NCC ELECTRONIC FETAL MONITORING CERTIFICATION WITH QUESTIONS AND ANSWERS 2025/2026

NCC ELECTRONIC FETAL MONITORING
CERTIFICATION WITH QUESTIONS AND ANSWERS
2025/2026




Which .of .the .following .factors .can .have .a .negative .effect .on .uterine .blood .flow?

a. .Hypertension

b. .Epidural

c. .Hemorrhage

d. .Diabetes

e. .All .of .the .above .- .CORRECT .ANSWER-e. .All .of .the .above



How .does .the .fetus .compensate .for .decreased .maternal .circulating .volume?

a. .Increases .cardiac .output .by .increasing .stroke .volume.

b. .Increases .cardiac .output .by .increasing .it's .heart .rate.

c. .Increases .cardiac .output .by .increasing .fetal .movement. .- .CORRECT .ANSWER-b.
.Increases .cardiac .output .by .increasing .it's .heart .rate.




Stimulating .the .vagus .nerve .typically .produces:

a. .A .decrease .in .the .heart .rate

b. .An .increase .in .the .heart .rate

c. .An .increase .in .stroke .volume

d. .No .change .- .CORRECT .ANSWER-a. .A .decrease .in .the .heart .rate



What .initially .causes .a .chemoreceptor .response?

,a. .Epidurals

b. .Supine .maternal .position

c. .Increased .CO2 .levels

d. .Decreased .O2 .levels

e. .A .& .C

f. .A .& .B

g. .C .& .D .- .CORRECT .ANSWER-g. .C .& .D



The .vagus .nerve .begins .maturation .26 .to .28 .weeks. .Its .dominance .results .in .what .effect
.to .the .FHR .baseline?


a. .Increases .baseline

b. .Decreases .baseline .- .CORRECT .ANSWER-b. .Decreases .baseline



T/F: .Oxygen .exchange .in .the .placenta .takes .place .in .the .intervillous .space. .- .CORRECT
.ANSWER-True




T/F: .The .parasympathetic .nervous .system .is .a .cardioaccelerator. .- .CORRECT .ANSWER-False



T/F: .Baroreceptors .are .stretch .receptors .which .respond .to .increases .or .decreases .in .blood
.pressure. .- .CORRECT .ANSWER-True




T/F: .There .are .two .electronic .fetal .monitoring .methods .of .obtaining .the .fetal .heart .rate:
.the .ultrasound .transducer .and .the .fetal .spiral .electrode. .- .CORRECT .ANSWER-True




T/F: .Variability .can .be .determined .with .the .fetoscope. .- .CORRECT .ANSWER-False



T/F: .Because .the .ultrasound .transducer .and .toco .transducer .are .sealed .units, .they .can .be
.dipped .in .warm .water .to .make .cleaning .easier. .- .CORRECT .ANSWER-False

,T/F: .The .most .common .artifact .with .the .ultrasound .transducer .system .for .fetal .heart .rate
.is .increased .variability. .- .CORRECT .ANSWER-True




T/F: .All .fetal .monitors .contain .a .logic .system .designed .to .reject .artifact. .- .CORRECT
.ANSWER-True




T/F: .The .monitor .should .always .be .tested .before .starting .a .tracing, .either .external .or
.internal .mode .and .labeled .a .test. .- .CORRECT .ANSWER-True




T/F: .The .paper .speed .on .the .fetal .monitor .should .always .be .set .at .1cm/min. .- .CORRECT
.ANSWER-False




T/F: .Both .internal .and .external .monitoring .methods .are .equally .accurate .means .of
.obtaining .the .fetal .heart .rate .and .contraction .patterns. .- .CORRECT .ANSWER-False




T/F: .The .external .toco .is .usually .placed .over .the .uterine .fundus .to .pick .up .contractions. .-
.CORRECT .ANSWER-True




T/F: .The .external .toco .gives .measurable .uterine .pressure. .- .CORRECT .ANSWER-False



T/F: .The .fetal .spiral .electrode .can .be .placed .when .vaginal .bleeding .of .unknown .origin .is
.present. .- .CORRECT .ANSWER-False




T/F: .The .ultrasound .transducer .is .usually .placed .on .the .side .of .the .uterus .over .the .baby's
.back, .as .the .fetal .heart .is .heard .best .there. .- .CORRECT .ANSWER-True




T/F: .The .spiral .electrode .is .used .to .more .accurately .determine .the .frequency, .duration,
.and .intensity .of .uterine .contractions. .- .CORRECT .ANSWER-False




T/F: .The .heart .rate .from .a .well-applied .fetal .spiral .electrode .can .only .be .fetal, .not
.maternal. .- .CORRECT .ANSWER-False

, T/F: .The .intrauterine .catheter .is .used .to .pick .up .the .fetal .heart .rate. .- .CORRECT .ANSWER-
False



T/F: .The .internal .spiral .electrode .may .pick .up .the .maternal .heart .rate .if .the .baby .has
.died. .- .CORRECT .ANSWER-True




T/F: .Fetal .arrhythmias .can .be .seen .on .both .internal .and .external .monitor .tracings. .-
.CORRECT .ANSWER-True




T/F: .Variability .and .periodic .changes .can .be .detected .with .both .internal .and .external
.monitoring. .- .CORRECT .ANSWER-True




T/F: .Variable .decelerations .are .a .result .of .cord .compression. .- .CORRECT .ANSWER-True



T/F: .The .presence .of .FHR .accelerations .in .the .intrapartum .and .antepartum .periods .is .a
.sign .of .adequate .fetal .oxygenation. .- .CORRECT .ANSWER-True




T/F: .Variable .decelerations .are .a .vagal .response. .- .CORRECT .ANSWER-True



T/F: .Late .decelerations .have .a .gradual .decrease .in .FHR .(onset .to .nadir .30 .seconds) .and
.are .delayed .in .timing .with .the .nadir .of .the .deceleration .occurring .after .the .peak .of .the

.contraction. .- .CORRECT .ANSWER-True




T/F: .The .fetal .heart .rate .baseline .can .be .determined .during .periods .of .marked .variability.
.- .CORRECT .ANSWER-False




T/F: .Anything .that .affects .maternal .blood .flow .(cardiac .output) .can .affect .the .blood .flow
.through .the .placenta. .- .CORRECT .ANSWER-True