NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {470 Q & A}
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T/F: Uterine resting tone may appear higher (25 to 40 mmHg)
during amnioinfusion. - ✔✔✔ Correct Answer > True
The fetus responds to a significant drop of PO2 by
A. Increasing O2 consumption
B. Reducing lactic acid production
C. Shifting blood to vital organs - ✔✔✔ Correct Answer > C. Shifting
blood to vital organs
_______ denotes a decrease in oxygenation of the fetal tissues.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - ✔✔✔ Correct Answer > B. Hypoxia
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Which FHR tracing features must be assessed to distinguish
arrhythmias from artifact?
A. Shape and regularity of the spikes
B. Spikes and variability
C. Spikes and baseline - ✔✔✔ Correct Answer > A. Shape and
regularity of the spikes
How might a fetal arrhythmia affect fetal oxygenation?
A. By increasing fetal oxygen affinity
B. By increasing sympathetic response
C. By reducing fetal perfusion - ✔✔✔ Correct Answer > C. By reducing
fetal perfusion
_______ denotes a decrease in oxygen content of the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - ✔✔✔ Correct Answer > C. Hypoxemia
_______ denotes an increase in carbon dioxide in the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - ✔✔✔ Correct Answer > A. Hypercapnia
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_______ denotes an increase in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - ✔✔✔ Correct Answer > B. Acidemia
_______ denotes an increase in hydrogen ions in the fetal tissues.
A. Acidosis
B. Acidemia
C. Hypercapnia - ✔✔✔ Correct Answer > A. Acidosis
_______ _______ occurs when there is low bicarbonate (base
excess) in the presence of normal pressure of carbon dioxide
(PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ✔✔✔ Correct Answer > A. Metabolic acidosis
_______ _______ occurs when there is high PCO2 with normal
bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
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C. Metabolic alkalosis - ✔✔✔ Correct Answer > B. Respiratory acidosis
_______ _______ occurs when the HCO3 concentration is lower
than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - ✔✔✔ Correct Answer > A. Base deficit
_______ _______ occurs when the HCO3 concentration is higher
than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - ✔✔✔ Correct Answer > B. Base excess
_______ is defined as the energy-consuming process of
metabolism. - ✔✔✔ Correct Answer > Anabolism
_______ is defined as the energy-releasing process of
metabolism. - ✔✔✔ Correct Answer > Catabolism
T/F: It is an appropriate intervention to perform fetal scalp
stimulation during a deceleration. - ✔✔✔ Correct Answer > False