NCC Electronic Fetal Monitoring
Certification Questions and Answers
Updated 2026
WhichMofMtheMfollowingMfactorsMcanMhaveMaMnegativeMeffectMonMuterineMbloodMflow?
a.MHypertension
b.MEpidural
c.MHemorrhage
d.MDiabetes
e.MAllMofMtheMaboveM-MAnswerMe.MAllMofMtheMabove
HowMdoesMtheMfetusMcompensateMforMdecreasedMmaternalMcirculatingMvolume?
a.MIncreasesMcardiacMoutputMbyMincreasingMstrokeMvolume.
b.MIncreasesMcardiacMoutputMbyMincreasingMit'sMheartMrate.
c.MIncreasesMcardiacMoutputMbyMincreasingMfetalMmovement.M-
MAnswerMb.MIncreasesMcardiacMoutputMbyMincreasingMit'sMheartMrate.
StimulatingMtheMvagusMnerveMtypicallyMproduces:
a.MAMdecreaseMinMtheMheartMrate
b.MAnMincreaseMinMtheMheartMrate
c.MAnMincreaseMinMstrokeMvolume
d.MNoMchangeM-MAnswerMa.MAMdecreaseMinMtheMheartMrate
WhatMinitiallyMcausesMaMchemoreceptorMresponse?
a.MEpidurals
b.MSupineMmaternalMposition
c.MIncreasedMCO2Mlevels
d.MDecreasedMO2Mlevels
e.MAM&MC
f.MAM&MB
g.MCM&MDM-MAnswerMg.MCM&MD
,TheMvagusMnerveMbeginsMmaturationM26MtoM28Mweeks.MItsMdominanceMresultsMinMwha
tMeffectMtoMtheMFHRMbaseline?
a.MIncreasesMbaseline
b.MDecreasesMbaselineM-MAnswerMb.MDecreasesMbaseline
T/F:MOxygenMexchangeMinMtheMplacentaMtakesMplaceMinMtheMintervillousMspace.M-
MAnswerMTrue
T/F:MTheMparasympatheticMnervousMsystemMisMaMcardioaccelerator.M-MAnswerMFalse
T/F:MBaroreceptorsMareMstretchMreceptorsMwhichMrespondMtoMincreasesMorMdecreasesMin
MbloodMpressure.M-MAnswerMTrue
T/F:MThereMareMtwoMelectronicMfetalMmonitoringMmethodsMofMobtainingMtheMfetalMhear
tMrate:MtheMultrasoundMtransducerMandMtheMfetalMspiralMelectrode.M-MAnswerMTrue
T/F:MVariabilityMcanMbeMdeterminedMwithMtheMfetoscope.M-MAnswerMFalse
T/F:MBecauseMtheMultrasoundMtransducerMandMtocoMtransducerMareMsealedMunits,Mthey
McanMbeMdippedMinMwarmMwaterMtoMmakeMcleaningMeasier.M-MAnswerMFalse
T/F:MTheMmostMcommonMartifactMwithMtheMultrasoundMtransducerMsystemMforMfetalMhe
artMrateMisMincreasedMvariability.M-MAnswerMTrue
T/F:MAllMfetalMmonitorsMcontainMaMlogicMsystemMdesignedMtoMrejectMartifact.M-
MAnswerMTrue
T/F:MTheMmonitorMshouldMalwaysMbeMtestedMbeforeMstartingMaMtracing,MeitherMexternal
MorMinternalMmodeMandMlabeledMaMtest.M-MAnswerMTrue
T/F:MTheMpaperMspeedMonMtheMfetalMmonitorMshouldMalwaysMbeMsetMatM1cm/min.M-
MAnswerMFalse
,T/F:MBothMinternalMandMexternalMmonitoringMmethodsMareMequallyMaccurateMmeansMof
MobtainingMtheMfetalMheartMrateMandMcontractionMpatterns.M-MAnswerMFalse
T/F:MTheMexternalMtocoMisMusuallyMplacedMoverMtheMuterineMfundusMtoMpickMupMcontr
actions.M-MAnswerMTrue
T/F:MTheMexternalMtocoMgivesMmeasurableMuterineMpressure.M-MAnswerMFalse
T/F:MTheMfetalMspiralMelectrodeMcanMbeMplacedMwhenMvaginalMbleedingMofMunknownM
originMisMpresent.M-MAnswerMFalse
T/F:MTheMultrasoundMtransducerMisMusuallyMplacedMonMtheMsideMofMtheMuterusMoverM
theMbaby'sMback,MasMtheMfetalMheartMisMheardMbestMthere.M-MAnswerMTrue
T/F:MTheMspiralMelectrodeMisMusedMtoMmoreMaccuratelyMdetermineMtheMfrequency,Mdur
ation,MandMintensityMofMuterineMcontractions.M-MAnswerMFalse
T/F:MTheMheartMrateMfromMaMwell-
appliedMfetalMspiralMelectrodeMcanMonlyMbeMfetal,MnotMmaternal.M-MAnswerMFalse
T/F:MTheMintrauterineMcatheterMisMusedMtoMpickMupMtheMfetalMheartMrate.M-
MAnswerMFalse
T/F:MTheMinternalMspiralMelectrodeMmayMpickMupMtheMmaternalMheartMrateMifMtheMba
byMhasMdied.M-MAnswerMTrue
T/F:MFetalMarrhythmiasMcanMbeMseenMonMbothMinternalMandMexternalMmonitorMtracings.
