1|Page
dt dt dt dt dt
NCC Electronic Fetal Monitoring dt dt dt
Certification EFM Actual Exam and 2026 dt dt dt dt dtdt
FHR patterns are those associated with uterine contractions.
dt dt dt dt dt dt dt
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-A. Periodic dt dt
FHR patterns are those that are not associated with uterine contractions.
dt dt dt dt dt dt dt dt dt dt
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-B. Episodic dt dt
Which of the following is not a likely cause of a sinusoidal FHR pattern?
dt dt dt dt dt dt dt dt dt dt dt dt dt
A. Chronic fetal bleeding dt dt
B. Fetal hypoxia or anemia dt dt dt
C. Triple screen positive for Trisomy 21
dt dt dt dt dt
D. Fetal isoimmunization -correct-answer-C. Triple screen positive for Trisomy 21
dt dt dt dt dt dt dt dt
,2|Page
dt dt dt dt dt
Which of the following factors is not likely to cause uteroplacental insufficiency?
dt dt dt dt dt dt dt dt dt dt dt
A. Late-term gestation dt
B. Preeclampsia
C. Gestational diabetes dt
D. Polyhydramnios
E. Maternal smoking or drug use -correct-answer-D. Polyhydramnios
dt dt dt dt dt dt
Which of the following are considered determinants of fetal well-
dt dt dt dt dt dt dt dt dt
being? (Select all that apply). dt dt dt dt
A. Absence of decelerations in FHR dt dt dt dt
B. Palpation of fetal movement dt dt dt
C. Presence of accelerations in FHR dt dt dt dt
D. Moderate variability in FHR dt dt dt
E. Presence of early decelerations in second stage -correct-answer-
dt dt dt dt dt dt dt
C. Presence of accelerations in FHR
dt dt dt dt dt
D. Moderate variability in FHR
dt dt dt dt
When auscultation is used for fetal assessment during labor for a low-
dt dt dt dt dt dt dt dt dt dt dt
risk woman, the FHR should be auscultated in the first stage of labor every
dt dt dt dt dt dt dt dt dt dt dt dt dt
A. 5 min
dt dt
,3|Page
dt dt dt dt dt
B. 15-30 min
dt dt
C. 60 min -correct-answer-B. 15-30 min
dt dt dt dt dt
For a low-risk woman in the second stage of labor, the FHR should be auscultated every
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A. 5-15 min
dt dt
B. 30 min
dt dt
C. 60 min -correct-answer-A. 5-15 min
dt dt dt dt dt
The normal FHR baseline
dt dt dt
A. Decreases during labor
dt dt dt
B. Fluctuates during labor
dt dt dt
C. Increases during labor -correct-answer-B. Fluctuates during labor
dt dt dt dt dt dt dt
Bradycardia in the second stage of labor following a previously normal tracing may b
dt dt dt dt dt dt dt dt dt dt dt dt dt
e caused by fetal
dt dt dt
A. Hypoxemia
dt
B. Rotation
dt
C. Vagal stimulation -correct-answer-C. Vagal stimulation
dt dt dt dt dt
, 4|Page
dt dt dt dt dt
A likely cause of fetal tachycardia with moderate variability is
dt dt dt dt dt dt dt dt dt
A. Fetal hypoxemia
dt dt
B. Maternal fever
dt dt
C. Vagal stimulation -correct-answer-B. Maternal fever
dt dt dt dt dt
Reduction in FHR variability can result from dt dt dt dt dt dt
A. Fetal scalp stimulation
dt dt dt
B. Medication administration
dt dt
C. Vaginal examination -correct-answer-B. Medication administration
dt dt dt dt dt
The primary goal in treatment for late decelerations is to
dt dt dt dt dt dt dt dt dt
A. Correct cord compression
dt dt dt
B. Improve maternal oxygenation
dt dt dt
C. Maximize uteroplacental blood flow -correct-answer-
dt dt dt dt dt
C. Maximize uteroplacental blood flow
dt dt dt dt
The most frequently observed type of FHR deceleration is
dt dt dt dt dt dt dt dt
A. Early
dt
B. Latedt
C. Variable -correct-answer-C. Variable
dt dt dt
dt dt dt dt dt
NCC Electronic Fetal Monitoring dt dt dt
Certification EFM Actual Exam and 2026 dt dt dt dt dtdt
FHR patterns are those associated with uterine contractions.
