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NCC Electronic Fetal Monitoring Certification Exam Prep: 700+ Q&A with Rationales

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Pass the NCC EFM certification with this comprehensive study guide featuring 700+ practice questions and correct answers. Covers FHR interpretation, Category I/II/III tracings, decelerations, NST/CST/BPP, maternal-fetal physiology, and clinical interventions. Updated for 2026/2027. Perfect for labor and delivery nurses, OB nurses, nurse midwives, and maternal-fetal medicine professionals.

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NCC Electronic Fetal Monitoring
Certification Exam Questions with
Correct 100% Verified Solutions
|GRADED A+ LATEST UPDATE
2026/2027
T/F: The intrauterine catheter is used to pick up the fetal heart rate. ANS
✓False


T/F: The internal spiral electrode may pick up the maternal heart rate ifthe
baby has died. ANS ✓True


T/F: Fetal arrhythmias can be seen on both internal and externalmonitor
tracings. ANS ✓True


T/F: Variability and periodic changes can be detected with both internaland
external monitoring. ANS ✓True



T/F: Variable decelerations are a result of cord compression. ANS✓True


T/F: The presence of FHR accelerations in the intrapartum andantepartum
periods is a sign of adequate fetal oxygenation at the timethat it is observed
ANS ✓True



T/F: Variable decelerations are a vagal response. ANS ✓True




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T/F: Late decelerations have a gradual decrease in FHR (onset to nadir30
seconds) and are delayed in timing with the nadir of the
decelerationoccurring after the peak of the contraction. ANS ✓True


T/F: The fetal heart rate baseline can be determined during periods
ofmarked variability. ANS ✓False


T/F: Anything that affects maternal blood flow (cardiac output) canaffect the
blood flow through the placenta. ANS ✓True


T/F: Variable decelerations are the most frequently seen fetal heart
ratedeceleration pattern in labor. ANS ✓True


T/F: Minimal variability is always an indicator of hypoxia and a
Caesarean section is indicated. ANS ✓False


What is your first intervention in management of a patientexperiencing
variable decelerations? a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen

e. Stop oxytocin infusion ANS ✓b. Change maternal position


Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever 3. Maternal dehydration
4. Unknown
a. 1 and 2



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b. 1, 2 and 3

c. 2, 3 and 4 ANS ✓c. 2, 3 and 4


What is the most probable cause of recurrent latedecelerations? a. Utero
placental insufficiency
b. Head compression
c. Cord compression

d. Maternal position change ANS ✓a. Utero placental insufficiency


The most prevalent risk factor associated with fetal death before theonset of
labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency

d. Uterine anomalies ANS ✓c. Uteroplacental insufficiency


Which of the following is NOT used for antepartum fetalsurveillance? a. Fetal
movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing

d. Maternal HCG levels ANS ✓d. Maternal HCG levels


Which of the following conditions is not an indication for antepartumfetal
surveillance?
a. Gestational hypertension




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b. Diabetes in pregnancy
c. Fetus in breech presentation

d. Decreased fetal movement ANS ✓c. Fetus in breech presentation


Which of the following does not affect the degree of fetalactivity? a.
Vibroacoustic stimulation
b. Smoking
c. Fetal position

d. Gestational age ANS ✓a. Vibroacoustic stimulation


To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window

d. 2 fetal heart rate accelerations in a 20 minute window ANS ✓d. 2fetal heart
rate accelerations in a 20 minute window


If a nonstress test is nonreactive after 40 minutes, the next step shouldbe: a.
Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week

d. Admit the client for delivery ANS ✓b. Do a biophysical profile orcontraction
stress test


All of the following are components of a biophysical profileexcept: a.
Contraction stress test




NCC Electronic Fetal

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