Page 1 of 80
Electronic Fetal Monitoring Certification
exam 2026|ACTUAL 470Qs&As|100%
VERIFED|
1. According to NICHD definitions, the normal baseline fetal
heart rate (FHR) range is:
A) 100–150 bpm
B) 110–160 bpm
C) 120–180 bpm
D) 90–170 bpm
Answer: B – 110–160 bpm is the normal range for a term fetus.
Rationale: NICHD defines baseline rate as the mean FHR rounded
to increments of 5 bpm over a 10-minute window, excluding
accelerations, decelerations, and periods of marked variability.
Bradycardia is <110 bpm; tachycardia is >160 bpm.
,Page 2 of 80
2. A fetal heart rate tracing shows a baseline of 135 bpm with
a sinusoidal pattern. This pattern is most likely associated
with:
A) Fetal sleep
B) Severe fetal anemia or hypoxemia
C) Maternal fever
D) Early labor
Answer: B – A sinusoidal pattern (smooth, sine-wave like
oscillations with amplitude 5–15 bpm, frequency 2–5 cycles per
minute, no accelerations) is classically associated with severe
fetal anemia (e.g., Rh isoimmunization, fetomaternal
hemorrhage).
Rationale: It requires immediate evaluation; do not confuse with
minimal variability.
,Page 3 of 80
3. A Category I tracing requires all of the following EXCEPT:
A) Baseline 110–160 bpm
B) Moderate variability
C) Late decelerations (absent or present)
D) Accelerations present or absent
Answer: C – Category I requires no late or variable
decelerations.
Rationale: Category I is a normal, reassuring tracing. Late
decelerations, even if minimal, would move the tracing to
Category II or III.
4. Fetal bradycardia (baseline <110 bpm) for 10 minutes or
more is considered abnormal. Which of the following is NOT a
common cause?
A) Umbilical cord prolapse
B) Maternal fever
, Page 4 of 80
C) Maternal hypoglycemia
D) Acute uterine rupture
Answer: B – Maternal fever typically causes fetal tachycardia,
not bradycardia.
Rationale: Causes of bradycardia include severe hypoxia (cord
compression, abruption, uterine rupture), maternal hypothermia,
beta-blocker medications, and prolonged head compression
(occasionally, but usually variable decelerations).
5. Moderate variability on an FHR tracing is defined as
amplitude fluctuation from the baseline of:
A) ≤5 bpm
B) 6–25 bpm
C) 26–40 bpm
D) ≥41 bpm
Electronic Fetal Monitoring Certification
exam 2026|ACTUAL 470Qs&As|100%
VERIFED|
1. According to NICHD definitions, the normal baseline fetal
heart rate (FHR) range is:
A) 100–150 bpm
B) 110–160 bpm
C) 120–180 bpm
D) 90–170 bpm
Answer: B – 110–160 bpm is the normal range for a term fetus.
Rationale: NICHD defines baseline rate as the mean FHR rounded
to increments of 5 bpm over a 10-minute window, excluding
accelerations, decelerations, and periods of marked variability.
Bradycardia is <110 bpm; tachycardia is >160 bpm.
,Page 2 of 80
2. A fetal heart rate tracing shows a baseline of 135 bpm with
a sinusoidal pattern. This pattern is most likely associated
with:
A) Fetal sleep
B) Severe fetal anemia or hypoxemia
C) Maternal fever
D) Early labor
Answer: B – A sinusoidal pattern (smooth, sine-wave like
oscillations with amplitude 5–15 bpm, frequency 2–5 cycles per
minute, no accelerations) is classically associated with severe
fetal anemia (e.g., Rh isoimmunization, fetomaternal
hemorrhage).
Rationale: It requires immediate evaluation; do not confuse with
minimal variability.
,Page 3 of 80
3. A Category I tracing requires all of the following EXCEPT:
A) Baseline 110–160 bpm
B) Moderate variability
C) Late decelerations (absent or present)
D) Accelerations present or absent
Answer: C – Category I requires no late or variable
decelerations.
Rationale: Category I is a normal, reassuring tracing. Late
decelerations, even if minimal, would move the tracing to
Category II or III.
4. Fetal bradycardia (baseline <110 bpm) for 10 minutes or
more is considered abnormal. Which of the following is NOT a
common cause?
A) Umbilical cord prolapse
B) Maternal fever
, Page 4 of 80
C) Maternal hypoglycemia
D) Acute uterine rupture
Answer: B – Maternal fever typically causes fetal tachycardia,
not bradycardia.
Rationale: Causes of bradycardia include severe hypoxia (cord
compression, abruption, uterine rupture), maternal hypothermia,
beta-blocker medications, and prolonged head compression
(occasionally, but usually variable decelerations).
5. Moderate variability on an FHR tracing is defined as
amplitude fluctuation from the baseline of:
A) ≤5 bpm
B) 6–25 bpm
C) 26–40 bpm
D) ≥41 bpm
