NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2026 FULL
PREPARATION WITH CORRECT ANSWERS
◉ Which statement describes normal uterine activity?
A. Frequency of 1-1/2 to 2 minutes
B. Intensity of 90 mmHg early in labor
C. Resting tone less than 20-25 mmHg. Answer: C. Resting tone less
than 20-25 mmHg
◉ Greater than 5 contractions in 10 minutes averaged over 30
minutes indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole. Answer: C. Tachysystole
◉ A 36 week gestation patient is brought to triage by squad after an
MVA on her back. She is not bleeding and denies pain. She is not
short of breath, but c/o dizziness and nausea since they put her on
the gurney. The most likely cause is
A. Abruptio placenta
B. Preterm labor
,C. Supine hypotension. Answer: C. Supine hypotension
◉ One compensatory mechanism that helps maintain oxygen
availability to the fetus during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake. Answer: C. An increase in
uterine oxygen uptake
◉ When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises. Answer: A. Lowers
◉ A woman receives terbutaline for an external version. You may
expect what on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No change. Answer: B. Increase in baseline
◉ What affect does magnesium sulfate have on the fetal heart rate?
A. Decreases variability
,B. Increases variability
C. No change. Answer: A. Decreases variability
◉ NICHD guidelines apply only to
A. Intrapartum patients
B. Internal monitoring of fetal heart rate
C. Interpreting tracings of good quality. Answer: C. Interpreting
tracings of good quality
◉ According to NICHD terminology, variability can be accurately
accessed
A. Visually, by determining the number of R to R intervals in a one
minute period
B. Visually, by determining the amplitude of the FHR change in bpm
from the baseline
C. Only when a fetal spiral electrode is in place. Answer: B. Visually,
by determining the amplitude of the FHR change in bpm from the
baseline
◉ When looking at the fetal heart rate, the most important
characteristic to determine the absence of metabolic acidemia is
A. Absence of late decelerations
B. Baseline rate within normal range
, C. Presence of moderate variability. Answer: C. Presence of moderate
variability
◉ Sinusoidal pattern can be documented when
A. Cycles are 4-6 beats per minute in frequency
B. The pattern lasts 20 minutes or longer
C. There is moderate or minimal variability. Answer: B. The pattern
lasts 20 minutes or longer
◉ Vagal stimulation would be manifested as what type of fetal heart
rate pattern?
A. Acceleration
B. Early deceleration
C. Tachycardia. Answer: B. Early deceleration
◉ Which fetal monitoring pattern is characteristic of cephalopelvic
disproportion, especially when seen at the onset of labor?
A. Early deceleration
B. Late deceleration
C. Variable deceleration. Answer: A. Early deceleration
◉ A risk of amnioinfusion is
A. Prolonged labor
CERTIFICATION EXAM 2026 FULL
PREPARATION WITH CORRECT ANSWERS
◉ Which statement describes normal uterine activity?
A. Frequency of 1-1/2 to 2 minutes
B. Intensity of 90 mmHg early in labor
C. Resting tone less than 20-25 mmHg. Answer: C. Resting tone less
than 20-25 mmHg
◉ Greater than 5 contractions in 10 minutes averaged over 30
minutes indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole. Answer: C. Tachysystole
◉ A 36 week gestation patient is brought to triage by squad after an
MVA on her back. She is not bleeding and denies pain. She is not
short of breath, but c/o dizziness and nausea since they put her on
the gurney. The most likely cause is
A. Abruptio placenta
B. Preterm labor
,C. Supine hypotension. Answer: C. Supine hypotension
◉ One compensatory mechanism that helps maintain oxygen
availability to the fetus during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake. Answer: C. An increase in
uterine oxygen uptake
◉ When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises. Answer: A. Lowers
◉ A woman receives terbutaline for an external version. You may
expect what on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No change. Answer: B. Increase in baseline
◉ What affect does magnesium sulfate have on the fetal heart rate?
A. Decreases variability
,B. Increases variability
C. No change. Answer: A. Decreases variability
◉ NICHD guidelines apply only to
A. Intrapartum patients
B. Internal monitoring of fetal heart rate
C. Interpreting tracings of good quality. Answer: C. Interpreting
tracings of good quality
◉ According to NICHD terminology, variability can be accurately
accessed
A. Visually, by determining the number of R to R intervals in a one
minute period
B. Visually, by determining the amplitude of the FHR change in bpm
from the baseline
C. Only when a fetal spiral electrode is in place. Answer: B. Visually,
by determining the amplitude of the FHR change in bpm from the
baseline
◉ When looking at the fetal heart rate, the most important
characteristic to determine the absence of metabolic acidemia is
A. Absence of late decelerations
B. Baseline rate within normal range
, C. Presence of moderate variability. Answer: C. Presence of moderate
variability
◉ Sinusoidal pattern can be documented when
A. Cycles are 4-6 beats per minute in frequency
B. The pattern lasts 20 minutes or longer
C. There is moderate or minimal variability. Answer: B. The pattern
lasts 20 minutes or longer
◉ Vagal stimulation would be manifested as what type of fetal heart
rate pattern?
A. Acceleration
B. Early deceleration
C. Tachycardia. Answer: B. Early deceleration
◉ Which fetal monitoring pattern is characteristic of cephalopelvic
disproportion, especially when seen at the onset of labor?
A. Early deceleration
B. Late deceleration
C. Variable deceleration. Answer: A. Early deceleration
◉ A risk of amnioinfusion is
A. Prolonged labor
