CEFM CERTIFICATION PRACTICE
QUESTIONS 2026 SOLVED ANSWERS
GRADED A+
⩥ Continuous EFM does NOT improve.
Answer: - Acidemia
- APGARs
- NICU admits
- Hypoxic ischemic encephalopathy
- Perinatal mortality
- cerebral palsy
- neurodevelopmental impairment at >12mo
⩥ Auscultation.
Answer: listens to how the valves of the heart close
cannot assess variability
- fetoscope
⩥ Electronic Fetal Monitoring (Ultrasound).
Answer: used to detect fetal heart motion from sound waves
, ⩥ EFM (FSE).
Answer: converts fetal ECG to FHR by measuring R to R intervals
⩥ Assessment of FHR: AAP and ACOG.
Answer: - active phase, first stage: q 30 min for low risk, q 15 min for
high risk
- active second stage: q 15 min for low risk, q 5 min for high risk
⩥ Hypoxemia.
Answer: low oxygen in the BLOOD
⩥ Hypoxia.
Answer: deficiency in the amount of oxygen reaching the TISSUES
⩥ Metabolic Acidosis.
Answer: occurs when aerobic metabolism becomes anaerobic
metabolism due to lack of oxygen
- results in production of lactic acid
⩥ Metabolic Acidemia.
Answer: lactic acid production leads to utilization of buffer bases to
stabilize pH. If buffering capacity is exceeded, pH may begin to fall
QUESTIONS 2026 SOLVED ANSWERS
GRADED A+
⩥ Continuous EFM does NOT improve.
Answer: - Acidemia
- APGARs
- NICU admits
- Hypoxic ischemic encephalopathy
- Perinatal mortality
- cerebral palsy
- neurodevelopmental impairment at >12mo
⩥ Auscultation.
Answer: listens to how the valves of the heart close
cannot assess variability
- fetoscope
⩥ Electronic Fetal Monitoring (Ultrasound).
Answer: used to detect fetal heart motion from sound waves
, ⩥ EFM (FSE).
Answer: converts fetal ECG to FHR by measuring R to R intervals
⩥ Assessment of FHR: AAP and ACOG.
Answer: - active phase, first stage: q 30 min for low risk, q 15 min for
high risk
- active second stage: q 15 min for low risk, q 5 min for high risk
⩥ Hypoxemia.
Answer: low oxygen in the BLOOD
⩥ Hypoxia.
Answer: deficiency in the amount of oxygen reaching the TISSUES
⩥ Metabolic Acidosis.
Answer: occurs when aerobic metabolism becomes anaerobic
metabolism due to lack of oxygen
- results in production of lactic acid
⩥ Metabolic Acidemia.
Answer: lactic acid production leads to utilization of buffer bases to
stabilize pH. If buffering capacity is exceeded, pH may begin to fall
