1|Page
NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The FHR is controlled by the
A. Sympathetic nervous system
B. Sinoatrial node
C. Atrioventricular node
D. Parasympathetic nervous system - ANSWER-B. Sinoatrial
node
How do baseline heart rates differ in premature fetuses?
A. They are often lower
B. They are often higher
C. They are less likely to have decelerations
D. They experience longer accelerations - ANSWER-B. They are
often higher
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T/F: If etiology of fetal tachycardia is secondary to extrauterine
infection, FHR will return to normal as maternal fever resolves. -
ANSWER-True
T/F: Fetal tachycardia is a normal compensatory response to
transient fetal hypoxemia. - ANSWER-True
Fetal heart rate bradycardia is defined as
A. FHR <110bpm lasting 10 min or greater
B. FHR <110bpm lasting 2 min or greater
C. FHR <110bpm lasting 20 min or greater - ANSWER-A. FHR
<110bpm lasting 10 min or greater
_______ variability warrants cesarean section delivery.
A. Minimal
B. Moderate
C. Marked
D. Absent - ANSWER-D. Absent
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At how many weeks gestation should FHR variability be normal in
manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks - ANSWER-B. 28 weeks
A deceleration from 145bpm down to 100bpm lasting 12 minutes
may be defined as a
A. Prolonged deceleration
B. Variable deceleration
C. Late deceleration
D. Baseline change - ANSWER-D. Baseline change
Reduced respiratory gas exchange from persistent decelerations
may cause a rise in fetal PCO2, which leads first to _______
_______, then _______ _______.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
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C. Respiratory alkalosis; metabolic alkalosis
D. Respiratory acidosis; metabolic acidosis - ANSWER-B.
Respiratory acidosis; metabolic acidosis
Decreased intervillious exchange of oxygenated blood resulting in
fetal hypoxia is typically present in _______.
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations - ANSWER-B. Late decelerations
Place the following interventions for a sinusoidal FHR in the
correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic
administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The FHR is controlled by the
A. Sympathetic nervous system
B. Sinoatrial node
C. Atrioventricular node
D. Parasympathetic nervous system - ANSWER-B. Sinoatrial
node
How do baseline heart rates differ in premature fetuses?
A. They are often lower
B. They are often higher
C. They are less likely to have decelerations
D. They experience longer accelerations - ANSWER-B. They are
often higher
,2|Page
T/F: If etiology of fetal tachycardia is secondary to extrauterine
infection, FHR will return to normal as maternal fever resolves. -
ANSWER-True
T/F: Fetal tachycardia is a normal compensatory response to
transient fetal hypoxemia. - ANSWER-True
Fetal heart rate bradycardia is defined as
A. FHR <110bpm lasting 10 min or greater
B. FHR <110bpm lasting 2 min or greater
C. FHR <110bpm lasting 20 min or greater - ANSWER-A. FHR
<110bpm lasting 10 min or greater
_______ variability warrants cesarean section delivery.
A. Minimal
B. Moderate
C. Marked
D. Absent - ANSWER-D. Absent
,3|Page
At how many weeks gestation should FHR variability be normal in
manner?
A. 24 weeks
B. 28 weeks
C. 32 weeks
D. 36 weeks - ANSWER-B. 28 weeks
A deceleration from 145bpm down to 100bpm lasting 12 minutes
may be defined as a
A. Prolonged deceleration
B. Variable deceleration
C. Late deceleration
D. Baseline change - ANSWER-D. Baseline change
Reduced respiratory gas exchange from persistent decelerations
may cause a rise in fetal PCO2, which leads first to _______
_______, then _______ _______.
A. Respiratory alkalosis; metabolic acidosis
B. Respiratory acidosis; metabolic acidosis
, 4|Page
C. Respiratory alkalosis; metabolic alkalosis
D. Respiratory acidosis; metabolic acidosis - ANSWER-B.
Respiratory acidosis; metabolic acidosis
Decreased intervillious exchange of oxygenated blood resulting in
fetal hypoxia is typically present in _______.
A. Variable decelerations
B. Late decelerations
C. Early decelerations
D. Accelerations - ANSWER-B. Late decelerations
Place the following interventions for a sinusoidal FHR in the
correct order:
1. Prepare for cesarean delivery
2. Place patient in lateral position
3. Determine if pattern is related to narcotic analgesic
administration
4. Provide oxygen via face mask
A. 4, 2, 3, 1
