1|Page
CEFM Exam 2025 — Certified Electronic Fetal
Monitoring Study Guide, Practice Test
Questions, and Certification Requirements
Prepare for the CEFM Exam 2025 with updated study guides, practice test questions, and
certification tips. Learn key concepts in fetal heart monitoring, obstetric nursing, and
patient assessment to pass the Certified Electronic Fetal Monitoring (CEFM) certification
exam on your first try.
• CEFM exam 2025
• Certified Electronic Fetal Monitoring exam
• CEFM practice test 2025
• CEFM study guide
A maternal medical condition which predisposes the fetus to a heart block is
a. Lupus erythematosus
b. Marfans disease
c. Mitral valve prolapse - ANSWER-a. Lupus erythematosus
A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate
action is to
a. Insert an FSE and turn off the logic
b. Turn the logic on if an external monitor is in place
c. Use a doppler to listen to the ventricular rate - ANSWER-a. Insert an FSE and turn off the logic
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Which fetal heart sounds are counted with a stethoscope or fetoscope?
a. Atrial
b. Atrial and ventricular
c. Ventricular - ANSWER-c. Ventricular
When using auscultation to determine the DHR baseline, the FHR should be counted after the
contractions for
a. 5-10 seconds
b. 15-30 seconds
c. 30-60 seconds - ANSWER-c. 30-60 seconds
According to the task force of national institute of child health and human development of the
NIH, decelerations that have an abrupt onset and a nadir in less than 30 seconds are
a. Early
b. Late
c. Variable - ANSWER-c. Variable
Amnioinfusion is recommended for a FHR pattern with recurrent
a. Early decelerations
b. Late decelerations
c. Variable decelerations - ANSWER-c. Variable decelerations
Which one of the following tachyarrthymias can result in fetal hydrops?
a. Persistent SVT
b. Premature atrial contractions
c. Sinus tachycardia - ANSWER-a. Persistent SVT
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A preterm fetus with persistent PVT that is not hydropic is best treated with maternal
administration of
a. Digoxin
b. Phenobarbital
c. Terbutaline - ANSWER-a. Digoxin
Which of the following fetal heart characteristics can be determined using auscultation?
a. Baseline
b. Type of decelerations
c. Variability - ANSWER-a. Baseline
One advantage of using a fetoscope is that it can
a. Allow more rapid detection of a baseline change
b. More accurately assess the FHR variability
c. Verify the presence of an irregular rhythm - ANSWER-c. Very the presence of an irregular
rhythm
According to ACOG, intermittent auscultation is appropriate for
a. All pregnancies
b. Neither complicated or uncomplicated pregnancies
c. Uncomplicated pregnanies - ANSWER-c. Uncomplicated pregnancies
A woman who is 34 weeks is counting FM each day. Today she counted 8 FM in 2 hours. Based
on her kick counts, she should
a. Continue counting for one more hour
CEFM Exam 2025 — Certified Electronic Fetal
Monitoring Study Guide, Practice Test
Questions, and Certification Requirements
Prepare for the CEFM Exam 2025 with updated study guides, practice test questions, and
certification tips. Learn key concepts in fetal heart monitoring, obstetric nursing, and
patient assessment to pass the Certified Electronic Fetal Monitoring (CEFM) certification
exam on your first try.
• CEFM exam 2025
• Certified Electronic Fetal Monitoring exam
• CEFM practice test 2025
• CEFM study guide
A maternal medical condition which predisposes the fetus to a heart block is
a. Lupus erythematosus
b. Marfans disease
c. Mitral valve prolapse - ANSWER-a. Lupus erythematosus
A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate
action is to
a. Insert an FSE and turn off the logic
b. Turn the logic on if an external monitor is in place
c. Use a doppler to listen to the ventricular rate - ANSWER-a. Insert an FSE and turn off the logic
,2|Page
Which fetal heart sounds are counted with a stethoscope or fetoscope?
a. Atrial
b. Atrial and ventricular
c. Ventricular - ANSWER-c. Ventricular
When using auscultation to determine the DHR baseline, the FHR should be counted after the
contractions for
a. 5-10 seconds
b. 15-30 seconds
c. 30-60 seconds - ANSWER-c. 30-60 seconds
According to the task force of national institute of child health and human development of the
NIH, decelerations that have an abrupt onset and a nadir in less than 30 seconds are
a. Early
b. Late
c. Variable - ANSWER-c. Variable
Amnioinfusion is recommended for a FHR pattern with recurrent
a. Early decelerations
b. Late decelerations
c. Variable decelerations - ANSWER-c. Variable decelerations
Which one of the following tachyarrthymias can result in fetal hydrops?
a. Persistent SVT
b. Premature atrial contractions
c. Sinus tachycardia - ANSWER-a. Persistent SVT
, 3|Page
A preterm fetus with persistent PVT that is not hydropic is best treated with maternal
administration of
a. Digoxin
b. Phenobarbital
c. Terbutaline - ANSWER-a. Digoxin
Which of the following fetal heart characteristics can be determined using auscultation?
a. Baseline
b. Type of decelerations
c. Variability - ANSWER-a. Baseline
One advantage of using a fetoscope is that it can
a. Allow more rapid detection of a baseline change
b. More accurately assess the FHR variability
c. Verify the presence of an irregular rhythm - ANSWER-c. Very the presence of an irregular
rhythm
According to ACOG, intermittent auscultation is appropriate for
a. All pregnancies
b. Neither complicated or uncomplicated pregnancies
c. Uncomplicated pregnanies - ANSWER-c. Uncomplicated pregnancies
A woman who is 34 weeks is counting FM each day. Today she counted 8 FM in 2 hours. Based
on her kick counts, she should
a. Continue counting for one more hour