M-MAnswerMTrue
T/F:MVariabilityMandMperiodicMchangesMcanMbeMdetectedMwithMbothMinternalMandMexter
nalMmonitoring.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMaMresultMofMcordMcompression.M-MAnswerMTrue
, T/F:MTheMpresenceMofMFHRMaccelerationsMinMtheMintrapartumMandMantepartumMperiods
MisMaMsignMofMadequateMfetalMoxygenation.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMaMvagalMresponse.M-MAnswerMTrue
T/F:MLateMdecelerationsMhaveMaMgradualMdecreaseMinMFHRM(onsetMtoMnadirM30Msecond
s)MandMareMdelayedMinMtimingMwithMtheMnadirMofMtheMdecelerationMoccurringMafterMt
heMpeakMofMtheMcontraction.M-MAnswerMTrue
T/F:MTheMfetalMheartMrateMbaselineMcanMbeMdeterminedMduringMperiodsMofMmarkedMv
ariability.M-MAnswerMFalse
T/F:MAnythingMthatMaffectsMmaternalMbloodMflowM(cardiacMoutput)McanMaffectMtheMbloo
dMflowMthroughMtheMplacenta.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMtheMmostMfrequentlyMseenMfetalMheartMrateMdecelerati
onMpatternMinMlabor.M-MAnswerMTrue
T/F:MMinimalMvariabilityMisMalwaysManMindicatorMofMhypoxiaMandMaMCesareanMsectionMi
sMindicated.M-MAnswerMFalse
WhatMisMyourMfirstMinterventionMinMmanagementMofMaMpatientMexperiencingMvariableMd
ecelerations?
a.MImmediateMdelivery
b.MChangeMmaternalMposition
c.MNoMtreatmentMindicated
d.MOxygen
e.MStopMoxytocinMinfusionM-MAnswerMb.MChangeMmaternalMposition
EtiologyMofMaMbaselineMFHRMofM165bpmMoccurringMforMtheMlastMhourMcanMbe:
1.MMaternalMsupineMhypotension
2.MMaternalMfever
3.MMaternalMdehydration
4.MUnknown
Certification Questions and Answers
Updated 2026
WhichMofMtheMfollowingMfactorsMcanMhaveMaMnegativeMeffectMonMuterineMbloodMflow?
a.MHypertension
b.MEpidural
c.MHemorrhage
d.MDiabetes
e.MAllMofMtheMaboveM-MAnswerMe.MAllMofMtheMabove
HowMdoesMtheMfetusMcompensateMforMdecreasedMmaternalMcirculatingMvolume?
a.MIncreasesMcardiacMoutputMbyMincreasingMstrokeMvolume.
b.MIncreasesMcardiacMoutputMbyMincreasingMit'sMheartMrate.
c.MIncreasesMcardiacMoutputMbyMincreasingMfetalMmovement.M-
MAnswerMb.MIncreasesMcardiacMoutputMbyMincreasingMit'sMheartMrate.
StimulatingMtheMvagusMnerveMtypicallyMproduces:
a.MAMdecreaseMinMtheMheartMrate
b.MAnMincreaseMinMtheMheartMrate
c.MAnMincreaseMinMstrokeMvolume
d.MNoMchangeM-MAnswerMa.MAMdecreaseMinMtheMheartMrate
WhatMinitiallyMcausesMaMchemoreceptorMresponse?
a.MEpidurals
b.MSupineMmaternalMposition
c.MIncreasedMCO2Mlevels
d.MDecreasedMO2Mlevels
e.MAM&MC
f.MAM&MB
g.MCM&MDM-MAnswerMg.MCM&MD
,TheMvagusMnerveMbeginsMmaturationM26MtoM28Mweeks.MItsMdominanceMresultsMinMwha
tMeffectMtoMtheMFHRMbaseline?
