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. Whichofthe following factorscanhavea negativeeffectonuterineblood flow?
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a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above:ANSe.All of the above
yp yp yp p
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2. Howdoesthefetuscompensatefordecreasedmaternalcirculatingvol-
yp yp yp yp yp yp yp yp yp




ume?
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a. Increasescardiac output by increasing stroke volume. yp yp yp yp yp yp




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




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: yp yp yp yp yp




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




b. An increase in the heart rate
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c. An increase in stroke volume
yp yp yp yp




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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1/116
yp yp

,a. Epidurals
b. Supine maternal position yp yp




c. Increased CO2 levels yp yp




d. Decreased O2 levels yp yp




e. A & C yp yp




f. A & B
yp yp




g. C & D ANS:g.C & D
yp yp yp p
y yp yp yp




5. The vagus nerve begins maturation 26 to 28 weeks.Its dominance results in
yp yp yp yp yp yp yp yp p
y yp yp yp




what effect to the FHR baseline?
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a. Increases baseline yp




b. Decreases baseline ANS:b.Decreases baseline yp yp p
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6. T/F:Oxygenexchangeintheplacentatakesplaceintheintervillousspace.-
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ANS:True p
y




7. T/F:Theparasympathetic nervous system is a cardioaccelerator. ANS:False
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y




8. T/F:Baroreceptorsare stretchreceptorswhichrespond toincreasesor
p
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decreases in blood pressure. ANS: True
yp yp yp yp yp yp




9. T/F:Therearetwoelectronicfetalmonitoringmethodsofobtainingthefetal
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y p
y p
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y p
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y p
y p
y




heart rate: the ultrasound transducer and the fetal spiral electrode. ANS: True
yp yp yp yp yp yp yp yp yp yp yp yp




10. T/F:Variability can be determined with the fetoscope. ANS:False
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y yp yp yp yp yp yp yp p
y




2/116
yp yp

,11. T/F:Because the ultrasound transducer and toco transducer are sealed
p
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units, they can be dipped in warm water to make cleaning easier. ANS: False
yp yp yp yp yp yp yp yp yp yp yp yp yp yp




12. T/F:Themost common artifact with the ultrasound transducer system for fetal
p
y yp yp yp yp yp yp yp yp yp yp




heart rate is increased variability. ANS: True
yp yp yp yp yp yp yp




13. T/F:All fetal monitors contain a logic system designed to reject artifact.:-
p
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y




ANS True yp




14. T/F:Themonitor should always be tested before starting a tracing,either
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y yp yp yp yp yp yp yp yp yp p
y




external or internal mode and labeled a test. ANS: True
yp yp yp yp yp yp yp yp yp yp




15. T/F:Thepaperspeedonthefetalmonitorshouldalwaysbesetat1cm/min.-
p
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y p
y p
y p
y p
y p
y p
y




ANS:False p
y




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
yp yp yp yp yp yp yp yp yp yp yp yp




17. T/F:Theexternaltocois usuallyplacedovertheuterine fundustopick up
p
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contractions. ANS: True
yp yp yp




18. T/F:The external toco gives measurable uterine pressure. ANS:False
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y




19. T/F:Thefetalspiralelectrodecanbe placedwhenvaginalbleedingof
p
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unknown origin is present. ANS: False
yp yp yp yp yp yp




20. T/F:Theultrasound transducer is usually placed on the side of the uterus over
p
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the baby's back,as the fetal heart is heard best there. ANS:True
yp yp yp yp yp yp yp yp yp yp yp yp yp




21. T/F:Thespiralelectrodeisusedtomoreaccuratelydeterminethefrequen- cy,
p
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y p
y p
y p
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y p
y p
y p
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duration, and intensity of uterine contractions. ANS: False
yp yp yp yp yp yp yp yp




22. T/F:Theheart rate from a well-applied fetal spiral electrode can only be fetal,
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not maternal. ANS: False
yp yp yp yp




23. T/F:The intrauterine catheter is used to pick up the fetal heart rate. ANS:False
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y




24. T/F:Theinternalspiralelectrodemaypickupthematernalheartrateifthe baby
p
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y p
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y p
y p
y p
y p
y p
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has died. ANS: True
yp yp yp yp




25. T/F:Fetal arrhythmias can be seen on both internal and external monitor
p
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3/116yp yp

, yptracings. ANS: True yp yp




26. T/F:Variabilityandperiodic changescanbe detectedwith bothinternal and
p
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external monitoring. ANS: True
yp yp yp yp




27. T/F:Variabledecelerations are a result of cord compression. ANS:True
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y




28. T/F:ThepresenceofFHRaccelerationsintheintrapartumandantepartum
p
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y p
y p
y p
y p
y p
y p
y p
y p
y




periods is a sign of adequate fetal oxygenation. ANS: True
yp yp yp yp yp yp yp yp yp yp




29. T/F:Variabledecelerations are a vagal response. ANS:True
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y




30. T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
p
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seconds)andare delayedintimingwiththe nadirof the decelerationoccurring after
yp p
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the peak of the contraction. ANS: True
yp yp yp yp yp yp yp




31. T/F: The fetal heart rate baseline can be determined during periods of
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marked variability. ANS: False
yp yp yp yp




4/116
yp yp