NCC Electronic Fetal Monitoring Exam
Practice Questions and Answers
(2026/2027) (Verified Answers)
Q1. An abrupt rise in fetal BP can stimulate:
A. Late decelerations
B. Early decelerations
C. Variable decelerations
D. Prolonged decelerations
ANS: C. Variable decelerations
Q2. An acceleration of FHR that is elicited during fetal scalp stimulation
indicates a fetal pH of at least:
A. 7.10
B. 7.15
C. 7.19
D. 7.25
ANS: C. 7.19
Q3. Baseline FHR variability is classified as:
A. Minimal, moderate, marked, extreme
B. Absent, minimal, moderate, marked
C. None, mild, moderate, severe
D. Low, normal, high, extreme
ANS: B. Absent, minimal, moderate, marked
Q4. Chemoreceptors respond mainly to:
A. Changes in blood pressure
B. Hormonal fluctuations
C. Hypoxemia
D. Fetal movement
ANS: C. Hypoxemia
Q5. Complete heart block increases fetal risk for:
A. Supraventricular tachycardia
B. Neonatal pacemaker
C. Fetal hydrops
D. Cerebral palsy
,ANS: B. Neonatal pacemaker
Q6. Decelerations that occur with less than 50% of contractions are called:
A. Recurrent
B. Intermittent
C. Repetitive
D. Periodic
ANS: B. Intermittent
Q7. During the first stage of labor for women with NO risk factors, EFM should
be reviewed every:
A. 15 min
B. 20 min
C. 30 min
D. 60 min
ANS: C. 30 min
Q8. During the first stage of labor for women WITH complications, EFM
should be reviewed every:
A. 5 min
B. 10 min
C. 15 min
D. 30 min
ANS: C. 15 min
Q9. During the second stage of labor for women requiring oxytocin, EFM
should be reviewed every:
A. 5 min
B. 10 min
C. 15 min
D. 30 min
ANS: A. 5 min
Q10. During an acute episode of fetal hypoxemia, fetal blood flow is
redistributed primarily to the:
A. Liver
B. Kidneys
C. Brain
D. Lungs
ANS: C. Brain
, Q11. An EFM tracing with absent variability and recurrent late decelerations
would be categorized as:
A. Category I (Normal)
B. Category II (Indeterminate)
C. Category III (Abnormal)
D. Category IV (Critical)
ANS: C. Category III (Abnormal)
Q12. Fetal blood is most highly oxygenated in the:
A. Umbilical vein
B. Foramen ovale
C. Ductus arteriosus
D. Ductus venosus
ANS: D. Ductus venosus
Q13. Fetal hydrops may develop with:
A. Complete heart block
B. Premature atrial contractions
C. Paroxysmal atrial tachycardia
D. Sinus bradycardia
ANS: C. Paroxysmal atrial tachycardia
Q14. Fetal metabolic acidemia is indicated by an umbilical artery cord blood
gas pH of 6.94 and a base excess of:
A. >-5
B. >-8
C. >-10
D. >-12
ANS: D. >-12
Q15. Fetal respiratory acidemia is indicated by a pH of 7.04 and a PCO2 of:
A. >40
B. >50
C. >60
D. >70
ANS: C. >60
Q16. A fetoscope works by detecting:
A. Electrical signals from the fetal heart
Practice Questions and Answers
(2026/2027) (Verified Answers)
Q1. An abrupt rise in fetal BP can stimulate:
A. Late decelerations
B. Early decelerations
C. Variable decelerations
D. Prolonged decelerations
ANS: C. Variable decelerations
Q2. An acceleration of FHR that is elicited during fetal scalp stimulation
indicates a fetal pH of at least:
A. 7.10
B. 7.15
C. 7.19
D. 7.25
ANS: C. 7.19
Q3. Baseline FHR variability is classified as:
A. Minimal, moderate, marked, extreme
B. Absent, minimal, moderate, marked
C. None, mild, moderate, severe
D. Low, normal, high, extreme
ANS: B. Absent, minimal, moderate, marked
Q4. Chemoreceptors respond mainly to:
A. Changes in blood pressure
B. Hormonal fluctuations
C. Hypoxemia
D. Fetal movement
ANS: C. Hypoxemia
Q5. Complete heart block increases fetal risk for:
A. Supraventricular tachycardia
B. Neonatal pacemaker
C. Fetal hydrops
D. Cerebral palsy
,ANS: B. Neonatal pacemaker
Q6. Decelerations that occur with less than 50% of contractions are called:
A. Recurrent
B. Intermittent
C. Repetitive
D. Periodic
ANS: B. Intermittent
Q7. During the first stage of labor for women with NO risk factors, EFM should
be reviewed every:
A. 15 min
B. 20 min
C. 30 min
D. 60 min
ANS: C. 30 min
Q8. During the first stage of labor for women WITH complications, EFM
should be reviewed every:
A. 5 min
B. 10 min
C. 15 min
D. 30 min
ANS: C. 15 min
Q9. During the second stage of labor for women requiring oxytocin, EFM
should be reviewed every:
A. 5 min
B. 10 min
C. 15 min
D. 30 min
ANS: A. 5 min
Q10. During an acute episode of fetal hypoxemia, fetal blood flow is
redistributed primarily to the:
A. Liver
B. Kidneys
C. Brain
D. Lungs
ANS: C. Brain
, Q11. An EFM tracing with absent variability and recurrent late decelerations
would be categorized as:
A. Category I (Normal)
B. Category II (Indeterminate)
C. Category III (Abnormal)
D. Category IV (Critical)
ANS: C. Category III (Abnormal)
Q12. Fetal blood is most highly oxygenated in the:
A. Umbilical vein
B. Foramen ovale
C. Ductus arteriosus
D. Ductus venosus
ANS: D. Ductus venosus
Q13. Fetal hydrops may develop with:
A. Complete heart block
B. Premature atrial contractions
C. Paroxysmal atrial tachycardia
D. Sinus bradycardia
ANS: C. Paroxysmal atrial tachycardia
Q14. Fetal metabolic acidemia is indicated by an umbilical artery cord blood
gas pH of 6.94 and a base excess of:
A. >-5
B. >-8
C. >-10
D. >-12
ANS: D. >-12
Q15. Fetal respiratory acidemia is indicated by a pH of 7.04 and a PCO2 of:
A. >40
B. >50
C. >60
D. >70
ANS: C. >60
Q16. A fetoscope works by detecting:
A. Electrical signals from the fetal heart
