CEFM EXAM 2025/ CEFM PRACTICE EXAM
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|NEWEST
|GUARANTEED PASS|LATEST UPDATE
When peripheral chemoreceptors respond to decreased oxygen and increased carbon dioxide
this leads to an increase in?
a. arterial blood pressure
b. cardiac output
c. fetal heart rate
a. arterial blood pressure
To best determine fetal tolerance of labor, auscultation should be done
a. after a contraction
b. during a contraction
c. with episodes of fetal movement
a. after a contraction
Normal PCO2 and decreased HCO3 are consistent with what type of acidemia?
a. Metabolic
b. Mixed
c. Respiratory
a. Metabolic
Which of the following can cause a blunted response to vibroacoustic stimulators?
a. hydramnios
b. magnesium sulfate
c. multiple gestation
b. magnesium sulfate
1|Page
,The progressive decrease in fetal heart rate baseline as gestation advances is considered to be a
result of maturation of the
a. cardiac electrical pathways
b. fetal circulatory system
c. parasympathetic nervous system
c. parasympathetic nervous system
When properly placed on the maternal abdomen, the ultrasound transducer detects the
a. fetal cardiac electrical activity
b. fetal heart movements
c. sounds made by fetal blood flow
b. fetal heart movements
When late decelerations occur in the presence of moderate variability this is most likely due to
chemoreceptor mediated response to transient
a. hypotension
b. hypoxemia
c. umbilical cord compression
b. hypoxemia
During amnioinfusion, the infusion should be stopped periodically to assess changes in
a. baseline uterine pressure
b. deceleration pattern
c. vaginal drainage
a. baseline uterine pressure
A woman in labor on oxytocin develops tachysystole but the other EFM parameters are within
normal limits. The next step is to
a. continue to monitor
b. decrease the oxytocin
c. start intrauterine resuscitation measures
b. decrease the oxytocin
If a Category II tracing with minimal variability and absent fetal heart accelerations begins to
show late decelerations
a. immediate cesarean delivery is indicated
b. it should be considered indeterminate
c. the tracing has progressed to Category III status
2|Page
,c. the tracing has progressed to Category III status
Severe fetal anemia should be suspected in what fetal heart rate manifestation?
a. Shallow late decelerations
b. Sinusoidal pattern
c. Wandering baseline
b. Sinusoidal pattern
The quantification of a deceleration is made by the
a. beats per minute from acme above baseline to nadir
b. combination of depth and duration time
c. depth of the nadir in beats per minute below the baseline
c. depth of the nadir in beats per minute below the baseline
Early decelerations are characterized by the nadir of deceleration occurring
a. at the peak of the contraction
b. at the start of a contraction
c. between contractions
a. at the peak of the contraction
As gestational age advances, umbilical artery velocity decreases secondary to
a. increased blood volume
b. optimal arterial circulation
c. placental resistance
c. placental resistance
Define beneficence
doing good
Holding a dying patients hand is an example of?
beneficence
Define nonmaleficence
do no harm
if a diabetic patient asked a healthcare professional for a coke and the healthcare professional
denied the request in order to prevent the patient from drinking something that could harm
them- is an example of?
3|Page
, nonmaleficence
define fidelity
loyalty and faithfulness
a nurse who told their patient they were coming back in 30 minutes to check on their pain,
would either come back, or delegate somebody else to come back if they got tied up- is an
example of?
fidelity
define veracity
being truthful
if a patient was starting chemotherapy and asked about the side effects, a nurse practicing ____
would be honest about the side effects they could expect with chemotherapy.
veracity
The paper speed used with EFM in North America is:
a. 1cm/min
b. 2cm/min
c. 3cm/min
C. 3cm/min
The US transducer on the EFM measures the
a. Electrical signal of the fetal heart
b. Mechanical movement of the fetal heart reflected off of sound waves
c. R to R intervals of the fetal heart
b. Mechanical movement of the fetal heart reflected off of sound waves
The purpose of the autocorrelation in external monitoring is to
a. Compare incoming waveforms for comparison
b. Decrease signal to noise levels
c. Distinguish fetal from maternal heart rate
a. Compare incoming waveforms for comparison
The area of maximum intensity of FHR is usually the fetal
a. Back
b. Chest
c. Umbilicus
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|NEWEST
|GUARANTEED PASS|LATEST UPDATE
When peripheral chemoreceptors respond to decreased oxygen and increased carbon dioxide
this leads to an increase in?
