NCC Electronic Fetal Monitoring Certification Exam with Questions and Multiple Choices and Verified Answers 2025

NCC Electronic Fetal Monitoring
Certification Exam with Questions and
Multiple Choices and Verified Answers
2025




Which ,of ,the ,following ,factors ,can ,have ,a ,negative ,effect ,on ,uterine ,blood
,flow?
a. ,Hypertension
b. ,Epidural
c. ,Hemorrhage
d. ,Diabetes
e. ,All ,of ,the ,above ,- ,CORRECT ,ANSWER-e. ,All ,of ,the ,above

How ,does ,the ,fetus ,compensate ,for ,decreased ,maternal ,circulating ,volume?
a. ,Increases ,cardiac ,output ,by ,increasing ,stroke ,volume.
b. ,Increases ,cardiac ,output ,by ,increasing ,its ,heart ,rate.
c. ,Increases ,cardiac ,output ,by ,increasing ,fetal ,movement. ,- ,CORRECT
,ANSWER-b. ,Increases ,cardiac ,output ,by ,increasing ,its ,heart ,rate.


Stimulating ,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 ,- ,CORRECT ,ANSWER-a. ,A ,decrease ,in ,the ,heart ,rate

What ,initially ,causes ,a ,chemoreceptor ,response?
a. ,Epidurals
b. ,Supine ,maternal ,position
c. ,Increased ,CO2 ,levels
d. ,Decreased ,O2 ,levels
e. ,A ,& ,C
f. ,A ,& ,B
g. ,C ,& ,D ,- ,CORRECT ,ANSWER-g. ,C ,& ,D

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

,a. ,Increases ,baseline
b. ,Decreases ,baseline ,- ,CORRECT ,ANSWER-b. ,Decreases ,baseline

T/F: ,Oxygen ,exchange ,in ,the ,placenta ,takes ,place ,in ,the ,intervillous ,space. ,-
,CORRECT ,ANSWER-True


T/F: ,The ,parasympathetic ,nervous ,system ,is ,a ,cardioaccelerator. ,- ,CORRECT
,ANSWER-False


T/F: ,Baroreceptors ,are ,stretch ,receptors ,which ,respond ,to ,increases ,or
,decreases ,in ,blood ,pressure. ,- ,CORRECT ,ANSWER-True


T/F: ,There ,are ,two ,electronic ,fetal ,monitoring ,methods ,of ,obtaining ,the ,fetal
,heart ,rate: ,the ,ultrasound ,transducer ,and ,the ,fetal ,spiral ,electrode. ,- ,CORRECT
,ANSWER-True


T/F: ,Variability ,can ,be ,determined ,with ,the ,fetoscope. ,- ,CORRECT ,ANSWER-
False

T/F: ,Because ,the ,ultrasound ,transducer ,and ,toco ,transducer ,are ,sealed ,units,
,they ,can ,be ,dipped ,in ,warm ,water ,to ,make ,cleaning ,easier. ,- ,CORRECT
,ANSWER-False


T/F: ,The ,most ,common ,artifact ,with ,the ,ultrasound ,transducer ,system ,for ,fetal
,heart ,rate ,is ,increased ,variability. ,- ,CORRECT ,ANSWER-True


T/F: ,All ,fetal ,monitors ,contain ,a ,logic ,system ,designed ,to ,reject ,artifact. ,-
,CORRECT ,ANSWER-True


T/F: ,The ,monitor ,should ,always ,be ,tested ,before ,starting ,a ,tracing, ,either
,external ,or ,internal ,mode ,and ,labeled ,a ,test. ,- ,CORRECT ,ANSWER-True


T/F: ,The ,paper ,speed ,on ,the ,fetal ,monitor ,should ,always ,be ,set ,at ,1cm/min. ,-
,CORRECT ,ANSWER-False


T/F: ,Both ,internal ,and ,external ,monitoring ,methods ,are ,equally ,accurate ,means
,of ,obtaining ,the ,fetal ,heart ,rate ,and ,contraction ,patterns. ,- ,CORRECT
,ANSWER-False


T/F: ,The ,external ,toco ,is ,usually ,placed ,over ,the ,uterine ,fundus ,to ,pick ,up
,contractions. ,- ,CORRECT ,ANSWER-True


T/F: ,The ,external ,toco ,gives ,measurable ,uterine ,pressure. ,- ,CORRECT
,ANSWER-False

,T/F: ,The ,fetal ,spiral ,electrode ,can ,be ,placed ,when ,vaginal ,bleeding ,of ,unknown
,origin ,is ,present. ,- ,CORRECT ,ANSWER-False


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. ,- ,CORRECT ,ANSWER-
True

T/F: ,The ,spiral ,electrode ,is ,used ,to ,more ,accurately ,determine ,the ,frequency,
,duration, ,and ,intensity ,of ,uterine ,contractions. ,- ,CORRECT ,ANSWER-False


