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NCC Electronic Fetal Monitoring Certification Exam Guide & Practice Questions

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Prepare for the NCC Electronic Fetal Monitoring (EFM) certification exam with this comprehensive question bank. Includes detailed questions and answers on FHR patterns, decelerations, variability, BPP, CST, NST, acid-base balance, and more. Ideal for nurses, midwives, and healthcare professionals seeking EFM certification or renewal.

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NCC Electronic Fetal Monitoring Certification



All of the following are components of a biophysical profile
except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - . . ANSWER ✓✓ a. Contraction
stress test


All of the following are components of liability except
A. Breach of duty
B. Chain of command
C. Damages/loss - . . ANSWER ✓✓ B. Chain of command


All of the following are disadvantages of the ultrasound
transducer for monitoring the FHR except
A. It is noninvasive
B. It may half or double the actual FHR
C. It restricts patient movement - . . ANSWER ✓✓ A. It is
noninvasive

,2|Page




All of the following are likely causes of prolonged decelerations
except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - . . ANSWER ✓✓ D. Maternal fever


All of the following are traits of fetal supraventricular
tachycardia (SVT), but which is most problematic?
A. Decreases diastolic filling time
B. Dramatically increases oxygen consumption
C. Often leads to ventricular tachycardia (VT) - . . ANSWER ✓✓ C.
Often leads to ventricular tachycardia (VT)


All of the following can be used to describe episodic FHR
changes except
A. Accelerations
B. Late decelerations
C. Variable decelerations - . . ANSWER ✓✓ B. Late decelerations




_____ are abnormal FHR rhythms associated with disordered
impulse formation, conduction, or both.

,3|Page


A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias - . . ANSWER ✓✓ C. Dysrhythmias


_____ are patterns of abnormal FHR associated with variability in
R-to-R intervals, but with normal P-waves preceding normal
QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias - . . ANSWER ✓✓ A. Arrhythmias


_____ cord blood sampling is predictive of uteroplacental
function.
A. Arterial
B. Venous
C. Maternal - . . ANSWER ✓✓ B. Venous


_____ denotes the ability of cardiac cells to conduct electrical
impulses from one cell to another.
A. Automaticity
B. Excitability
C. Conductivity - . . ANSWER ✓✓ C. Conductivity

, 4|Page


_____ denotes the readiness of cardiac cells to receive and
respond to electrical stimuli.
A. Automaticity
B. Excitability
C. Conductivity - . . ANSWER ✓✓ B. Excitability


_____ denotes the spontaneous, rhythmic depolarization of
cardiac cells.
A. Automaticity
B. Excitability
C. Conductivity - . . ANSWER ✓✓ A. Automaticity


_______ _______ occurs when the HCO3 concentration is higher
than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - . . ANSWER ✓✓ B. Base excess


_______ _______ occurs when the HCO3 concentration is lower
than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - . . ANSWER ✓✓ A. Base deficit

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