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NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 2025 BRAND NEW ACTUAL
EXAM WITH ANSWERS.
1. Which of the following best describes a condition in which there
is decreased oxygen in the tissues?
A. Acidosis
B. Hypoxemia
C. Hypoxia - correct answer -C. Hypoxia
2. What is the maximum amount of time allotted for a nonstress
test?
A. 20 minutes
B. 40 minutes
C. 60 minutes - correct answer -B. 40 minutes
3. A nonstress test (NST) is nonreactive after 40 minutes. The
nurse should
A. Call the physician to plan for a possible induction
B. Call the physician to arrange for a BPP or CST
C. Perform vibroacoustic stimulation and monitor patient for 20
additional minutes - correct answer -B. Call the physician to
arrange for a BPP or CST
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4. (T/F) Contractions during a contraction stress test (CST) may
be spontaneous or induced with oxytocin or nipple stimulation.
- correct answer -True
5. A contraction stress test (CST) is performed. Late
decelerations were noted in three out of the five contractions in
10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -A. Positive
6. A contraction stress test (CST) is performed. Late
decelerations were noted in two out of the five contractions in
10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -C. Suspicious
7. A contraction stress test (CST) is performed. Two variable
decelerations were seen on the FHR tracing and there were
four contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -B. Negative
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8. A contraction stress test (CST) is performed. No decelerations
were noted with the two contractions that occurred over 10
minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - correct answer -C. Unsatisfactory
9. A patient has a reactive NST and negative CST. Select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - correct answer -C. Repeat in one
week
10. A patient has a nonreactive NST and negative CST. Select
the appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - correct answer -B. Repeat in 24 hours
11. For a patient with a suspicious or unsatisfactory CST, select
the appropriate followup.
A. Prepare patient for delivery
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B. Repeat in 24 hours
C. Repeat in one week - correct answer -B. Repeat in 24 hours
12. In a patient whose CST reveals late decelerations with three
out of the four induced contractions, which of the following
would be the least appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - correct answer -C. Repeat CST in
24 hours
13. For a patient at 38 weeks' gestation with a BPP score of 6,
select the most appropriate course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - correct answer -B. Consider
induction of labor
14. For a patient at 35 weeks' gestation with a BPP score of 4,
select the most appropriate course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - correct answer -C.
Prepare for probable induction of labor
NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 2025 BRAND NEW ACTUAL
EXAM WITH ANSWERS.
1. Which of the following best describes a condition in which there
is decreased oxygen in the tissues?
A. Acidosis
B. Hypoxemia
C. Hypoxia - correct answer -C. Hypoxia
2. What is the maximum amount of time allotted for a nonstress
test?
A. 20 minutes
B. 40 minutes
C. 60 minutes - correct answer -B. 40 minutes
3. A nonstress test (NST) is nonreactive after 40 minutes. The
nurse should
A. Call the physician to plan for a possible induction
B. Call the physician to arrange for a BPP or CST
C. Perform vibroacoustic stimulation and monitor patient for 20
additional minutes - correct answer -B. Call the physician to
arrange for a BPP or CST
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4. (T/F) Contractions during a contraction stress test (CST) may
be spontaneous or induced with oxytocin or nipple stimulation.
- correct answer -True
5. A contraction stress test (CST) is performed. Late
decelerations were noted in three out of the five contractions in
10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -A. Positive
6. A contraction stress test (CST) is performed. Late
decelerations were noted in two out of the five contractions in
10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -C. Suspicious
7. A contraction stress test (CST) is performed. Two variable
decelerations were seen on the FHR tracing and there were
four contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - correct answer -B. Negative
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8. A contraction stress test (CST) is performed. No decelerations
were noted with the two contractions that occurred over 10
minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - correct answer -C. Unsatisfactory
9. A patient has a reactive NST and negative CST. Select the
appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - correct answer -C. Repeat in one
week
10. A patient has a nonreactive NST and negative CST. Select
the appropriate followup.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - correct answer -B. Repeat in 24 hours
11. For a patient with a suspicious or unsatisfactory CST, select
the appropriate followup.
A. Prepare patient for delivery
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B. Repeat in 24 hours
C. Repeat in one week - correct answer -B. Repeat in 24 hours
12. In a patient whose CST reveals late decelerations with three
out of the four induced contractions, which of the following
would be the least appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - correct answer -C. Repeat CST in
24 hours
13. For a patient at 38 weeks' gestation with a BPP score of 6,
select the most appropriate course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - correct answer -B. Consider
induction of labor
14. For a patient at 35 weeks' gestation with a BPP score of 4,
select the most appropriate course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - correct answer -C.
Prepare for probable induction of labor
