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NCC Electronic Fetal Monitoring Certification | 100+ Q&A | FHR Patterns, Variability, Interventions, Uterine Activity

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This document presents 100+ fully answered and clinically accurate questions aligned with the NCC Electronic Fetal Monitoring (EFM) Certification exam, ideal for review and study during the certification cycle. It provides a detailed breakdown of essential fetal monitoring concepts, testable definitions, and evidence-based clinical responses for labor and delivery professionals. Core topics include: – Fetal heart rate (FHR) baseline assessment and variability interpretation – Deceleration types (early, late, variable, prolonged) – Interventions for non-reassuring patterns – Tachysystole, uterine resting tone, and contraction frequency – Category I, II, III tracings and NICHD terminology – Intrauterine resuscitation, maternal positioning, and oxygen use – Legal and documentation standards in EFM interpretation This document is ideal for: – Labor and delivery nurses preparing for NCC EFM certification – Registered Nurses (RNs) and Nurse Practitioners working in obstetrics – Clinicians seeking structured fetal monitoring review or continuing education – Anyone needing a focused and test-aligned study guide for fetal monitoring standards Keywords: EFM certification, NCC fetal monitoring, FHR variability, late decelerations, early decelerations, tachysystole, uterine contractions, Category II tracing, intrauterine resuscitation, uterine resting tone, NICHD definitions, labor and delivery, fetal heart rate interpretation, oxygen intervention, OB nursing, electronic fetal monitoring

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NCC Fetal Monitoring
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Institution
NCC Fetal Monitoring
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NCC Fetal Monitoring

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Uploaded on
November 11, 2025
Number of pages
145
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NCC Electronic Fetal Monitoring
Certification 2025/2026 Exam Questions
and Correct Answers | New Update



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 - 🧠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 it's heart rate.

c. Increases cardiac output by increasing fetal movement. - 🧠ANSWER

✔✔b. Increases cardiac output by increasing it's 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 - 🧠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 - 🧠ANSWER ✔✔g. C & D


The vagus nerve begins maturation 26 to 28 weeks. Its dominance results

in what effect to the FHR baseline?

a. Increases baseline


b. Decreases baseline - 🧠ANSWER ✔✔b. Decreases baseline


T/F: Oxygen exchange in the placenta takes place in the intervillous space.

- 🧠ANSWER ✔✔True


T/F: The parasympathetic nervous system is a cardioaccelerator. -

🧠ANSWER ✔✔False


T/F: Baroreceptors are stretch receptors which respond to increases or

decreases in blood pressure. - 🧠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. -

🧠ANSWER ✔✔True


T/F: Variability can be determined with the fetoscope. - 🧠ANSWER

✔✔False




3
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STATEMENT. ALL RIGHTS RESERVED

, T/F: Because the ultrasound transducer and toco transducer are sealed

units, they can be dipped in warm water to make cleaning easier. -

🧠ANSWER ✔✔False


T/F: The most common artifact with the ultrasound transducer system for

fetal heart rate is increased variability. - 🧠ANSWER ✔✔True


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

🧠ANSWER ✔✔True


T/F: The monitor should always be tested before starting a tracing, either

external or internal mode and labeled a test. - 🧠ANSWER ✔✔True


T/F: In the U.S. the paper speed on the fetal monitor is set at 3cm/min. -

🧠ANSWER ✔✔True


T/F: Both internal and external monitoring methods are equally accurate

means of obtaining the fetal heart rate and contraction patterns. -

🧠ANSWER ✔✔False


T/F: The external toco is usually placed over the uterine fundus to pick up

contractions. - 🧠ANSWER ✔✔True

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