NCC ELECTRONIC FETAL MONITORING CERTIFICATION TEST EXAM QUESTIONS AND CORRECT ANSWERS 2026

Which of the following factors can have a nega ve effect on uterine blood flow?

a. Hypertension

b. Epidural

c. Hemorrhage

d. Diabetes

e. All of the above - maternal newborn proctored exame. All of the above



How does the fetus compensate for decreased maternal circula ng volume?

a. Increases cardiac output by increasing stroke volume.

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

c. Increases cardiac output by increasing fetal movement. - maternal newborn proctored examb.
Increases cardiac output by increasing it's heart rate.



S mula ng the vagus nerve typically produces:

a. A decrease in the heart rate

b. An increase in the heart rate

c. An increase in stroke volume

d. No change - maternal newborn proctored exama. A decrease in the heart rate



What ini ally causes a chemoreceptor response?

a. Epidurals

,b. Supine maternal posi on

c. Increased CO2 levels

d. Decreased O2 levels

e. A & C

f. A & B

g. C & D - maternal newborn proctored examg. C & D



The vagus nerve begins matura on 26 to 28 weeks. Its dominance results in what effect to the
FHR baseline?

a. Increases baseline

b. Decreases baseline - maternal newborn proctored examb. Decreases baseline



T/F: Oxygen exchange in the placenta takes place in the intervillous space. - maternal newborn
proctored examTrue



T/F: The parasympathe c nervous system is a cardioaccelerator. - maternal newborn proctored
examFalse



T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood
pressure. - maternal newborn proctored examTrue



T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the
ultrasound transducer and the fetal spiral electrode. - maternal newborn proctored examTrue



T/F: Variability can be determined with the fetoscope. - maternal newborn proctored examFalse



T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be
dipped in warm water to make cleaning easier. - maternal newborn proctored examFalse

,T/F: The most common ar fact with the ultrasound transducer system for fetal heart rate is
increased variability. - maternal newborn proctored examTrue



T/F: All fetal monitors contain a logic system designed to reject ar fact. - maternal newborn
proctored examTrue



T/F: The monitor should always be tested before star ng a tracing, either external or internal
mode and labeled a test. - maternal newborn proctored examTrue



T/F: In the U.S. the paper speed on the fetal monitor is set at 3cm/min. - maternal newborn
proctored examTrue



T/F: Both internal and external monitoring methods are equally accurate means of obtaining the
fetal heart rate and contrac on pa erns. - maternal newborn proctored examFalse



T/F: The external toco is usually placed over the uterine fundus to pick up contrac ons. -
maternal newborn proctored examTrue



T/F: The external toco gives measurable uterine pressure. - maternal newborn proctored
examFalse



T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present.
- maternal newborn proctored examFalse



T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back,
as the fetal heart is heard best there. - maternal newborn proctored examTrue

, T/F: The spiral electrode is used to more accurately determine the frequency, dura on, and
intensity of uterine contrac ons. - maternal newborn proctored examFalse



T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal. -
maternal newborn proctored examFalse



T/F: The intrauterine catheter is used to pick up the fetal heart rate. - maternal newborn
proctored examFalse



T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died. -
maternal newborn proctored examTrue



T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - maternal
newborn proctored examTrue



T/F: Variability and periodic changes can be detected with both internal and external
monitoring. - maternal newborn proctored examTrue



T/F: Variable decelera ons are a result of cord compression. - maternal newborn proctored
examTrue



T/F: The presence of FHR accelera ons in the intrapartum and antepartum periods is a sign of
adequate fetal oxygena on at the me that it is observed - maternal newborn proctored
examTrue



T/F: Variable decelera ons are a vagal response. - maternal newborn proctored examTrue