NCC ELECTRONIC FETAL MONITORING
CERTIFICATION NEWEST VERSIONS 2024-2025
COMPLETE 400+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What characteristics are necessary for a reactive NST in a G3P0 patient who is 25 6/7 weeks' gestation?
A. Accelerations of 15bpm above the baseline lasting at least 15 seconds above the baseline
B. Accelerations of 10bpm above the baseline lasting at least 10 seconds above the baseline
C. Any acceleration greater than 10bpm above the baseline - CORRECT ANSWER-B. Accelerations of
10bpm above the baseline lasting at least 10 seconds above the baseline
How long may a standard NST be extended in a term gestation if reactivity is not initially demonstrated?
A. From the initial 20 min to 40 min
B. From the initial 20 min to 60 min
C. From the initial 30 min to 60 min - CORRECT ANSWER-A. From the initial 20 min to 40 min
Accounts for fetal sleep
Which is the most appropriate application of vibroacoustic stimulation (fetal acoustic stimulation) in a
standard NST?
A. The device is placed at the top of the maternal fundus
B. The mother uses a marker button to document the fetal movement response
C. The stimulation is applied after a baseline is established - CORRECT ANSWER-C. The stimulation is
applied after a baseline is established
Which of the following characteristics are most common in the preterm fetus?
A. Increased baseline rate and prolonged accelerations
B. Increased baseline rate and variable decelerations
C. Prolonged accelerations and variable decelerations - CORRECT ANSWER-B. Increased baseline rate
and variable decelerations
,As well as decreased variability
What typical characteristics of preterm uterine activity may be present in a patient experiencing
preterm labor?
A. An irritable uterus with wandering hypertonus
B. Low-amplitude high-frequency contractions
C. Tetanic contractions - CORRECT ANSWER-B. Low amplitude high-frequency contractions
Which medications used with preterm labor can affect the FHR characteristics?
A. Terbutaline and antibiotics
B. Betamethasone and terbutaline
C. Antibiotics and narcotics - CORRECT ANSWER-B. Betamethasone and terbutaline
What characterizes a preterm fetal response to stress?
A. More frequently occurring late decelerations
B. More frequently occurring prolonged decelerations
C. More rapid deterioration from Category I to Category II or III - CORRECT ANSWER-C. More rapid
deterioration from Category I to Category II or III
More likely to be subjected to hypoxia
Clinical decision-making at the bedside should include:
A. Communication with the primary care provider only during a crisis
B. Integration of physiologic concepts with maternal-fetal assessment findings
C. Reliance primarily on technology over bedside assessments - CORRECT ANSWER-B. Integration of
physiologic concepts with maternal-fetal assessment findings
,In the United States, the paper speed on the monitor is set at
A. 1 cm/min
B. 2 cm/min
C. 3 cm/min - CORRECT ANSWER-C. 3 cm/min
A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate action is
to
A. Insert a spiral electrode and turn off the logic
B. Turn the logic on if an external monitor is in place
C. Use a Doppler to listen to the ventricular rate - CORRECT ANSWER-A. Insert a spiral electrode and turn
off the logic
The ultrasound transducer on the electronic fetal monitor measures the
A. Electrical signal of the fetal heart
B. Mechanical movements of the fetal heart reflected off of sound waves
C. R-to-R intervals of the fetal heart - CORRECT ANSWER-B. Mechanical movements of the fetal heart
reflected off of sound waves
The purpose of autocorrelation in external monitoring is to
A. Compare incoming waveforms for comparison
B. Decrease signal to noise levels
C. Distinguish fetal from maternal HR - CORRECT ANSWER-A. Compare incoming waveforms for
comparison
The area of maximum intensity of the FHR is usually the fetal
A. Back
B. Chest
C. Umbilicus - CORRECT ANSWER-A. Back
, Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm - CORRECT ANSWER-B. Fingertips
What is the most sensitive method of assessing uterine activity?
A. IUPC
B. Manual palpation
C. Maternal perception - CORRECT ANSWER-A. IUPC
In comparison to maternal blood, the affinity of fetal blood for oxygen is
A. Higher
B. Lower
C. The same - CORRECT ANSWER-A. Higher
The process that requires energy to accomplish the passage of substances within the intervillous space is
A. Active transport
B. Diffusion
C. Facilitated diffusion - CORRECT ANSWER-A. Active transport
The umbilical vein carries
A. Carbon dioxide from the fetus back to the placenta
B. Deoxygenated blood from the fetus to the placenta
C. Oxygenated blood from the placenta to the fetus - CORRECT ANSWER-C. Oxygenated blood from the
placenta to the fetus
Fetal hypoxia is best described as a condition of
A. Decreased oxygen in the blood
B. Decreased oxygen in the tissue
CERTIFICATION NEWEST VERSIONS 2024-2025
COMPLETE 400+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What characteristics are necessary for a reactive NST in a G3P0 patient who is 25 6/7 weeks' gestation?
