NCC Electronic Fetal Monitoring
Certification Exam Questions and Answers
(2026/2027) (Verified Answers)
Q1. _____ are abnormal FHR rhythms associated with disordered impulse
formation, conduction, or both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias
D. Bradycardias
ANS: C. Dysrhythmias
Q2. _____ are patterns of abnormal FHR associated with variability in R-to-R
intervals, but with normal P-waves preceding normal QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias
D. Tachycardias
ANS: A. Arrhythmias
Q3. _____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal
D. Fetal
ANS: B. Venous
Q4. _____ denotes the ability of cardiac cells to conduct electrical impulses
from one cell to another.
A. Automaticity
B. Excitability
C. Conductivity
D. Contractility
ANS: C. Conductivity
Q5. _____ denotes the readiness of cardiac cells to receive and respond to
electrical stimuli.
A. Automaticity
,B. Excitability
C. Conductivity
D. Contractility
ANS: B. Excitability
Q6. _____ denotes the spontaneous, rhythmic depolarization of cardiac cells.
A. Automaticity
B. Excitability
C. Conductivity
D. Contractility
ANS: A. Automaticity
Q7. _______ occurs when the HCO3 concentration is higher than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis
D. Respiratory alkalosis
ANS: B. Base excess
Q8. _______ occurs when the HCO3 concentration is lower than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis
D. Respiratory acidosis
ANS: A. Base deficit
Q9. _______ occurs when there is high PCO2 with normal bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
ANS: B. Respiratory acidosis
Q10. _______ occurs when there is low bicarbonate (base excess) in the
presence of normal PCO2 values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Base excess
ANS: A. Metabolic acidosis
,Q11. _______ are protective stretch receptors located in the aortic arch and
the carotid sinuses.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
D. Veins
ANS: A. Baroreceptors
Q12. _______ decelerations occur with greater than or equal to 50% of
contractions.
A. Recurrent
B. Intermittent
C. Repetitive
D. Episodic
ANS: A. Recurrent
Q13. _______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive
D. Periodic
ANS: B. Intermittent
Q14. _______ denotes a decrease in oxygen content of the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia
D. Acidemia
ANS: C. Hypoxemia
Q15. _______ denotes a decrease in oxygenation of the fetal tissues.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia
D. Acidosis
ANS: B. Hypoxia
Q16. _______ denotes an increase in carbon dioxide in the fetal blood.
A. Hypercapnia
, B. Hypoxia
C. Hypoxemia
D. Acidemia
ANS: A. Hypercapnia
Q17. _______ denotes an increase in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia
D. Hypoxemia
ANS: B. Acidemia
Q18. _______ denotes an increase in hydrogen ions in the fetal tissues.
A. Acidosis
B. Acidemia
C. Hypercapnia
D. Hypoxia
ANS: A. Acidosis
Q19. _______ FHR patterns are those associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular
ANS: A. Periodic
Q20. _______ FHR patterns are those that are NOT associated with uterine
contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular
ANS: B. Episodic
Q21. _______ is defined as the energy-consuming process of metabolism.
A. Catabolism
B. Anabolism
C. Glycolysis
D. Metabolism
ANS: B. Anabolism
Certification Exam Questions and Answers
(2026/2027) (Verified Answers)
Q1. _____ are abnormal FHR rhythms associated with disordered impulse
formation, conduction, or both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias
D. Bradycardias
ANS: C. Dysrhythmias
Q2. _____ are patterns of abnormal FHR associated with variability in R-to-R
intervals, but with normal P-waves preceding normal QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias
D. Tachycardias
ANS: A. Arrhythmias
Q3. _____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal
D. Fetal
ANS: B. Venous
Q4. _____ denotes the ability of cardiac cells to conduct electrical impulses
from one cell to another.
A. Automaticity
B. Excitability
C. Conductivity
D. Contractility
ANS: C. Conductivity
Q5. _____ denotes the readiness of cardiac cells to receive and respond to
electrical stimuli.
A. Automaticity
,B. Excitability
C. Conductivity
D. Contractility
ANS: B. Excitability
Q6. _____ denotes the spontaneous, rhythmic depolarization of cardiac cells.
A. Automaticity
B. Excitability
C. Conductivity
D. Contractility
ANS: A. Automaticity
Q7. _______ occurs when the HCO3 concentration is higher than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis
D. Respiratory alkalosis
ANS: B. Base excess
Q8. _______ occurs when the HCO3 concentration is lower than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis
D. Respiratory acidosis
ANS: A. Base deficit
Q9. _______ occurs when there is high PCO2 with normal bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
ANS: B. Respiratory acidosis
Q10. _______ occurs when there is low bicarbonate (base excess) in the
presence of normal PCO2 values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Base excess
ANS: A. Metabolic acidosis
,Q11. _______ are protective stretch receptors located in the aortic arch and
the carotid sinuses.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
D. Veins
ANS: A. Baroreceptors
Q12. _______ decelerations occur with greater than or equal to 50% of
contractions.
A. Recurrent
B. Intermittent
C. Repetitive
D. Episodic
ANS: A. Recurrent
Q13. _______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive
D. Periodic
ANS: B. Intermittent
Q14. _______ denotes a decrease in oxygen content of the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia
D. Acidemia
ANS: C. Hypoxemia
Q15. _______ denotes a decrease in oxygenation of the fetal tissues.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia
D. Acidosis
ANS: B. Hypoxia
Q16. _______ denotes an increase in carbon dioxide in the fetal blood.
A. Hypercapnia
, B. Hypoxia
C. Hypoxemia
D. Acidemia
ANS: A. Hypercapnia
Q17. _______ denotes an increase in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia
D. Hypoxemia
ANS: B. Acidemia
Q18. _______ denotes an increase in hydrogen ions in the fetal tissues.
A. Acidosis
B. Acidemia
C. Hypercapnia
D. Hypoxia
ANS: A. Acidosis
Q19. _______ FHR patterns are those associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular
ANS: A. Periodic
Q20. _______ FHR patterns are those that are NOT associated with uterine
contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular
ANS: B. Episodic
Q21. _______ is defined as the energy-consuming process of metabolism.
A. Catabolism
B. Anabolism
C. Glycolysis
D. Metabolism
ANS: B. Anabolism