a. arterial blood pressure
b. cardiac output
c. fetal heart rate
a. arterial blood pressure
To best determine fetal tolerance of labor, auscultation should be done
a. after a contraction
b. during a contraction
c. with episodes of fetal movement
a. after a contraction
Normal PCO2 and decreased HCO3 are consistent with what type of acidemia?
a. Metabolic
b. Mixed
c. Respiratory
a. Metabolic
Which of the following can cause a blunted response to vibroacoustic stimulators?
a. hydramnios
b. magnesium sulfate
c. multiple gestation
b. magnesium sulfate
1|Page
,The progressive decrease in fetal heart rate baseline as gestation advances is considered to be a
result of maturation of the
a. cardiac electrical pathways
b. fetal circulatory system
c. parasympathetic nervous system
c. parasympathetic nervous system
When properly placed on the maternal abdomen, the ultrasound transducer detects the
a. fetal cardiac electrical activity
b. fetal heart movements
c. sounds made by fetal blood flow
b. fetal heart movements
When late decelerations occur in the presence of moderate variability this is most likely due to
chemoreceptor mediated response to transient
a. hypotension
b. hypoxemia
c. umbilical cord compression
b. hypoxemia
During amnioinfusion, the infusion should be stopped periodically to assess changes in
a. baseline uterine pressure
b. deceleration pattern
c. vaginal drainage
a. baseline uterine pressure
A woman in labor on oxytocin develops tachysystole but the other EFM parameters are within
normal limits. The next step is to
a. continue to monitor
b. decrease the oxytocin
c. start intrauterine resuscitation measures
b. decrease the oxytocin
If a Category II tracing with minimal variability and absent fetal heart accelerations begins to
show late decelerations
a. immediate cesarean delivery is indicated
b. it should be considered indeterminate
c. the tracing has progressed to Category III status
2|Page
,c. the tracing has progressed to Category III status
Severe fetal anemia should be suspected in what fetal heart rate manifestation?
a. Shallow late decelerations
b. Sinusoidal pattern
c. Wandering baseline
b. Sinusoidal pattern
The quantification of a deceleration is made by the
a. beats per minute from acme above baseline to nadir
b. combination of depth and duration time
c. depth of the nadir in beats per minute below the baseline
c. depth of the nadir in beats per minute below the baseline
Early decelerations are characterized by the nadir of deceleration occurring
a. at the peak of the contraction
b. at the start of a contraction
c. between contractions
a. at the peak of the contraction
As gestational age advances, umbilical artery velocity decreases secondary to
a. increased blood volume
b. optimal arterial circulation
c. placental resistance
c. placental resistance
Define beneficence
doing good
Holding a dying patients hand is an example of?
beneficence
Define nonmaleficence
do no harm
if a diabetic patient asked a healthcare professional for a coke and the healthcare professional
denied the request in order to prevent the patient from drinking something that could harm
them- is an example of?
3|Page
, nonmaleficence
define fidelity
loyalty and faithfulness
a nurse who told their patient they were coming back in 30 minutes to check on their pain,
would either come back, or delegate somebody else to come back if they got tied up- is an
example of?
fidelity
define veracity
being truthful
if a patient was starting chemotherapy and asked about the side effects, a nurse practicing ____
would be honest about the side effects they could expect with chemotherapy.
veracity
The paper speed used with EFM in North America is:
a. 1cm/min
b. 2cm/min
c. 3cm/min
C. 3cm/min
The US transducer on the EFM measures the
a. Electrical signal of the fetal heart
b. Mechanical movement of the fetal heart reflected off of sound waves
c. R to R intervals of the fetal heart
b. Mechanical movement of the fetal heart reflected off of sound waves
The purpose of the autocorrelation in external monitoring is to
a. Compare incoming waveforms for comparison
b. Decrease signal to noise levels
c. Distinguish fetal from maternal heart rate
a. Compare incoming waveforms for comparison
The area of maximum intensity of FHR is usually the fetal
a. Back
b. Chest
c. Umbilicus
4|Page
