer B. Fetus
An appropriate initial treatment for recurrent late decelerations with moderate variability
during first stage labor is
A. Amnioinfusion
B. Maternal repositioning
C. Oxygen at 10L per nonrebreather face mask - correct answer B. Maternal
repositioning
Most fetal dysrhythmias are not life-threatening, except for _______, which may lead to
fetal congestive heart failure. - correct answer Supraventricular tachycardia
Medications, prematurity, fetal sleep, fetal dysrhythmia, anesthetic agents, or cardiac
anomalies may result in _______ variability. - correct answer Decreased
In the presence of late or variable decelerations, two parameters that indicate adequate
fetal oxygenation are _____ and _____. - correct answer Moderate variability; normal
baseline rate
To correctly interpret a baseline FHR as tachycardic or bradycardic, the rate must
persist for a minimum of _____ min. - correct answer 10
,In assessing fetal well-being, the most important characteristic of the FHR is
A. Rate
B. Variability
C. Presence of accelerations
D. Absence of decelerations - correct answer B. Variability
Stimulation of the _____ _____ _____ releases acetylcholine, resulting in decreased
FHR. - correct answer Parasympathetic nervous system
The _____ _____ _____ maintains transmission of beat-to-beat variability. - correct
answer Parasympathetic nervous system
Stimulation of the _____ _____ _____ releases catecholamines, resulting in increased
FHR. - correct answer Sympathetic nervous system
Stimulation of _____ results in abrupt decreases in FHR, CO, and BP. - correct answer
Baroreceptors
Baroreceptors influence _____ decelerations with moderate variability. - correct
answer Variable
Following an ultrasound which revealed decreased amniotic fluid, a woman at term is
admitted in early labor. It should be recognized that oligohydramnios often results in
fetal heart rate decelerations that are
A. Late in onset or occur after the peak of the contraction
B. Synchronous with that of the contraction
C. Varied in depth and duration - correct answer C. Varied in depth and duration
In comparing early and late decelerations, a distinguishing factor between the two is
A. Onset time to the nadir of the deceleration
, B. The number of decelerations that occur
C. Timing in relation to contractions - correct answer C. Timing in relation to
contractions
The underlying cause of early decelerations is decreased
A. Baroceptor response
B. Increased peripheral resistance
C. Vagal reflex - correct answer C. Vagal reflex
Glucose is transferred across the placenta via _____ _____. - correct answer
Facilitated diffusion
Oxygen, carbon dioxide, water, electrolytes, urea, uric acid, fatty acids, fat-soluble
vitamins, narcotics barbiturates, anesthetics, and antibiotics are transferred across the
placenta via _____ _____. - correct answer Simple (passive) diffusion
Amino acids, water-soluble vitamins, calcium, phosphorus, iron, and iodine are
transferred across the placenta via _____ _____. - correct answer Active transport
Well-oxygenated fetal blood enters the _____ ventricle, which supplies the heart and
brain. Less-oxygenated blood enters the ______ ventricle, which supplies the rest of the
body. - correct answer Left; right
The _____ _____ allows relatively well-oxygenated blood to enter the fetal heart
directly, bypassing the liver. - correct answer Ductus venosus
The _____ _____ allows blood to bypass the lungs, flowing from the pulmonary artery
to the aorta. - correct answer Ductus arteriosus
The _____ _____ is the shunt that bypasses the fetal lungs, moving blood from the right
atrium to the left atrium. - correct answer Foramen ovale
