C-EFM (ELECTRONIC FETAL
MONITORING CERTIFICATION) PRACTICE
EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
1. What is the primary purpose of electronic fetal monitoring (EFM)?
A. Assess maternal oxygen levels
B. Evaluate fetal well-being during labor
C. Measure uterine contraction strength
D. Determine gestational age
Rationale: EFM is primarily used to assess fetal oxygenation and well-
being during labor.
2. A normal baseline fetal heart rate is:
A. 80–100 bpm
B. 110–160 bpm
C. 160–180 bpm
D. 100–110 bpm
Rationale: The normal baseline fetal heart rate is 110–160 beats per
minute.
,3. Tachycardia in a fetus is defined as:
A. <110 bpm
B. >160 bpm for at least 10 minutes
C. >140 bpm
D. >180 bpm
Rationale: Fetal tachycardia is a baseline rate greater than 160 bpm
lasting 10 minutes or more.
4. Early decelerations are typically caused by:
A. Umbilical cord compression
B. Fetal head compression
C. Uteroplacental insufficiency
D. Maternal hypotension
Rationale: Early decelerations are benign and caused by head
compression during contractions.
5. Variable decelerations are associated with:
A. Head compression
B. Umbilical cord compression
C. Placental aging
D. Maternal hyperglycemia
Rationale: Variable decelerations are caused by umbilical cord
compression.
6. Late decelerations indicate:
A. Cord prolapse
B. Uteroplacental insufficiency
C. Normal labor progression
D. Maternal dehydration
Rationale: Late decelerations suggest impaired placental perfusion.
, 7. A Category I fetal heart tracing includes:
A. Absent variability
B. Baseline 110–160 with moderate variability
C. Recurrent late decelerations
D. Bradycardia
Rationale: Category I is reassuring with normal baseline and variability.
8. Moderate variability indicates:
A. Absent CNS activity
B. Normal fetal oxygenation and autonomic function
C. Fetal distress
D. Cord compression
Rationale: Moderate variability reflects intact fetal neurological function.
9. Minimal variability may indicate:
A. Healthy fetus
B. Fetal sleep cycle or hypoxia
C. Placental abruption
D. Maternal fever
Rationale: Minimal variability may be benign or indicate fetal
compromise.
10.Absent variability is most concerning when:
A. During sleep cycle
B. Persistent and associated with decelerations
C. During labor
D. After epidural
Rationale: Persistent absent variability with decelerations suggests fetal
distress.
MONITORING CERTIFICATION) PRACTICE
EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
1. What is the primary purpose of electronic fetal monitoring (EFM)?
A. Assess maternal oxygen levels
B. Evaluate fetal well-being during labor
C. Measure uterine contraction strength
D. Determine gestational age
Rationale: EFM is primarily used to assess fetal oxygenation and well-
being during labor.
2. A normal baseline fetal heart rate is:
A. 80–100 bpm
B. 110–160 bpm
C. 160–180 bpm
D. 100–110 bpm
Rationale: The normal baseline fetal heart rate is 110–160 beats per
minute.
,3. Tachycardia in a fetus is defined as:
A. <110 bpm
B. >160 bpm for at least 10 minutes
C. >140 bpm
D. >180 bpm
Rationale: Fetal tachycardia is a baseline rate greater than 160 bpm
lasting 10 minutes or more.
4. Early decelerations are typically caused by:
A. Umbilical cord compression
B. Fetal head compression
C. Uteroplacental insufficiency
D. Maternal hypotension
Rationale: Early decelerations are benign and caused by head
compression during contractions.
5. Variable decelerations are associated with:
A. Head compression
B. Umbilical cord compression
C. Placental aging
D. Maternal hyperglycemia
Rationale: Variable decelerations are caused by umbilical cord
compression.
6. Late decelerations indicate:
A. Cord prolapse
B. Uteroplacental insufficiency
C. Normal labor progression
D. Maternal dehydration
Rationale: Late decelerations suggest impaired placental perfusion.
, 7. A Category I fetal heart tracing includes:
A. Absent variability
B. Baseline 110–160 with moderate variability
C. Recurrent late decelerations
D. Bradycardia
Rationale: Category I is reassuring with normal baseline and variability.
8. Moderate variability indicates:
A. Absent CNS activity
B. Normal fetal oxygenation and autonomic function
C. Fetal distress
D. Cord compression
Rationale: Moderate variability reflects intact fetal neurological function.
9. Minimal variability may indicate:
A. Healthy fetus
B. Fetal sleep cycle or hypoxia
C. Placental abruption
D. Maternal fever
Rationale: Minimal variability may be benign or indicate fetal
compromise.
10.Absent variability is most concerning when:
A. During sleep cycle
B. Persistent and associated with decelerations
C. During labor
D. After epidural
Rationale: Persistent absent variability with decelerations suggests fetal
distress.
