ne
tz
sh
ne
la
tz
NCC Electronic Fetal Monitoring
sh
Sp
ne
Certification Exam Questions and Answers
la
tz
(2022/2023) (Verified Answers)
sh
Sp
ne
la
tz
sh
Sp
How does the fetus compensate for decreased maternal circulating volume?
ne
a. Increases cardiac output by increasing stroke volume.
la
b. Increases cardiac output by increasing it's heart rate.
tz
c. Increases cardiac output by increasing fetal movement. -correct answer b.
sh
Sp
Increases cardiac output by increasing it's heart rate.
ne
la
Stimulating the vagus nerve typically produces:
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a. A decrease in the heart rate
sh
Sp
b. An increase in the heart rate
ne
c. An increase in stroke volume
la
d. No change -correct answer a. A decrease in the heart rate
tz
sh
Sp
What initially causes a chemoreceptor response?
ne
a. Epidurals
b. Supine maternal position
la
tz
c. Increased CO2 levels sh
Sp
d. Decreased O2 levels
ne
e. A & C
f. A & B
la
g. C & D -correct answer g. C & D
tz
sh
Sp
ne
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect
to the FHR baseline?
la
a. Increases baseline
tz
sh
b. Decreases baseline -correct answer b. Decreases baseline
Sp
ne
T/F: Oxygen exchange in the placenta takes place in the intervillous space. -correct
la
answer True
tz
sh
Sp
T/F: The parasympathetic nervous system is a cardioaccelerator. -correct answer
ne
False
la
tz
Which of the following factors can have a negative effect on uterine blood flow?
sh
a. Hypertension
Sp
ne
b. Epidural
c. Hemorrhage
la
d. Diabetes
sh
e. All of the above -correct answer e. All of the above
Sp
la
Sp
, ne
tz
sh
ne
T/F: Baroreceptors are stretch receptors which respond to increases or decreases in
la
blood pressure. -correct answer True
tz
sh
Sp
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate:
ne
the ultrasound transducer and the fetal spiral electrode. -correct answer True
la
tz
T/F: Variability can be determined with the fetoscope. -correct answer False
sh
Sp
ne
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can
la
be dipped in warm water to make cleaning easier. -correct answer False
tz
sh
Sp
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate
ne
is increased variability. -correct answer True
la
tz
T/F: All fetal monitors contain a logic system designed to reject artifact. -correct answer
sh
True
Sp
ne
T/F: The monitor should always be tested before starting a tracing, either external or
la
internal mode and labeled a test. -correct answer True
tz
sh
Sp
ne
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. -correct
answer False
la
tz
sh
T/F: Both internal and external monitoring methods are equally accurate means of
Sp
obtaining the fetal heart rate and contraction patterns. -correct answer False
ne
la
T/F: The external toco is usually placed over the uterine fundus to pick up contractions.
tz
-correct answer True
sh
Sp
ne
T/F: The external toco gives measurable uterine pressure. -correct answer False
la
tz
sh
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is
Sp
present. -correct answer False
ne
la
T/F: The ultrasound transducer is usually placed on the side of the uterus over the
tz
baby's back, as the fetal heart is heard best there. -correct answer True
sh
Sp
ne
T/F: The spiral electrode is used to more accurately determine the frequency, duration,
la
and intensity of uterine contractions. -correct answer False
tz
sh
Sp
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not
ne
maternal. -correct answer False
la
tz
T/F: The intrauterine catheter is used to pick up the fetal heart rate. -correct answer
sh
Sp
False
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has
la
died. -correct answer True
tz
sh
Sp
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. -
correct answer True
ne
la
tz
T/F: Variability and periodic changes can be detected with both internal and external
sh
Sp
monitoring. -correct answer True
ne
la
T/F: Variable decelerations are a result of cord compression. -correct answer True
tz
sh
Sp
T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a
ne
sign of adequate fetal oxygenation. -correct answer True
la
tz
T/F: Variable decelerations are a vagal response. -correct answer True
sh
Sp
ne
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds)
and are delayed in timing with the nadir of the deceleration occurring after the peak of
la
the contraction. -correct answer True
tz
sh
Sp
ne
T/F: The fetal heart rate baseline can be determined during periods of marked
variability. -correct answer False
la
tz
sh
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow
Sp
through the placenta. -correct answer True
ne
la
T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration
tz
pattern in labor. -correct answer True
sh
Sp
ne
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is
la
indicated. -correct answer False
tz
sh
Sp
What is your first intervention in management of a patient experiencing variable
ne
decelerations?
la
a. Immediate delivery
tz
b. Change maternal position
sh
Sp
c. No treatment indicated
ne
d. Oxygen
la
e. Stop oxytocin infusion -correct answer b. Change maternal position
tz
sh
Sp
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
ne
1. Maternal supine hypotension
la
2. Maternal fever
tz
3. Maternal dehydration
sh
Sp
4. Unknown
ne
a. 1 and 2
la
sh
Sp
la
Sp
, ne
tz
sh
ne
b. 1, 2 and 3 la
c. 2, 3 and 4 -correct answer c. 2, 3 and 4
tz
sh
Sp
What is the most probable cause of recurrent late decelerations?
