Inpatient Obstetric Nurse (NCC) Practice Exam 2026 - Free NCC Practice Questions and Study Guide

A fetal heart rate dipping below 110 bpm indicates potential distress or compromise in fetal well-being. Normal fetal heart rates typically range from 110 to 160 beats per minute, and when the rate drops below 110 bpm (known as bradycardia), it can signify a variety of issues such as umbilical cord compression, uteroplacental insufficiency, or fetal hypoxia. Consequently, this finding warrants immediate further assessment to determine the underlying cause and ensure the safety of the fetus. This may involve evaluating the mother's condition, assessing uterine activity, and potentially facilitating interventions to stabilize fetal heart rate.

The other options reflect reassuring findings in terms of fetal well-being. A fetal heart rate of 140 bpm with good variability indicates a healthy, well-oxygenated fetus. Fetal accelerations noted with contractions suggest that the fetus is responding well to the contractions, typically an encouraging sign of well-being. Consistent heart rate patterns during monitoring, especially when those patterns fall within the normal range, also suggest stability and good fetal health. None of these require the same level of concern that a drop in heart rate would prompt.