CEFM ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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.
Answer: 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.
Answer: a. Compare incoming waveforms for comparison
◉ The area of maximum intensity of FHR is usually the fetal
a. Back
b. Chest
c. Umbilicus.
Answer: a. Back
,◉ Palpating the uterus is best performed by using the
a. Back of hand
b. Fingertips
c. Palm.
Answer: B. Fingertips
◉ What is the most sensitive method of assessing uterine activity?
a. Intrauterine pressure catheter
b. Manual palpation
c. Maternal perception.
Answer: a. Intrauterine pressure catheter
◉ When educating the patient about fetal monitoring, the most
appropriate statement is
a. A normal tracing indicates that your baby is well-oxygenated
b. A normal tracing indicates that you have a healthy baby
c. Continuous fetal monitoring will insure a better outcome for your
baby.
Answer: a. A normal tracing indicates that your baby is well-
oxygenated
, ◉ In comparison to maternal blood, the affinity of fetal blood for
oxygen is
a. Higher
b. Lower
c. The same.
Answer: a. Higher
◉ The process that requires energy to accomplish the passage of
substances within the intervillous space is
a. Active transport
b. Diffusion
c. Facilitated diffusion.
Answer: a. Active transport
◉ The umbilical vein carries
a. Carbon dioxide from the fetus back to the placenta
b. Deoxygenated blood from the fetus to the placenta
c. Oxygenated blood from the placenta to the fetus.
Answer: c. Oxygenated blood from the placenta to the fetus
◉ Fetal hypoxia is best described as a condition of
a. Decreased oxygen in the blood
QUESTIONS WITH SOLUTIONS GRADED A+
◉ 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.
Answer: 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.
Answer: a. Compare incoming waveforms for comparison
◉ The area of maximum intensity of FHR is usually the fetal
a. Back
b. Chest
c. Umbilicus.
Answer: a. Back
,◉ Palpating the uterus is best performed by using the
a. Back of hand
b. Fingertips
c. Palm.
Answer: B. Fingertips
◉ What is the most sensitive method of assessing uterine activity?
a. Intrauterine pressure catheter
b. Manual palpation
c. Maternal perception.
Answer: a. Intrauterine pressure catheter
◉ When educating the patient about fetal monitoring, the most
appropriate statement is
a. A normal tracing indicates that your baby is well-oxygenated
b. A normal tracing indicates that you have a healthy baby
c. Continuous fetal monitoring will insure a better outcome for your
baby.
Answer: a. A normal tracing indicates that your baby is well-
oxygenated
, ◉ In comparison to maternal blood, the affinity of fetal blood for
oxygen is
a. Higher
b. Lower
c. The same.
Answer: a. Higher
◉ The process that requires energy to accomplish the passage of
substances within the intervillous space is
a. Active transport
b. Diffusion
c. Facilitated diffusion.
Answer: a. Active transport
◉ The umbilical vein carries
a. Carbon dioxide from the fetus back to the placenta
b. Deoxygenated blood from the fetus to the placenta
c. Oxygenated blood from the placenta to the fetus.
Answer: c. Oxygenated blood from the placenta to the fetus
◉ Fetal hypoxia is best described as a condition of
a. Decreased oxygen in the blood
