NCC Electronic Fetal Monitoring Certification Exam Questions and Answers (2025/2026) (Verified Answers)

NCC Electronic Fetal Monitoring Certification
Exam Questions and Answers (2025/2026)
(Verified Answers)


1. Which of the following factors can have a negative effect on uterine blood
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flow?
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a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above ANS:e.All of the above
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2. How does the fetus compensate for decreased maternal circulating vol-
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ume?
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a. Increases cardiac output by increasing stroke volume.
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b. Increases cardiac output by increasing it's heart rate.
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c. Increasescardiacoutputbyincreasingfetalmovement. ANS:b.Increases
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cardiac output by increasing it's heart rate.
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3. Stimulating the vagus nerve typically produces: L L L L L




a. A decrease in the heart rate
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b. An increase in the heart rate
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c. An increase in stroke volume
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d. No change ANS:a.A decrease in the heart rate
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,4. What initially causes a chemoreceptor response?
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a. Epidurals
b. Supine maternal position L L




c. Increased CO2 levels L L




d. Decreased O2 levels L L




e. A & CL L




f. A & B
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g. C & D ANS:g.C & D
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5. The vagus nerve begins maturation 26 to 28 weeks.Its dominance results in
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what effect to the FHR baseline?
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a. Increases baseline L




b. Decreases baseline ANS:b.Decreases baseline L L L L L




6. T/F:Oxygenexchangeintheplacentatakesplaceintheintervillousspace.-
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ANS: True L




7. T/F:The parasympathetic nervous system is a cardioaccelerator. ANS:False
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8. T/F:Baroreceptors are stretch receptors which respond to increases or
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decreases in blood pressure. ANS: True
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9. T/F:Therearetwoelectronicfetalmonitoring methodsofobtainingthefetal
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heart rate: the ultrasound transducer and the fetal spiral electrode. ANS: True
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10. T/F:Variability can be determined with the fetoscope. ANS:False
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,11. T/F:Because the ultrasound transducer and toco transducer are sealed
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units, they can be dipped in warm water to make cleaning easier. ANS: False
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12. T/F:The most common artifact with the ultrasound transducer system for
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fetal heart rate is increased variability. ANS: True
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13. T/F:All fetal monitors contain a logic system designed to reject artifact.: -
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ANS True L




14. T/F:The monitor should always be tested before starting a tracing,either
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external or internal mode and labeled a test. ANS: True
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15. T/F:Thepaperspeedonthefetalmonitorshouldalwaysbesetat1cm/min.-
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ANS: False L




16. T/F:Both internal and external monitoring methods are equally accurate
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means of obtaining the fetal heart rate and contraction patterns. ANS: False
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17. T/F:The external toco is usually placed over the uterine fundus to pick up
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contractions. ANS: True
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18. T/F:The external toco gives measurable uterine pressure. ANS:False
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19. T/F:The fetal spiral electrode can be placed when vaginal bleeding of
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unknown origin is present. ANS: False
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20. T/F:The ultrasound transducer is usually placed on the side of the uterus over
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the baby's back, as the fetal heart is heard best there. ANS: True
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21. T/F:Thespiralelectrodeisusedtomoreaccuratelydeterminethefrequen- cy,
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duration, and intensity of uterine contractions. ANS: False
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22. T/F:The heart rate from a well-applied fetal spiral electrode can only be
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fetal, not maternal. ANS: False
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23. T/F:The intrauterine catheter is used to pick up the fetal heart rate. ANS: False
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24. T/F:The internal spiral electrode may pick up the maternal heart rate if the
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baby has died. ANS: True
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25. T/F: Fetal arrhythmias can be seen on both internal and external monitor
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, Ld tracings. ANS: True Ld Ld




26. T/F:Variability and periodic changes can be detected with both internal
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and external monitoring. ANS: True
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27. T/F:Variable decelerations are a result of cord compression. ANS: True
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28. T/F:The presence of FHR accelerations in the intrapartum and antepartum
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periods is a sign of adequate fetal oxygenation. ANS: True
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29. T/F:Variable decelerations are a vagal response.ANS: True
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30. T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
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seconds) and are delayed in timing with the nadir of the deceleration occurring
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after the peak of the contraction. ANS: True
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31. T/F: The fetal heart rate baseline can be determined during periods of
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marked variability. ANS: False
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