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NCC Electronic Fetal Monitoring Certification Exam Newest 2026 | Complete Questions & Verified Answers A+

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Complete NCC Electronic Fetal Monitoring (EFM) Certification exam newest 2026 with verified correct answers. Covers maternal and fetal physiology, uterine blood flow, fetal compensation for decreased maternal volume, vagus nerve effects, chemoreceptor responses, FHR baseline, placental oxygen exchange, and parasympathetic vs sympathetic nervous system. Fully graded A+ and ideal for EFM exam preparation and nursing review.

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NCC Electronic Fetal Monitoring
Certification EXAM NEWEST 2026
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following factors can have a negative effect on uterine blood flow?

a. Hypertension

b. Epidural

c. Hemorrhage

d. Diabetes

e. All of the above -CORRECTANSWER e. All of the above



How does the fetus compensate for decreased maternal circulating volume?

a. Increases cardiac output by increasing stroke volume.

b. Increases cardiac output by increasing it's heart rate.

c. Increases cardiac output by increasing fetal movement. -CORRECTANSWER b.

Increases cardiac output by increasing it's heart rate.



Stimulating the vagus nerve typically produces:

a. A decrease in the heart rate

b. An increase in the heart rate

c. An increase in stroke volume

,d. No change -CORRECTANSWER a. A decrease in the heart rate



What initially causes a chemoreceptor response?

a. Epidurals

b. Supine maternal position

c. Increased CO2 levels

d. Decreased O2 levels

e. A & C

f. A & B

g. C & D -CORRECTANSWER g. C & D



The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect

to the FHR baseline?

a. Increases baseline

b. Decreases baseline -CORRECTANSWER b. Decreases baseline



T/F: Oxygen exchange in the placenta takes place in the intervillous space. -

CORRECTANSWER True



T/F: The parasympathetic nervous system is a cardioaccelerator. -CORRECTANSWER

False

,T/F: Baroreceptors are stretch receptors which respond to increases or decreases in

blood pressure. -CORRECTANSWER True



T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate:

the ultrasound transducer and the fetal spiral electrode. -CORRECTANSWER True



T/F: Variability can be determined with the fetoscope. -CORRECTANSWER False



T/F: Because the ultrasound transducer and toco transducer are sealed units, they can

be dipped in warm water to make cleaning easier. -CORRECTANSWER False



T/F: The most common artifact with the ultrasound transducer system for fetal heart rate

is increased variability. -CORRECTANSWER True



T/F: All fetal monitors contain a logic system designed to reject artifact. -

CORRECTANSWER True



T/F: The monitor should always be tested before starting a tracing, either external or

internal mode and labeled a test. -CORRECTANSWER True



T/F: In the U.S. the paper speed on the fetal monitor is set at 3cm/min. -

CORRECTANSWER True

, T/F: Both internal and external monitoring methods are equally accurate means of

obtaining the fetal heart rate and contraction patterns. -CORRECTANSWER False



T/F: The external toco is usually placed over the uterine fundus to pick up contractions.

-CORRECTANSWER True



T/F: The external toco gives measurable uterine pressure. -CORRECTANSWER False



T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is

present. -CORRECTANSWER False



T/F: The ultrasound transducer is usually placed on the side of the uterus over the

baby's back, as the fetal heart is heard best there. -CORRECTANSWER True



T/F: The spiral electrode is used to more accurately determine the frequency, duration,

and intensity of uterine contractions. -CORRECTANSWER False



T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not

maternal. -CORRECTANSWER False



T/F: The intrauterine catheter is used to pick up the fetal heart rate. -

CORRECTANSWER False

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