ne
a. Utero-placental insufficiency
la
b. Head compression
tz
c. Cord compression
sh
Sp
d. Maternal position change -correct answer a. Utero-placental insufficiency
ne
la
The most prevalent risk factor associated with fetal death before the onset of labor is:
tz
a. Low socioeconomic status
sh
Sp
b. Fetal malpresentation
ne
c. Uteroplacental insufficiency
d. Uterine anomalies -correct answer c. Uteroplacental insufficiency
la
tz
sh
Which of the following is NOT used for antepartum fetal surveillance?
Sp
ne
a. Fetal movement counting
b. Antepartum fetal heart rate testing
la
c. Biophysical profile testing
tz
sh
d. Maternal HCG levels -correct answer d. Maternal HCG levels
Sp
ne
Which of the following conditions is not an indication for antepartum fetal surveillance?
la
a. Gestational hypertension
tz
sh
b. Diabetes in pregnancy
Sp
c. Fetus in breech presentation
ne
d. Decreased fetal movement -correct answer c. Fetus in breech presentation
la
tz
Which of the following does not affect the degree of fetal activity?
sh
Sp
a. Vibroacoustic stimulation
ne
b. Smoking
la
c. Fetal position
tz
sh
d. Gestational age -correct answer a. Vibroacoustic stimulation
Sp
ne
To be considered reactive, a nonstress test must have:
la
a. 4 fetal heart rate accelerations in a 20 minute window
tz
b. 2 fetal heart rate accelerations in a 10 minute window
sh
Sp
c. 4 fetal heart rate accelerations in a 40 minute window
ne
d. 2 fetal heart rate accelerations in a 20 minute window -correct answer d. 2 fetal
la
heart rate accelerations in a 20 minute window
tz
sh
Sp
If a nonstress test is nonreactive after 40 minutes, the next step should be:
ne
a. Have the client go home and do fetal movement counts
la
b. Do a biophysical profile or contraction stress test
tz
c. Repeat the nonstress test within a week
sh
Sp
d. Admit the client for delivery -correct answer b. Do a biophysical profile or
ne
contraction stress test
la
sh
Sp
la
Sp
tz
sh
ne
la
tz
NCC Electronic Fetal Monitoring
sh
Sp
ne
Certification Exam Questions and Answers
la
tz
(2022/2023) (Verified Answers)
sh
Sp
ne
la
tz
sh
Sp
How does the fetus compensate for decreased maternal circulating volume?
ne
a. Increases cardiac output by increasing stroke volume.
la
b. Increases cardiac output by increasing it's heart rate.
tz
c. Increases cardiac output by increasing fetal movement. -correct answer b.
sh
Sp
Increases cardiac output by increasing it's heart rate.
ne
la
Stimulating the vagus nerve typically produces:
tz
a. A decrease in the heart rate
sh
Sp
b. An increase in the heart rate
ne
c. An increase in stroke volume
la
d. No change -correct answer a. A decrease in the heart rate
tz
sh
Sp
What initially causes a chemoreceptor response?
ne
a. Epidurals
b. Supine maternal position
la
tz
c. Increased CO2 levels sh
Sp
d. Decreased O2 levels
ne
e. A & C
f. A & B
la
g. C & D -correct answer g. C & D
tz
sh
Sp
ne
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect
to the FHR baseline?
la
a. Increases baseline
tz
sh
b. Decreases baseline -correct answer b. Decreases baseline
Sp
ne
T/F: Oxygen exchange in the placenta takes place in the intervillous space. -correct
la
answer True
tz
sh
Sp
T/F: The parasympathetic nervous system is a cardioaccelerator. -correct answer
ne
False
la
tz
Which of the following factors can have a negative effect on uterine blood flow?
sh
a. Hypertension
Sp
ne
b. Epidural
c. Hemorrhage
la
d. Diabetes
sh
e. All of the above -correct answer e. All of the above
Sp
la
Sp
, ne
tz
sh
ne
T/F: Baroreceptors are stretch receptors which respond to increases or decreases in
la
blood pressure. -correct answer True
tz
sh
Sp
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate:
ne
the ultrasound transducer and the fetal spiral electrode. -correct answer True
la
tz
T/F: Variability can be determined with the fetoscope. -correct answer False
sh
Sp
ne
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can
la
be dipped in warm water to make cleaning easier. -correct answer False
tz
sh
Sp
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate
ne
is increased variability. -correct answer True
la
tz
T/F: All fetal monitors contain a logic system designed to reject artifact. -correct answer
sh
True
Sp
ne
T/F: The monitor should always be tested before starting a tracing, either external or
la
internal mode and labeled a test. -correct answer True
tz
sh
Sp
ne
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. -correct
answer False
la
tz
sh
T/F: Both internal and external monitoring methods are equally accurate means of
Sp
obtaining the fetal heart rate and contraction patterns. -correct answer False
ne
la
T/F: The external toco is usually placed over the uterine fundus to pick up contractions.
