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