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NCC
NCC Electronic Fetal Monitoring
Certification Exam Questions
with Correct Verified Solutions
100% Guaranteed Pass
T/F: The intrauterine catheter is used to pick up the fetal heart rate. - ANS
✓False
T/F: The internal spiral electrode may pick up the maternal heart rate if the
baby has died. - ANS ✓True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - ANS ✓True
T/F: Variability and periodic changes can be detected with both internal
and external monitoring. - ANS ✓True
T/F: Variable decelerations are a result of cord compression. - ANS ✓True
T/F: The presence of FHR accelerations in the intrapartum and antepartum
periods is a sign of adequate fetal oxygenation at the time that it is
observed - ANS ✓True
T/F: Variable decelerations are a vagal response. - ANS ✓True
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T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
seconds) and are delayed in timing with the nadir of the deceleration
occurring after the peak of the contraction. - ANS ✓True
T/F: The fetal heart rate baseline can be determined during periods of
marked variability. - ANS ✓False
T/F: Anything that affects maternal blood flow (cardiac output) can affect
the blood flow through the placenta. - ANS ✓True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - ANS ✓True
T/F: Minimal variability is always an indicator of hypoxia and a Caesarean
section is indicated. - ANS ✓False
What is your first intervention in management of a patient experiencing
variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - ANS ✓b. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
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a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - ANS ✓c. 2, 3 and 4
What is the most probable cause of recurrent late decelerations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change - ANS ✓a. Utero-placental insufficiency
The most prevalent risk factor associated with fetal death before the onset
of labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies - ANS ✓c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing
d. Maternal HCG levels - ANS ✓d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
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d. Decreased fetal movement - ANS ✓c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - ANS ✓a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - ANS ✓d. 2 fetal
heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery - ANS ✓b. Do a biophysical profile or
contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ANS ✓a. Contraction stress test
NCC Electronic Fetal
NCC
NCC Electronic Fetal Monitoring
Certification Exam Questions
with Correct Verified Solutions
100% Guaranteed Pass
T/F: The intrauterine catheter is used to pick up the fetal heart rate. - ANS
✓False
T/F: The internal spiral electrode may pick up the maternal heart rate if the
baby has died. - ANS ✓True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - ANS ✓True
T/F: Variability and periodic changes can be detected with both internal
and external monitoring. - ANS ✓True
T/F: Variable decelerations are a result of cord compression. - ANS ✓True
T/F: The presence of FHR accelerations in the intrapartum and antepartum
periods is a sign of adequate fetal oxygenation at the time that it is
observed - ANS ✓True
T/F: Variable decelerations are a vagal response. - ANS ✓True
NCC Electronic Fetal
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NCC
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
seconds) and are delayed in timing with the nadir of the deceleration
occurring after the peak of the contraction. - ANS ✓True
T/F: The fetal heart rate baseline can be determined during periods of
marked variability. - ANS ✓False
T/F: Anything that affects maternal blood flow (cardiac output) can affect
the blood flow through the placenta. - ANS ✓True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - ANS ✓True
T/F: Minimal variability is always an indicator of hypoxia and a Caesarean
section is indicated. - ANS ✓False
What is your first intervention in management of a patient experiencing
variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion - ANS ✓b. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
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a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - ANS ✓c. 2, 3 and 4
What is the most probable cause of recurrent late decelerations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change - ANS ✓a. Utero-placental insufficiency
The most prevalent risk factor associated with fetal death before the onset
of labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies - ANS ✓c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance?
a. Fetal movement counting
b. Antepartum fetal heart rate testing
c. Biophysical profile testing
d. Maternal HCG levels - ANS ✓d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal
surveillance?
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
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d. Decreased fetal movement - ANS ✓c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - ANS ✓a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window - ANS ✓d. 2 fetal
heart rate accelerations in a 20 minute window
If a nonstress test is nonreactive after 40 minutes, the next step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery - ANS ✓b. Do a biophysical profile or
contraction stress test
All of the following are components of a biophysical profile except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ANS ✓a. Contraction stress test
NCC Electronic Fetal