A. Accelerations of 15bpm above the baseline lasting at least 15 seconds above the baseline
B. Accelerations of 10bpm above the baseline lasting at least 10 seconds above the baseline
C. Any acceleration greater than 10bpm above the baseline - CORRECT ANSWER-B. Accelerations of
10bpm above the baseline lasting at least 10 seconds above the baseline
How long may a standard NST be extended in a term gestation if reactivity is not initially demonstrated?
A. From the initial 20 min to 40 min
B. From the initial 20 min to 60 min
C. From the initial 30 min to 60 min - CORRECT ANSWER-A. From the initial 20 min to 40 min
Accounts for fetal sleep
Which is the most appropriate application of vibroacoustic stimulation (fetal acoustic stimulation) in a
standard NST?
A. The device is placed at the top of the maternal fundus
B. The mother uses a marker button to document the fetal movement response
C. The stimulation is applied after a baseline is established - CORRECT ANSWER-C. The stimulation is
applied after a baseline is established
Which of the following characteristics are most common in the preterm fetus?
A. Increased baseline rate and prolonged accelerations
B. Increased baseline rate and variable decelerations
C. Prolonged accelerations and variable decelerations - CORRECT ANSWER-B. Increased baseline rate
and variable decelerations
,As well as decreased variability
What typical characteristics of preterm uterine activity may be present in a patient experiencing
preterm labor?
A. An irritable uterus with wandering hypertonus
B. Low-amplitude high-frequency contractions
C. Tetanic contractions - CORRECT ANSWER-B. Low amplitude high-frequency contractions
Which medications used with preterm labor can affect the FHR characteristics?
A. Terbutaline and antibiotics
B. Betamethasone and terbutaline
C. Antibiotics and narcotics - CORRECT ANSWER-B. Betamethasone and terbutaline
What characterizes a preterm fetal response to stress?
A. More frequently occurring late decelerations
B. More frequently occurring prolonged decelerations
C. More rapid deterioration from Category I to Category II or III - CORRECT ANSWER-C. More rapid
deterioration from Category I to Category II or III
More likely to be subjected to hypoxia
Clinical decision-making at the bedside should include:
A. Communication with the primary care provider only during a crisis
B. Integration of physiologic concepts with maternal-fetal assessment findings
C. Reliance primarily on technology over bedside assessments - CORRECT ANSWER-B. Integration of
physiologic concepts with maternal-fetal assessment findings
,In the United States, the paper speed on the monitor is set at
A. 1 cm/min
B. 2 cm/min
C. 3 cm/min - CORRECT ANSWER-C. 3 cm/min
A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate action is
to
A. Insert a spiral electrode and turn off the logic
B. Turn the logic on if an external monitor is in place
C. Use a Doppler to listen to the ventricular rate - CORRECT ANSWER-A. Insert a spiral electrode and turn
off the logic
The ultrasound transducer on the electronic fetal monitor measures the
A. Electrical signal of the fetal heart
B. Mechanical movements of the fetal heart reflected off of sound waves
C. R-to-R intervals of the fetal heart - CORRECT ANSWER-B. Mechanical movements of the fetal heart
reflected off of sound waves
The purpose of autocorrelation in external monitoring is to
A. Compare incoming waveforms for comparison
B. Decrease signal to noise levels
C. Distinguish fetal from maternal HR - CORRECT ANSWER-A. Compare incoming waveforms for
comparison
The area of maximum intensity of the FHR is usually the fetal
A. Back
B. Chest
C. Umbilicus - CORRECT ANSWER-A. Back
, Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm - CORRECT ANSWER-B. Fingertips
What is the most sensitive method of assessing uterine activity?
A. IUPC
B. Manual palpation
C. Maternal perception - CORRECT ANSWER-A. IUPC
In comparison to maternal blood, the affinity of fetal blood for oxygen is
A. Higher
B. Lower
C. The same - CORRECT ANSWER-A. Higher
The process that requires energy to accomplish the passage of substances within the intervillous space is
A. Active transport
B. Diffusion
C. Facilitated diffusion - CORRECT ANSWER-A. Active transport
The umbilical vein carries
A. Carbon dioxide from the fetus back to the placenta
B. Deoxygenated blood from the fetus to the placenta
C. Oxygenated blood from the placenta to the fetus - CORRECT ANSWER-C. Oxygenated blood from the
placenta to the fetus
Fetal hypoxia is best described as a condition of
A. Decreased oxygen in the blood
B. Decreased oxygen in the tissue
