NCC ELECTRONIC FETAL MONITORING CERTIFICATION
NCC ELECTRONIC FETAL
MONITORING CERTIFICATION
EXAM VERSION B ACTUAL EXAM
STUDY GUIDE. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST 2025/2026
UPDATE
NCC Electronic Fetal Monitoring Certification
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
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.
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
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
c. An increase in stroke volume
d. No change
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
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
b. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the intervillous space.
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
True
T/F: The parasympathetic nervous system is a
cardioaccelerator. False
T/F: Baroreceptors are stretch receptors which respond to increases or decreases
in blood pressure.
True
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart
rate: the ultrasound transducer and the fetal spiral electrode.
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
True
T/F: Variability can be determined with the fetoscope.
False
T/F: Because the ultrasound transducer and toco transducer are sealed units, they
can be dipped in warm water to make cleaning easier.
False
T/F: The most common artifact with the ultrasound transducer system for fetal
heart rate is increased variability.
True
T/F: All fetal monitors contain a logic system designed to reject
artifact. True
T/F: The monitor should always be tested before starting a tracing, either external
or internal mode and labeled a test.
True
T/F: The paper speed on the fetal monitor should always be set at
1cm/min. False
T/F: Both internal and external monitoring methods are equally accurate means of
obtaining the fetal heart rate and contraction patterns.
False
T/F: The external toco is usually placed over the uterine fundus to pick up
contractions. True
T/F: The external toco gives measurable uterine
pressure. False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown
origin is present.
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.
True
T/F: The spiral electrode is used to more accurately determine the frequency,
duration, and intensity of uterine contractions.
False
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not
maternal.
False
T/F: The intrauterine catheter is used to pick up the fetal heart
rate. False
T/F: The internal spiral electrode may pick up the maternal heart rate if the
baby has died.
True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. True
T/F: Variability and periodic changes can be detected with both internal and
NCC ELECTRONIC FETAL
MONITORING CERTIFICATION
EXAM VERSION B ACTUAL EXAM
STUDY GUIDE. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST 2025/2026
UPDATE
NCC Electronic Fetal Monitoring Certification
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
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.
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
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
c. An increase in stroke volume
d. No change
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
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
b. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the intervillous space.
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
True
T/F: The parasympathetic nervous system is a
cardioaccelerator. False
T/F: Baroreceptors are stretch receptors which respond to increases or decreases
in blood pressure.
True
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart
rate: the ultrasound transducer and the fetal spiral electrode.
,NCC ELECTRONIC FETAL MONITORING CERTIFICATION
True
T/F: Variability can be determined with the fetoscope.
False
T/F: Because the ultrasound transducer and toco transducer are sealed units, they
can be dipped in warm water to make cleaning easier.
False
T/F: The most common artifact with the ultrasound transducer system for fetal
heart rate is increased variability.
True
T/F: All fetal monitors contain a logic system designed to reject
artifact. True
T/F: The monitor should always be tested before starting a tracing, either external
or internal mode and labeled a test.
True
T/F: The paper speed on the fetal monitor should always be set at
1cm/min. False
T/F: Both internal and external monitoring methods are equally accurate means of
obtaining the fetal heart rate and contraction patterns.
False
T/F: The external toco is usually placed over the uterine fundus to pick up
contractions. True
T/F: The external toco gives measurable uterine
pressure. False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown
origin is present.
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.
True
T/F: The spiral electrode is used to more accurately determine the frequency,
duration, and intensity of uterine contractions.
False
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not
maternal.
False
T/F: The intrauterine catheter is used to pick up the fetal heart
rate. False
T/F: The internal spiral electrode may pick up the maternal heart rate if the
baby has died.
True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. True
T/F: Variability and periodic changes can be detected with both internal and
