NCC ELECTRONIC FETAL MONITORING
FULL SOLUTION PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉The nurse notes a pattern of variable decelerations to 75 bpm on
the fetal monitor. The initial nursing action is to:
a. Reposition the woman
b. Administer oxygen
c. Increase the intravenous fluid infusion
d. Stimulate the fetal scalp. Answer: a. Reposition the woman
◉The tocotransducer should be placed:
a. In the suprapubic area
b. In the fundal area
c. Over the xiphoid process
d. Within the uterus. Answer: b. In the fundal area
◉The nurse notes a pattern of decelerations on the fetal monitor
that begins shortly after the contraction and returns to baseline just
before the contraction is over. The correct nursing response is to:
a. Give the woman oxygen by facemask at 8-10 L/min
,b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal pattern. Answer: d.
Continue to observe and record the normal pattern
◉Determining the FHR baseline requires the nurse to approximate
the mean FHR rounded to increments of 5 bpm during a ___-minute
window (excluding accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20. Answer: C. 10
◉Uterine tachysystole is observed when there are
A. 5 or more contractions in 10 min
B. 6 or more contractions in 10 min
C. 10 or more contractions in 10 min
D. 7 or more contractions in 10 min. Answer: B. 6 or more
contractions in 10 min
◉Which of the following interventions would best stimulate an
acceleration in the FHR?
A. Provide juice to patient
,B. Perform vaginal exam
C. Turn patient on left side
D. Vibroacoustic stimulation. Answer: B. Perform vaginal exam
Scalp stimulation
◉Assessment of the _____ is an indirect measurement of fetal
oxygenation.
A. Fetal heart rate
B. Fetal scalp sampling
C. Uterine activity
D. Direct Coombs. Answer: A. Fetal heart rate
◉T/F: Intrauterine pressure catheters (IUPCs) do not increase risk
for infection when placed on patients with intact membranes..
Answer: False
Membranes must be ruptured for use; infection is a risk
◉What are abnormal fetal heart rate tracings predictive of?
A. Likelihood of spontaneous vaginal delivery
B. Newborn condition at time of delivery
, C. Fetal acid-base abnormalities
D. Fetal intrauterine growth. Answer: C. Fetal acid-base
abnormalities
◉Which of the following is not an intervention that should be
implemented in a patient with uterine tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section. Answer: D. Prepare patient
for cesarean section
◉Which of the following is most effective in determining the
strength of a patient's contractions?
A. Patient report
B. Tocodynanamometer tracing
C. RN palpation
D. Sterile vaginal exam during a contraction. Answer: C. RN palpation
◉The FHR is controlled by the
A. Sympathetic nervous system
B. Sinoatrial node
C. Atrioventricular node
FULL SOLUTION PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉The nurse notes a pattern of variable decelerations to 75 bpm on
the fetal monitor. The initial nursing action is to:
a. Reposition the woman
b. Administer oxygen
c. Increase the intravenous fluid infusion
d. Stimulate the fetal scalp. Answer: a. Reposition the woman
◉The tocotransducer should be placed:
a. In the suprapubic area
b. In the fundal area
c. Over the xiphoid process
d. Within the uterus. Answer: b. In the fundal area
◉The nurse notes a pattern of decelerations on the fetal monitor
that begins shortly after the contraction and returns to baseline just
before the contraction is over. The correct nursing response is to:
a. Give the woman oxygen by facemask at 8-10 L/min
,b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal pattern. Answer: d.
Continue to observe and record the normal pattern
◉Determining the FHR baseline requires the nurse to approximate
the mean FHR rounded to increments of 5 bpm during a ___-minute
window (excluding accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20. Answer: C. 10
◉Uterine tachysystole is observed when there are
A. 5 or more contractions in 10 min
B. 6 or more contractions in 10 min
C. 10 or more contractions in 10 min
D. 7 or more contractions in 10 min. Answer: B. 6 or more
contractions in 10 min
◉Which of the following interventions would best stimulate an
acceleration in the FHR?
A. Provide juice to patient
,B. Perform vaginal exam
C. Turn patient on left side
D. Vibroacoustic stimulation. Answer: B. Perform vaginal exam
Scalp stimulation
◉Assessment of the _____ is an indirect measurement of fetal
oxygenation.
A. Fetal heart rate
B. Fetal scalp sampling
C. Uterine activity
D. Direct Coombs. Answer: A. Fetal heart rate
◉T/F: Intrauterine pressure catheters (IUPCs) do not increase risk
for infection when placed on patients with intact membranes..
Answer: False
Membranes must be ruptured for use; infection is a risk
◉What are abnormal fetal heart rate tracings predictive of?
A. Likelihood of spontaneous vaginal delivery
B. Newborn condition at time of delivery
, C. Fetal acid-base abnormalities
D. Fetal intrauterine growth. Answer: C. Fetal acid-base
abnormalities
◉Which of the following is not an intervention that should be
implemented in a patient with uterine tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section. Answer: D. Prepare patient
for cesarean section
◉Which of the following is most effective in determining the
strength of a patient's contractions?
A. Patient report
B. Tocodynanamometer tracing
C. RN palpation
D. Sterile vaginal exam during a contraction. Answer: C. RN palpation
◉The FHR is controlled by the
A. Sympathetic nervous system
B. Sinoatrial node
C. Atrioventricular node