T/F: ,The ,heart ,rate ,from ,a ,well-applied ,fetal ,spiral ,electrode ,can ,only ,be ,fetal,
,not ,maternal. ,- ,CORRECT ,ANSWER-False


T/F: ,The ,intrauterine ,catheter ,is ,used ,to ,pick ,up ,the ,fetal ,heart ,rate. ,- ,CORRECT
,ANSWER-False


T/F: ,The ,internal ,spiral ,electrode ,may ,pick ,up ,the ,maternal ,heart ,rate ,if ,the
,baby ,has ,died. ,- ,CORRECT ,ANSWER-True


T/F: ,Fetal ,arrhythmias ,can ,be ,seen ,on ,both ,internal ,and ,external ,monitor
,tracings. ,- ,CORRECT ,ANSWER-True


T/F: ,Variability ,and ,periodic ,changes ,can ,be ,detected ,with ,both ,internal ,and
,external ,monitoring. ,- ,CORRECT ,ANSWER-True


T/F: ,Variable ,decelerations ,are ,a ,result ,of ,cord ,compression. ,- ,CORRECT
,ANSWER-True


T/F: ,The ,presence ,of ,FHR ,accelerations ,in ,the ,intrapartum ,and ,antepartum
,periods ,is ,a ,sign ,of ,adequate ,fetal ,oxygenation. ,- ,CORRECT ,ANSWER-True


T/F: ,Variable ,decelerations ,are ,a ,vagal ,response. ,- ,CORRECT ,ANSWER-True

T/F: ,Late ,decelerations ,have ,a ,gradual ,decrease ,in ,FHR ,(onset ,to ,nadir ,30
,seconds) ,and ,are ,delayed ,in ,timing ,with ,the ,nadir ,of ,the ,deceleration ,occurring
,after ,the ,peak ,of ,the ,contraction. ,- ,CORRECT ,ANSWER-True


T/F: ,The ,fetal ,heart ,rate ,baseline ,can ,be ,determined ,during ,periods ,of ,marked
,variability. ,- ,CORRECT ,ANSWER-False


T/F: ,Anything ,that ,affects ,maternal ,blood ,flow ,(cardiac ,output) ,can ,affect ,the
,blood ,flow ,through ,the ,placenta. ,- ,CORRECT ,ANSWER-True


T/F: ,Variable ,decelerations ,are ,the ,most ,frequently ,seen ,fetal ,heart ,rate
,deceleration ,pattern ,in ,labor. ,- ,CORRECT ,ANSWER-True

, T/F: ,Minimal ,variability ,is ,always ,an ,indicator ,of ,hypoxia ,and ,a ,Cesarean
,section ,is ,indicated. ,- ,CORRECT ,ANSWER-False


What ,is ,your ,first ,intervention ,in ,management ,of ,a ,patient ,experiencing ,variable
,decelerations?
a. ,Immediate ,delivery
b. ,Change ,maternal ,position
c. ,No ,treatment ,indicated
d. ,Oxygen
e. ,Stop ,oxytocin ,infusion ,- ,CORRECT ,ANSWER-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
b. ,1, ,2 ,and ,3
c. ,2, ,3 ,and ,4 ,- ,CORRECT ,ANSWER-c. ,2, ,3 ,and ,4

What ,is ,the ,most ,probable ,cause ,of ,recurrent ,late ,decelerations?
a. ,Utero-placental ,insufficiency
b. ,Head ,compression
c. ,Cord ,compression
d. ,Maternal ,position ,change ,- ,CORRECT ,ANSWER-a. ,Utero-placental
,insufficiency


The ,most ,prevalent ,risk ,factor ,associated ,with ,fetal ,death ,before ,the ,onset ,of
,labor ,is:
a. ,Low ,socioeconomic ,status
b. ,Fetal ,malpresentation
c. ,Uteroplacental ,insufficiency
d. ,Uterine ,anomalies ,- ,CORRECT ,ANSWER-c. ,Uteroplacental ,insufficiency

Which ,of ,the ,following ,is ,NOT ,used ,for ,antepartum ,fetal ,surveillance?
a. ,Fetal ,movement ,counting
b. ,Antepartum ,fetal ,heart ,rate ,testing
c. ,Biophysical ,profile ,testing
d. ,Maternal ,HCG ,levels ,- ,CORRECT ,ANSWER-d. ,Maternal ,HCG ,levels

Which ,of ,the ,following ,conditions ,is ,not ,an ,indication ,for ,antepartum ,fetal
,surveillance?
a. ,Gestational ,hypertension
b. ,Diabetes ,in ,pregnancy
c. ,Fetus ,in ,breech ,presentation