a.MIncreasesMbaseline
b.MDecreasesMbaselineM-MAnswerMb.MDecreasesMbaseline
T/F:MOxygenMexchangeMinMtheMplacentaMtakesMplaceMinMtheMintervillousMspace.M-
MAnswerMTrue
T/F:MTheMparasympatheticMnervousMsystemMisMaMcardioaccelerator.M-MAnswerMFalse
T/F:MBaroreceptorsMareMstretchMreceptorsMwhichMrespondMtoMincreasesMorMdecreasesMin
MbloodMpressure.M-MAnswerMTrue
T/F:MThereMareMtwoMelectronicMfetalMmonitoringMmethodsMofMobtainingMtheMfetalMhear
tMrate:MtheMultrasoundMtransducerMandMtheMfetalMspiralMelectrode.M-MAnswerMTrue
T/F:MVariabilityMcanMbeMdeterminedMwithMtheMfetoscope.M-MAnswerMFalse
T/F:MBecauseMtheMultrasoundMtransducerMandMtocoMtransducerMareMsealedMunits,Mthey
McanMbeMdippedMinMwarmMwaterMtoMmakeMcleaningMeasier.M-MAnswerMFalse
T/F:MTheMmostMcommonMartifactMwithMtheMultrasoundMtransducerMsystemMforMfetalMhe
artMrateMisMincreasedMvariability.M-MAnswerMTrue
T/F:MAllMfetalMmonitorsMcontainMaMlogicMsystemMdesignedMtoMrejectMartifact.M-
MAnswerMTrue
T/F:MTheMmonitorMshouldMalwaysMbeMtestedMbeforeMstartingMaMtracing,MeitherMexternal
MorMinternalMmodeMandMlabeledMaMtest.M-MAnswerMTrue
T/F:MTheMpaperMspeedMonMtheMfetalMmonitorMshouldMalwaysMbeMsetMatM1cm/min.M-
MAnswerMFalse
,T/F:MBothMinternalMandMexternalMmonitoringMmethodsMareMequallyMaccurateMmeansMof
MobtainingMtheMfetalMheartMrateMandMcontractionMpatterns.M-MAnswerMFalse
T/F:MTheMexternalMtocoMisMusuallyMplacedMoverMtheMuterineMfundusMtoMpickMupMcontr
actions.M-MAnswerMTrue
T/F:MTheMexternalMtocoMgivesMmeasurableMuterineMpressure.M-MAnswerMFalse
T/F:MTheMfetalMspiralMelectrodeMcanMbeMplacedMwhenMvaginalMbleedingMofMunknownM
originMisMpresent.M-MAnswerMFalse
T/F:MTheMultrasoundMtransducerMisMusuallyMplacedMonMtheMsideMofMtheMuterusMoverM
theMbaby'sMback,MasMtheMfetalMheartMisMheardMbestMthere.M-MAnswerMTrue
T/F:MTheMspiralMelectrodeMisMusedMtoMmoreMaccuratelyMdetermineMtheMfrequency,Mdur
ation,MandMintensityMofMuterineMcontractions.M-MAnswerMFalse
T/F:MTheMheartMrateMfromMaMwell-
appliedMfetalMspiralMelectrodeMcanMonlyMbeMfetal,MnotMmaternal.M-MAnswerMFalse
T/F:MTheMintrauterineMcatheterMisMusedMtoMpickMupMtheMfetalMheartMrate.M-
MAnswerMFalse
T/F:MTheMinternalMspiralMelectrodeMmayMpickMupMtheMmaternalMheartMrateMifMtheMba
byMhasMdied.M-MAnswerMTrue
T/F:MFetalMarrhythmiasMcanMbeMseenMonMbothMinternalMandMexternalMmonitorMtracings.
M-MAnswerMTrue
T/F:MVariabilityMandMperiodicMchangesMcanMbeMdetectedMwithMbothMinternalMandMexter
nalMmonitoring.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMaMresultMofMcordMcompression.M-MAnswerMTrue
, T/F:MTheMpresenceMofMFHRMaccelerationsMinMtheMintrapartumMandMantepartumMperiods
MisMaMsignMofMadequateMfetalMoxygenation.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMaMvagalMresponse.M-MAnswerMTrue
T/F:MLateMdecelerationsMhaveMaMgradualMdecreaseMinMFHRM(onsetMtoMnadirM30Msecond
s)MandMareMdelayedMinMtimingMwithMtheMnadirMofMtheMdecelerationMoccurringMafterMt
heMpeakMofMtheMcontraction.M-MAnswerMTrue
T/F:MTheMfetalMheartMrateMbaselineMcanMbeMdeterminedMduringMperiodsMofMmarkedMv
ariability.M-MAnswerMFalse
T/F:MAnythingMthatMaffectsMmaternalMbloodMflowM(cardiacMoutput)McanMaffectMtheMbloo
dMflowMthroughMtheMplacenta.M-MAnswerMTrue
T/F:MVariableMdecelerationsMareMtheMmostMfrequentlyMseenMfetalMheartMrateMdecelerati
onMpatternMinMlabor.M-MAnswerMTrue
T/F:MMinimalMvariabilityMisMalwaysManMindicatorMofMhypoxiaMandMaMCesareanMsectionMi
sMindicated.M-MAnswerMFalse
WhatMisMyourMfirstMinterventionMinMmanagementMofMaMpatientMexperiencingMvariableMd
ecelerations?
a.MImmediateMdelivery
b.MChangeMmaternalMposition
c.MNoMtreatmentMindicated
d.MOxygen
e.MStopMoxytocinMinfusionM-MAnswerMb.MChangeMmaternalMposition
EtiologyMofMaMbaselineMFHRMofM165bpmMoccurringMforMtheMlastMhourMcanMbe:
1.MMaternalMsupineMhypotension
2.MMaternalMfever
3.MMaternalMdehydration
4.MUnknown