NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2026 VERIFIED
QUESTIONS AND DETAILED SOLUTIONS
◉ 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
,◉ 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
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
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1. Answer: D. 3, 2, 4, 1
◉ The _____ is the source of all fetal oxygenation.
A. Placenta
, B. Umbilical cord
C. Mother
D. Amniotic fluid. Answer: C. Mother
◉ FHTs with recurrent variable decelerations, no accelerations, and
minimal variability would be categorized as
A. Category I
B. Category II
C. Category III. Answer: B. Category II
◉ FHTs with absent variability and bradycardia would be
categorized as
A. Category I
B. Category II
C. Category III. Answer: C. Category III
◉ FHTs with moderate variability, no accelerations, and early
decelerations would be categorized as
A. Category I
B. Category II
C. Category III. Answer: A. Category I
CERTIFICATION EXAM 2026 VERIFIED
QUESTIONS AND DETAILED SOLUTIONS
◉ 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
,◉ 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
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
B. 3, 1, 2, 4
C. 4, 3, 2, 1
D. 3, 2, 4, 1. Answer: D. 3, 2, 4, 1
◉ The _____ is the source of all fetal oxygenation.
A. Placenta
, B. Umbilical cord
C. Mother
D. Amniotic fluid. Answer: C. Mother
◉ FHTs with recurrent variable decelerations, no accelerations, and
minimal variability would be categorized as
A. Category I
B. Category II
C. Category III. Answer: B. Category II
◉ FHTs with absent variability and bradycardia would be
categorized as
A. Category I
B. Category II
C. Category III. Answer: C. Category III
◉ FHTs with moderate variability, no accelerations, and early
decelerations would be categorized as
A. Category I
B. Category II
C. Category III. Answer: A. Category I
