NCC ELECTRONIC FETAL
MONITORING CERTIFICATION
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
A patient has a nonreactive NST and negative CST. Select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - ANSWERS-B. Repeat in 24 hours
For a patient with a suspicious or unsatisfactory CST, select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - ANSWERS-B. Repeat in 24 hours
In a patient whose CST reveals late decelerations with three out of the
four induced contractions, which of the following would be the least
appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - ANSWERS-C. Repeat CST in 24 hours
,For a patient at 38 weeks' gestation with a BPP score of 6, select the
most appropriate course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - ANSWERS-B. Consider induction
of labor
For a patient at 35 weeks' gestation with a BPP score of 4, select the
most appropriate course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - ANSWERS-C. Prepare
for probable induction of labor
(T/F) Vibroacoustic stimulation may be less effective for preterm
fetuses or when membranes have been ruptured. - ANSWERS-True
_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - ANSWERS-B. Venous
,(T/F) Metabolic acidosis is more easily reversible and potentially less
detrimental to the fetus when compared to respiratory acidosis. -
ANSWERS-False
(T/F) There is a strong correlation between arterial cord blood gas
results and Apgar scores. - ANSWERS-False
Which of the following fetal systems bear the greatest influence on
fetal pH?
A. Heart and lungs
B. Lungs and kidneys
C. Sympathetic and parasympathetic nervous systems - ANSWERS-
B. Lungs and kidneys
Your patient is a 41-year-old diabetic primigravida. You have just
performed a vaginal exam: 6/90/-1. The fetus has been having late
decels with absent to minimal variability and no accels for one hour,
despite interventions to improve the tracing. The provider arrives on
the unit and states that she will remain on the floor, and writes orders
to start oxytocin. You inform the physician that you are not
comfortable starting oxytocin based on maternal history, SVE, and
FHR tracing. The provider i - ANSWERS-C. Tell the physician that
you decline to start the oxytocin, and notify the physician that you are
activating your chain of command.
All of the following are components of liability except
A. Breach of duty
, B. Chain of command
C. Damages/loss - ANSWERS-B. Chain of command
If the EFM pattern you see does not fit any of the definitions for the
NICHD, you should
A. Choose the term closest to the pattern you see
B. Describe the tracing in detail
C. Do not chart the tracing, as there is no correlating terminology to
match it - ANSWERS-B. Describe the tracing in detail
When using SBAR communication, the "R" involves
A. Making a recommendation
B. Reporting pertinent lab results
C. Reviewing the patient's medical history - ANSWERS-A. Making a
recommendation
Which of the following is considered using the chain of command?
A. Asking the patient to talk with the provider directly
B. Notifying the charge nurse
C. Writing a variance report - ANSWERS-B. Notifying the charge
nurse
Elements of a malpractice claim include all of the following except
A. Breach of duty
B. Deposition
MONITORING CERTIFICATION
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
A patient has a nonreactive NST and negative CST. Select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - ANSWERS-B. Repeat in 24 hours
For a patient with a suspicious or unsatisfactory CST, select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - ANSWERS-B. Repeat in 24 hours
In a patient whose CST reveals late decelerations with three out of the
four induced contractions, which of the following would be the least
appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - ANSWERS-C. Repeat CST in 24 hours
,For a patient at 38 weeks' gestation with a BPP score of 6, select the
most appropriate course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - ANSWERS-B. Consider induction
of labor
For a patient at 35 weeks' gestation with a BPP score of 4, select the
most appropriate course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - ANSWERS-C. Prepare
for probable induction of labor
(T/F) Vibroacoustic stimulation may be less effective for preterm
fetuses or when membranes have been ruptured. - ANSWERS-True
_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - ANSWERS-B. Venous
,(T/F) Metabolic acidosis is more easily reversible and potentially less
detrimental to the fetus when compared to respiratory acidosis. -
ANSWERS-False
(T/F) There is a strong correlation between arterial cord blood gas
results and Apgar scores. - ANSWERS-False
Which of the following fetal systems bear the greatest influence on
fetal pH?
A. Heart and lungs
B. Lungs and kidneys
C. Sympathetic and parasympathetic nervous systems - ANSWERS-
B. Lungs and kidneys
Your patient is a 41-year-old diabetic primigravida. You have just
performed a vaginal exam: 6/90/-1. The fetus has been having late
decels with absent to minimal variability and no accels for one hour,
despite interventions to improve the tracing. The provider arrives on
the unit and states that she will remain on the floor, and writes orders
to start oxytocin. You inform the physician that you are not
comfortable starting oxytocin based on maternal history, SVE, and
FHR tracing. The provider i - ANSWERS-C. Tell the physician that
you decline to start the oxytocin, and notify the physician that you are
activating your chain of command.
All of the following are components of liability except
A. Breach of duty
, B. Chain of command
C. Damages/loss - ANSWERS-B. Chain of command
If the EFM pattern you see does not fit any of the definitions for the
NICHD, you should
A. Choose the term closest to the pattern you see
B. Describe the tracing in detail
C. Do not chart the tracing, as there is no correlating terminology to
match it - ANSWERS-B. Describe the tracing in detail
When using SBAR communication, the "R" involves
A. Making a recommendation
B. Reporting pertinent lab results
C. Reviewing the patient's medical history - ANSWERS-A. Making a
recommendation
Which of the following is considered using the chain of command?
A. Asking the patient to talk with the provider directly
B. Notifying the charge nurse
C. Writing a variance report - ANSWERS-B. Notifying the charge
nurse
Elements of a malpractice claim include all of the following except
A. Breach of duty
B. Deposition