tz
-correct answer True
sh
Sp
ne
T/F: The external toco gives measurable uterine pressure. -correct answer False
la
tz
sh
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is
Sp
present. -correct answer False
ne
la
T/F: The ultrasound transducer is usually placed on the side of the uterus over the
tz
baby's back, as the fetal heart is heard best there. -correct answer True
sh
Sp
ne
T/F: The spiral electrode is used to more accurately determine the frequency, duration,
la
and intensity of uterine contractions. -correct answer False
tz
sh
Sp
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not
ne
maternal. -correct answer False
la
tz
T/F: The intrauterine catheter is used to pick up the fetal heart rate. -correct answer
sh
Sp
False
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has
la
died. -correct answer True
tz
sh
Sp
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. -
correct answer True
ne
la
tz
T/F: Variability and periodic changes can be detected with both internal and external
sh
Sp
monitoring. -correct answer True
ne
la
T/F: Variable decelerations are a result of cord compression. -correct answer True
tz
sh
Sp
T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a
ne
sign of adequate fetal oxygenation. -correct answer True
la
tz
T/F: Variable decelerations are a vagal response. -correct answer True
sh
Sp
ne
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds)
and are delayed in timing with the nadir of the deceleration occurring after the peak of
la
the contraction. -correct answer True
tz
sh
Sp
ne
T/F: The fetal heart rate baseline can be determined during periods of marked
variability. -correct answer False
la
tz
sh
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow
Sp
through the placenta. -correct answer True
ne
la
T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration
tz
pattern in labor. -correct answer True
sh
Sp
ne
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is
la
indicated. -correct answer False
tz
sh
Sp
What is your first intervention in management of a patient experiencing variable
ne
decelerations?
la
a. Immediate delivery
tz
b. Change maternal position
sh
Sp
c. No treatment indicated
ne
d. Oxygen
la
e. Stop oxytocin infusion -correct answer b. Change maternal position
tz
sh
Sp
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
ne
1. Maternal supine hypotension
la
2. Maternal fever
tz
3. Maternal dehydration
sh
Sp
4. Unknown
ne
a. 1 and 2
la
sh
Sp
la
Sp
, ne
tz
sh
ne
b. 1, 2 and 3 la
c. 2, 3 and 4 -correct answer c. 2, 3 and 4
tz
sh
Sp
What is the most probable cause of recurrent late decelerations?
ne
a. Utero-placental insufficiency
la
b. Head compression
tz
c. Cord compression
sh
Sp
d. Maternal position change -correct answer a. Utero-placental insufficiency
ne
la
The most prevalent risk factor associated with fetal death before the onset of labor is:
tz
a. Low socioeconomic status
sh
Sp
b. Fetal malpresentation
ne
c. Uteroplacental insufficiency
d. Uterine anomalies -correct answer c. Uteroplacental insufficiency
la
tz
sh
Which of the following is NOT used for antepartum fetal surveillance?
Sp
ne
a. Fetal movement counting
b. Antepartum fetal heart rate testing
la
c. Biophysical profile testing
tz
sh
d. Maternal HCG levels -correct answer d. Maternal HCG levels
Sp
ne
Which of the following conditions is not an indication for antepartum fetal surveillance?
la
a. Gestational hypertension
tz
sh
b. Diabetes in pregnancy
Sp
c. Fetus in breech presentation
ne
d. Decreased fetal movement -correct answer c. Fetus in breech presentation
la
tz
Which of the following does not affect the degree of fetal activity?
sh
Sp
a. Vibroacoustic stimulation
ne
b. Smoking
la
c. Fetal position
tz
sh
d. Gestational age -correct answer a. Vibroacoustic stimulation
Sp
ne
To be considered reactive, a nonstress test must have:
la
a. 4 fetal heart rate accelerations in a 20 minute window
tz
b. 2 fetal heart rate accelerations in a 10 minute window
sh
Sp
c. 4 fetal heart rate accelerations in a 40 minute window
ne
d. 2 fetal heart rate accelerations in a 20 minute window -correct answer d. 2 fetal
la
heart rate accelerations in a 20 minute window
tz
sh
Sp
If a nonstress test is nonreactive after 40 minutes, the next step should be:
ne
a. Have the client go home and do fetal movement counts
la
b. Do a biophysical profile or contraction stress test
tz
c. Repeat the nonstress test within a week
sh
Sp
d. Admit the client for delivery -correct answer b. Do a biophysical profile or
ne
contraction stress test
la
sh
Sp
la
Sp
