NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. 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
2. 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.
3. 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
,4. 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
5. 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
6. T/F: Oxygen exchange in the placenta takes place in the intervillous space. -
ANSWER ✔ True
7. T/F: The parasympathetic nervous system is a cardioaccelerator. - ANSWER
✔ False
8. T/F: Baroreceptors are stretch receptors which respond to increases or
decreases in blood pressure. - ANSWER ✔ True
9. 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
10.T/F: Variability can be determined with the fetoscope. - ANSWER ✔ False
,11.A nurse is explaining to a pregnant patient the purpose of electronic fetal
monitoring. Which of the following statements by the nurse is the most
accurate way to describe the purpose of EFM?
a. "EFM is a diagnostic procedure that monitors your baby's heart rate or
FHR and your uterine contractions.
b. "EFM is a screening procedure that monitors your baby's heart rate or
FHR and your uterine contractions."
c."EFM is a screening procedure that only monitors your baby's heart rate or
FHR."
d. "EFM is a diagnostic procedure that only monitors the frequency,
duration, and intensity of your uterine contractions." - ANSWER ✔ b. "EFM
is a screening procedure that monitors your baby's heart rate or FHR and
your uterine contractions."
12.The nurse measures fetal well being during labor by paying attention to:
a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the labor
c. the FHR only
d. the frequency, duration, and intensity of the mother's uterine
contractions only - ANSWER ✔ a. the response of the FHR to uterine
contractions
13.A nursing student explains during her presentation that the 5 factors for
adequate fetal oxygenation include:
1. normal maternal __________ _________and volume to the placenta
2. normal ___________ ___________in the maternal blood
3. adequate exchange of ___________ and CO2 in the placenta
4. an open ___________path between the placenta and the fetus through
vessels in the umbillical cord
normal fetal circulatory and ____________ -carry functions - ANSWER ✔
1. normal maternal blood flow and volume to placenta
2. normal oxygen saturation in the maternal blood
3. adequate exchange of oxygen and CO2 in the palcenta
, 4. an open circulatory path between the placenta and the fetus through
vessels in the umbillical cord
normal fetal circulatory and oxygen-carrying functions
14.While monitoring a baby's fetal well being using EFM, the nurse recognizes
that the baby's baseline fetal heart rate is identified as the:
a. average rate of a 30 minute segment that excludes periodic or episodic
changes
b. average rate of a 10 minute segment that excludes periodic or episodic
changes
c. average rate of a 20 minute segment that does not include periodic or
episodic changes - ANSWER ✔ b. average rate of a 10 minute
segment that excludes periodic or episodic changes
15.A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
a. abnormal because it is not in the normal range of 90-100 bears perm
minute for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post
term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a
term or post term fetus - ANSWER ✔ b. normal because it is in the
range of 110-160 bpm for a term or post term fetus
16.The nurse documents that the baseline heart rate for a fetus is between 120-
160 beats per minute. Based on this finding, the nurse can determine that the
fetus is:
a. post term
b. term
c. premature
d. both a and b - ANSWER ✔ c. premature
CERTIFICATION EXAM STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. 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
2. 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.
3. 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
,4. 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
5. 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
6. T/F: Oxygen exchange in the placenta takes place in the intervillous space. -
ANSWER ✔ True
7. T/F: The parasympathetic nervous system is a cardioaccelerator. - ANSWER
✔ False
8. T/F: Baroreceptors are stretch receptors which respond to increases or
decreases in blood pressure. - ANSWER ✔ True
9. 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
10.T/F: Variability can be determined with the fetoscope. - ANSWER ✔ False
,11.A nurse is explaining to a pregnant patient the purpose of electronic fetal
monitoring. Which of the following statements by the nurse is the most
accurate way to describe the purpose of EFM?
a. "EFM is a diagnostic procedure that monitors your baby's heart rate or
FHR and your uterine contractions.
b. "EFM is a screening procedure that monitors your baby's heart rate or
FHR and your uterine contractions."
c."EFM is a screening procedure that only monitors your baby's heart rate or
FHR."
d. "EFM is a diagnostic procedure that only monitors the frequency,
duration, and intensity of your uterine contractions." - ANSWER ✔ b. "EFM
is a screening procedure that monitors your baby's heart rate or FHR and
your uterine contractions."
12.The nurse measures fetal well being during labor by paying attention to:
a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the labor
c. the FHR only
d. the frequency, duration, and intensity of the mother's uterine
contractions only - ANSWER ✔ a. the response of the FHR to uterine
contractions
13.A nursing student explains during her presentation that the 5 factors for
adequate fetal oxygenation include:
1. normal maternal __________ _________and volume to the placenta
2. normal ___________ ___________in the maternal blood
3. adequate exchange of ___________ and CO2 in the placenta
4. an open ___________path between the placenta and the fetus through
vessels in the umbillical cord
normal fetal circulatory and ____________ -carry functions - ANSWER ✔
1. normal maternal blood flow and volume to placenta
2. normal oxygen saturation in the maternal blood
3. adequate exchange of oxygen and CO2 in the palcenta
, 4. an open circulatory path between the placenta and the fetus through
vessels in the umbillical cord
normal fetal circulatory and oxygen-carrying functions
14.While monitoring a baby's fetal well being using EFM, the nurse recognizes
that the baby's baseline fetal heart rate is identified as the:
a. average rate of a 30 minute segment that excludes periodic or episodic
changes
b. average rate of a 10 minute segment that excludes periodic or episodic
changes
c. average rate of a 20 minute segment that does not include periodic or
episodic changes - ANSWER ✔ b. average rate of a 10 minute
segment that excludes periodic or episodic changes
15.A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
a. abnormal because it is not in the normal range of 90-100 bears perm
minute for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post
term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a
term or post term fetus - ANSWER ✔ b. normal because it is in the
range of 110-160 bpm for a term or post term fetus
16.The nurse documents that the baseline heart rate for a fetus is between 120-
160 beats per minute. Based on this finding, the nurse can determine that the
fetus is:
a. post term
b. term
c. premature
d. both a and b - ANSWER ✔ c. premature
