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CEFM EXAM NEWEST 2026/CEFM PRACTICE EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What can cause sedation leading to minimal variability? - ANSWER-
Sedation from drugs such as opioids (1-2 hours) or magnesium
What interventions can treat sick? If these interventions are not effective
what else can be done? - ANSWER-acidosis risk)- position change, IVF, O2
if no return to moderate variability= digital scalp stimulation or vibroacoustic
stim (indirect measures)
- If unresolved with these measures= - ANSWER-potentially fetal acidemia
What medications can potentially explain the minimal variability? - ANSWER-
Think about if anything may have been given to cause this like stadol or mag.
If it's none of these there is potential risk for acidosis.
What is the significance of preterms and minimal variability? - ANSWER-
Remember preterms don't typically achieve moderate variability so not as
concerning.
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What role does scalp stim have? - ANSWER-Scalp stim illicits startle reflex
in baby so there will be a resultant acceleration or even return to moderate
variability so we know we woke baby up. This is a wellness check
A category III tracing is abnormal and is a risk for fetal ____________,
neonatal _________________, _______, and neonatal ______________ -
ANSWER-Acidemia; encephalopathy; CP; acidosis
A category III tracing is an OVERALL POOR PREDICTOR OF? - ANSWER-
ABNORMAL NEUROLOGIC OUTCOME
What actions should be done with a category III tracing? - ANSWER-
INTRAUTERINE RESUSCITATIVE MEASURES /PROMPT DELIVERY
PLANS-
OR Team/Foley, IV, neonatal resuscitation team, assisted operative vaginal
delivery, notifying anesthesia
DECISION TO INCISION TIME OF? What is significant about this? -
ANSWER-30 minutes
(however, if HIE injury prior to Category III, 30 minutes plus does not improve
outcomes)
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What is the optimal timeframe for delivery with a category III tracing? -
ANSWER-OPTIMAL TIME FRAME FOR TO DELIVERY A CATEGORY III
TRACING HAS NOT BEEN ESTABLISHED****
However goal is to have baby out ASAP because not all babies have 30
minutes just because baby is out in 30 minutes does not guarantee a good
outcome.
The false-positive rate of EFM for predicting cerebral palsy is? When do most
insults occur? - ANSWER-high, at greater than 99%> not
reliable (most insults are antepartum in timing)
EFM >>>> can have an increased rate of __________ and __________
______________ ______________ delivery and ________________
delivery for abnormal ______ patterns or _________ or both-> rush to ___ -
ANSWER-Vacuum;forceps
Operative vaginal cesarean
FHR;acidosis; OR (and then baby may come out with 9,10 APGARs)
When the FHR tracing includes recurrent variable decelerations what should
be considered? - ANSWER-amnioinfusion to relieve umbilical cord
compression should be considered>>>FLOAT THE CORD>>> Keep you out
of OR
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What has not been demonstrated to be a clinically useful test in evaluating
fetal status>> Not done in US? - ANSWER-Fetal pulse oximetry on fetal head
What ages are high risk factors? - ANSWER-Age- <18 y/o and >35 y/o
What BMIs are high risk? - ANSWER-BMI- low or high for height 18 > 30
What BMI is considered obese? - ANSWER-BMI of 35 is considered
morbidly obese
Less than 18 years old is at increased risk for what and why? - ANSWER-
fetal anomalies d/t exposures like smoking, drinking and drugs and trying to
hide pregnancies or avoid gaining weight. Higher risk for STDs which can
cause infections and lead to earlier delivery. Late PNC d/t denial of
pregnancy etc. PTD, LBW, Immature skeletal
Why is anemia mean someone is high risk? - ANSWER-Ability to carry O2
to developing fetus can be impaired
Other high risk factors
Poor _____________________ status
Pre-existing medical _____, _____________, ________
CEFM EXAM NEWEST 2026/CEFM PRACTICE EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What can cause sedation leading to minimal variability? - ANSWER-
Sedation from drugs such as opioids (1-2 hours) or magnesium
What interventions can treat sick? If these interventions are not effective
what else can be done? - ANSWER-acidosis risk)- position change, IVF, O2
if no return to moderate variability= digital scalp stimulation or vibroacoustic
stim (indirect measures)
- If unresolved with these measures= - ANSWER-potentially fetal acidemia
What medications can potentially explain the minimal variability? - ANSWER-
Think about if anything may have been given to cause this like stadol or mag.
If it's none of these there is potential risk for acidosis.
What is the significance of preterms and minimal variability? - ANSWER-
Remember preterms don't typically achieve moderate variability so not as
concerning.
,2|Page
What role does scalp stim have? - ANSWER-Scalp stim illicits startle reflex
in baby so there will be a resultant acceleration or even return to moderate
variability so we know we woke baby up. This is a wellness check
A category III tracing is abnormal and is a risk for fetal ____________,
neonatal _________________, _______, and neonatal ______________ -
ANSWER-Acidemia; encephalopathy; CP; acidosis
A category III tracing is an OVERALL POOR PREDICTOR OF? - ANSWER-
ABNORMAL NEUROLOGIC OUTCOME
What actions should be done with a category III tracing? - ANSWER-
INTRAUTERINE RESUSCITATIVE MEASURES /PROMPT DELIVERY
PLANS-
OR Team/Foley, IV, neonatal resuscitation team, assisted operative vaginal
delivery, notifying anesthesia
DECISION TO INCISION TIME OF? What is significant about this? -
ANSWER-30 minutes
(however, if HIE injury prior to Category III, 30 minutes plus does not improve
outcomes)
,3|Page
What is the optimal timeframe for delivery with a category III tracing? -
ANSWER-OPTIMAL TIME FRAME FOR TO DELIVERY A CATEGORY III
TRACING HAS NOT BEEN ESTABLISHED****
However goal is to have baby out ASAP because not all babies have 30
minutes just because baby is out in 30 minutes does not guarantee a good
outcome.
The false-positive rate of EFM for predicting cerebral palsy is? When do most
insults occur? - ANSWER-high, at greater than 99%> not
reliable (most insults are antepartum in timing)
EFM >>>> can have an increased rate of __________ and __________
______________ ______________ delivery and ________________
delivery for abnormal ______ patterns or _________ or both-> rush to ___ -
ANSWER-Vacuum;forceps
Operative vaginal cesarean
FHR;acidosis; OR (and then baby may come out with 9,10 APGARs)
When the FHR tracing includes recurrent variable decelerations what should
be considered? - ANSWER-amnioinfusion to relieve umbilical cord
compression should be considered>>>FLOAT THE CORD>>> Keep you out
of OR
, 4|Page
What has not been demonstrated to be a clinically useful test in evaluating
fetal status>> Not done in US? - ANSWER-Fetal pulse oximetry on fetal head
What ages are high risk factors? - ANSWER-Age- <18 y/o and >35 y/o
What BMIs are high risk? - ANSWER-BMI- low or high for height 18 > 30
What BMI is considered obese? - ANSWER-BMI of 35 is considered
morbidly obese
Less than 18 years old is at increased risk for what and why? - ANSWER-
fetal anomalies d/t exposures like smoking, drinking and drugs and trying to
hide pregnancies or avoid gaining weight. Higher risk for STDs which can
cause infections and lead to earlier delivery. Late PNC d/t denial of
pregnancy etc. PTD, LBW, Immature skeletal
Why is anemia mean someone is high risk? - ANSWER-Ability to carry O2
to developing fetus can be impaired
Other high risk factors
Poor _____________________ status
Pre-existing medical _____, _____________, ________
