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Exam (elaborations)

Cefm Practice Exam Fetal Auscultation & Bpp Q&As (2026)

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Pass your 2026 NCC Certified Electronic Fetal Monitoring (CEFM) exam with this high-yield, 120-question test bank. It contains real practice questions, verified correct answers, and concise clinical rationales to guarantee an A+ grade. Master fetal assessment modalities including fetoscope auscultation parameters, Biophysical Profile (BPP) sequence responses to worsening hypoxia, and Amniotic Fluid Index (AFI) interpretations. Additionally, review critical ACOG labor management guidelines for first and second-stage strip evaluations, NICHD baseline definitions, and medical-legal nursing standards governing breach of duty. Perfect for labor and delivery nurses and midwives preparing for board certification

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CEFM EXAM NEWEST 2026/CEFM PRACTICE EXAM COMPLETE 120
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+

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



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

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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

b. D/C counting until tomorrow

c. Notify her provider for further evaluation - ANSWER-c. Notify her provider
for further evaluation



A biophysical score of 6 is considered

a. Abnormal

b. Normal

c. Equivocal - ANSWER-c. Equivocal

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A modified BPP shows the following- NST is reactive with mod variability. AFI
is 7. This test would be interpreted as

a. Abnormal

b. Equivocal

c. Normal - ANSWER-c. Normal



As fetal hypoxia (asphyxia) worsens, the last component of the BPP to
disappear is fetal

A. Breathing

B. Movement

C. Tone - ANSWER-c. Tone



The legal term that describes a failure to meet the required standard of care
is

a. Breech of duty

b. Negligence

c. Proximate cause - ANSWER-a. Breech of duty



According to ACOG, in a patient without complications, the FHR tracing
during the 1st stage of labor should be reviewed apporximately every

a. 5 minutes

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