NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAMPREP ELITE REVIEW
WITH PRACTICE QUESTIONS AND
ANSWERS 2026
• The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG . Answer: B. R to R intervals of the
fetal heart
• The optimal location for the ultrasound transducer for the fetus .
Answer: the fetal back
• First step when contraction pattern is weird with IUPC in place .
Answer: re zero the IUPC
• Membranes ruptured 60 minutes ago and now you see prolonged
deceleration, first step: . Answer: perform a vaginal exam
• A woman who is admitted for an induction of labor with oxytocin is
questioning the need for continuous EFM. The appropriate response to
the woman is.
A. hospital policy requires all patients have continuous EFM
,B. I would like to answer your questions about continuous monitoring
and give you some information about why it is recommended
C. Nurses have more training with continuous monitoring than with
intermittent auscultation so it is safer for you and baby . Answer: B. I
would like to answer your questions about continuous monitoring and
give you some information about why it is recommended
• The process by which oxygen and carbon dioxide pass from a region of
higher concentration to one of lower concentration is called:
a. active transport
b. simple diffusion
c. facilitated diffusion . Answer: B. simple diffusion
• The greater affinity that fetal hemoglobin has for oxygen allows for:
a. easier release of oxygen to the tissues
b. greater binding of oxygen
c. stimulation of erythropoietin release . Answer: b. greater binding of
oxygen
• which statement best describes the relationship between maternal and
fetal hemoglobin levels?
a. fetal hemoglobin is higher than maternal hemoglobin
b. maternal hemoglobin is higher than fetal hemoglobin
c. maternal and fetal hemoglobin is the same . Answer: a. fetal
hemoglobin is higher than maternal hemoglobin
,• In the healthy fetus, blood flows from the right atrium to the left atrium
through the:
a. ductus arteriosis
b. ductus venosus
c. Forman ovale . Answer: c. foramen ovale
• In the healthy fetus, the umbilical cord enters the fetal abdomen and
bypasses the liver through the
a. ductus arteriosis
b. ductus venosus
c. Forman ovale . Answer: b. ductus venosus
• Stimulation of the sympathetic nervous system causes the fetal heart
rate to
a. decrease
b. increase
c. remain the same . Answer: b. increase
• baroreceptors respond mainly to changes in
a. blood pressure
b. hormonal changes
c. oxygen and carbon dioxide levels . Answer: a. blood pressure
, • Which statement describes normal uterine activity
a. frequency of 1.5 - 2 minutes
b. intensity of 90mmhg early in labor
c. resting tone less than 20-25 mmHg . Answer: c. resting tone less than
20-25mmhg
• Greater than 5 contractions in 10 minutes averaged over 30 minutes
indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole . Answer: c. tachysystole
• tracing showing early phase of labor. External toco being used and
contractions have "spiky appearance" this is due to:
a. artificat
b. fetal kicks
c. maternal respirations . Answer: c. maternal respirations
• Tracing showing minimal variability. 10 minutes prior to this was cat
1. The appropriate action at this time is to:
a. apply oxygen
b. continue to observe
c. perform scalp stimulation . Answer: b. continue to observe
CERTIFICATION EXAMPREP ELITE REVIEW
WITH PRACTICE QUESTIONS AND
ANSWERS 2026
• The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG . Answer: B. R to R intervals of the
fetal heart
• The optimal location for the ultrasound transducer for the fetus .
Answer: the fetal back
• First step when contraction pattern is weird with IUPC in place .
Answer: re zero the IUPC
• Membranes ruptured 60 minutes ago and now you see prolonged
deceleration, first step: . Answer: perform a vaginal exam
• A woman who is admitted for an induction of labor with oxytocin is
questioning the need for continuous EFM. The appropriate response to
the woman is.
A. hospital policy requires all patients have continuous EFM
,B. I would like to answer your questions about continuous monitoring
and give you some information about why it is recommended
C. Nurses have more training with continuous monitoring than with
intermittent auscultation so it is safer for you and baby . Answer: B. I
would like to answer your questions about continuous monitoring and
give you some information about why it is recommended
• The process by which oxygen and carbon dioxide pass from a region of
higher concentration to one of lower concentration is called:
a. active transport
b. simple diffusion
c. facilitated diffusion . Answer: B. simple diffusion
• The greater affinity that fetal hemoglobin has for oxygen allows for:
a. easier release of oxygen to the tissues
b. greater binding of oxygen
c. stimulation of erythropoietin release . Answer: b. greater binding of
oxygen
• which statement best describes the relationship between maternal and
fetal hemoglobin levels?
a. fetal hemoglobin is higher than maternal hemoglobin
b. maternal hemoglobin is higher than fetal hemoglobin
c. maternal and fetal hemoglobin is the same . Answer: a. fetal
hemoglobin is higher than maternal hemoglobin
,• In the healthy fetus, blood flows from the right atrium to the left atrium
through the:
a. ductus arteriosis
b. ductus venosus
c. Forman ovale . Answer: c. foramen ovale
• In the healthy fetus, the umbilical cord enters the fetal abdomen and
bypasses the liver through the
a. ductus arteriosis
b. ductus venosus
c. Forman ovale . Answer: b. ductus venosus
• Stimulation of the sympathetic nervous system causes the fetal heart
rate to
a. decrease
b. increase
c. remain the same . Answer: b. increase
• baroreceptors respond mainly to changes in
a. blood pressure
b. hormonal changes
c. oxygen and carbon dioxide levels . Answer: a. blood pressure
, • Which statement describes normal uterine activity
a. frequency of 1.5 - 2 minutes
b. intensity of 90mmhg early in labor
c. resting tone less than 20-25 mmHg . Answer: c. resting tone less than
20-25mmhg
• Greater than 5 contractions in 10 minutes averaged over 30 minutes
indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole . Answer: c. tachysystole
• tracing showing early phase of labor. External toco being used and
contractions have "spiky appearance" this is due to:
a. artificat
b. fetal kicks
c. maternal respirations . Answer: c. maternal respirations
• Tracing showing minimal variability. 10 minutes prior to this was cat
1. The appropriate action at this time is to:
a. apply oxygen
b. continue to observe
c. perform scalp stimulation . Answer: b. continue to observe