dt dt dt dt dt dt dt
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-A. Periodic dt dt
FHR patterns are those that are not associated with uterine contractions.
dt dt dt dt dt dt dt dt dt dt
A. Periodic
B. Episodic
C. Recurrent
D. Irregular -correct-answer-B. Episodic dt dt
Which of the following is not a likely cause of a sinusoidal FHR pattern?
dt dt dt dt dt dt dt dt dt dt dt dt dt
A. Chronic fetal bleeding dt dt
B. Fetal hypoxia or anemia dt dt dt
C. Triple screen positive for Trisomy 21
dt dt dt dt dt
D. Fetal isoimmunization -correct-answer-C. Triple screen positive for Trisomy 21
dt dt dt dt dt dt dt dt
,2|Page
dt dt dt dt dt
Which of the following factors is not likely to cause uteroplacental insufficiency?
dt dt dt dt dt dt dt dt dt dt dt
A. Late-term gestation dt
B. Preeclampsia
C. Gestational diabetes dt
D. Polyhydramnios
E. Maternal smoking or drug use -correct-answer-D. Polyhydramnios
dt dt dt dt dt dt
Which of the following are considered determinants of fetal well-
dt dt dt dt dt dt dt dt dt
being? (Select all that apply). dt dt dt dt
A. Absence of decelerations in FHR dt dt dt dt
B. Palpation of fetal movement dt dt dt
C. Presence of accelerations in FHR dt dt dt dt
D. Moderate variability in FHR dt dt dt
E. Presence of early decelerations in second stage -correct-answer-
dt dt dt dt dt dt dt
C. Presence of accelerations in FHR
dt dt dt dt dt
D. Moderate variability in FHR
dt dt dt dt
When auscultation is used for fetal assessment during labor for a low-
dt dt dt dt dt dt dt dt dt dt dt
risk woman, the FHR should be auscultated in the first stage of labor every
dt dt dt dt dt dt dt dt dt dt dt dt dt
A. 5 min
dt dt
,3|Page
dt dt dt dt dt
B. 15-30 min
dt dt
C. 60 min -correct-answer-B. 15-30 min
dt dt dt dt dt
For a low-risk woman in the second stage of labor, the FHR should be auscultated every
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
A. 5-15 min
dt dt
B. 30 min
dt dt
C. 60 min -correct-answer-A. 5-15 min
dt dt dt dt dt
The normal FHR baseline
dt dt dt
A. Decreases during labor
dt dt dt
B. Fluctuates during labor
dt dt dt
C. Increases during labor -correct-answer-B. Fluctuates during labor
dt dt dt dt dt dt dt
Bradycardia in the second stage of labor following a previously normal tracing may b
dt dt dt dt dt dt dt dt dt dt dt dt dt
e caused by fetal
dt dt dt
A. Hypoxemia
dt
B. Rotation
dt
C. Vagal stimulation -correct-answer-C. Vagal stimulation
dt dt dt dt dt
, 4|Page
dt dt dt dt dt
A likely cause of fetal tachycardia with moderate variability is
dt dt dt dt dt dt dt dt dt
A. Fetal hypoxemia
dt dt
B. Maternal fever
dt dt
C. Vagal stimulation -correct-answer-B. Maternal fever
dt dt dt dt dt
Reduction in FHR variability can result from dt dt dt dt dt dt
A. Fetal scalp stimulation
dt dt dt
B. Medication administration
dt dt
C. Vaginal examination -correct-answer-B. Medication administration
dt dt dt dt dt
The primary goal in treatment for late decelerations is to
dt dt dt dt dt dt dt dt dt
A. Correct cord compression
dt dt dt
B. Improve maternal oxygenation
dt dt dt
C. Maximize uteroplacental blood flow -correct-answer-
dt dt dt dt dt
C. Maximize uteroplacental blood flow
dt dt dt dt
The most frequently observed type of FHR deceleration is
dt dt dt dt dt dt dt dt
A. Early
dt
B. Latedt
C. Variable -correct-answer-C. Variable
dt dt dt