CEFM PRACTICE
CEFM Exam EXAM QUESTIONS AND ANSWERS (VERIFIED AND
WELL DETAILED ANSWERS) LATEST UPDATE 2025/2026
Study online at https://quizlet.com/_cc0xkt
1. what does a cat- a normal acid-base balance
egory I tracing
predict?
2. what is the base- 110 to 160 BPM
line for a catego-
ry I strip?
3. what is the vari- moderate (6 to 25 bpm)
ability for a cate-
gory I strip?
4. what decelera- early decelerations
tions can be pre- late and variable decelerations must be absent
sent in a category
I strip?
5. does a catego- no; accelerations are not required for a category I tracing
ry I tracing have
to have accelera-
tions?
6. category I tracing
example
7.
, CEFM Exam
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what does a cat- the acid-base balance is indeterminate
egory II tracing includes anything that is not category I or III
mean?
8. what is the base- - bradycardia WITHOUT absent variability
line rate of a cat- - tachycardia
egory II tracing?
9. what is the vari- - minimal baseline variability
ability of a cate- - absent baseline variability WITHOUT recurrent decelerations
gory II tracing? - marked variability
10. minimal variabili- less than 5 BPM
ty example
11. marked variabili- greater than 25 BPM
ty example
12. are accelerations accelerations are not present after fetal stimulation to classify tracing as category
present in cate- II
gory II tracings
after fetal stimu-
lations?
13.
, CEFM Exam
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what are the pos- - recurrent variable decelerations accompanied by minimal or moderate baseline
sible periodic or variability
episodic deceler- - prolonged deceleration > 2 minutes but < 10 minutes
ations present in - recurrent late decelerations with moderate baseline variability
category II trac- - variable decelerations with other characters (slow return to baseline or shoul-
ings? ders)
14. variable deceler- an abrupt decrease in FHR below baseline; greater than 15 BPM lasting greater
ation example than 15 seconds, but less than 2 minutes from onset to return to baseline
15. prolonged decel- a decrease in FHR below the baseline of 15 bpm or more, lasting at least 2 minutes
eration example but < 10 minutes from onset to return to baseline
16. late deceleration a gradual decrease and return to baseline of the fetal heart rate associated with
example uterine contractions
17. what does a cat- predicts abnormal acid-base status
egory III tracing
predict?
18. a category III - absent baseline FHR variability and ANY of the following:
tracing includes - recurrent late decelerations
- recurrent variable decelerations
, CEFM Exam
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either of the fol- - bradycardia
lowing... - sinusoidal pattern
19. what does ab- predictive of current or impending fetal asphyxia so severe that fetus is at risk for
sent variabili- neurologic damage and death
ty with recur-
rent late deceler-
ations or variable
deceleration indi-
cate?
20. what is a sinu- smooth, wave-like baseline appears 3 to 6 time per minute
soidal pattern? can be documented if pattern lasts for > 20 minutes
21. what do indeter- tracings require evaluation of possible etiology
minate and ab-
normal (category
II or III) tracings
require?
22. what are some - discontinuation of labor stimulating agents
initial assess- - vaginal examination
ments and inter- - maternal repositioning
ventions for cate- - correction of maternal hypotension
gory II or III trac- - IV fluid bolus of LR solution
ings? - assessment of tachysystole (reduce uterine activity if noted)
- amnioinfusion
- modification of maternal pushing maternal efforts in 2nd stage
- maternal O2 at 10L per non-rebreather (used with minimal variability or recur-
rent lates that have not resolved with initial uterine measures)
CEFM Exam EXAM QUESTIONS AND ANSWERS (VERIFIED AND
WELL DETAILED ANSWERS) LATEST UPDATE 2025/2026
Study online at https://quizlet.com/_cc0xkt
1. what does a cat- a normal acid-base balance
egory I tracing
predict?
2. what is the base- 110 to 160 BPM
line for a catego-
ry I strip?
3. what is the vari- moderate (6 to 25 bpm)
ability for a cate-
gory I strip?
4. what decelera- early decelerations
tions can be pre- late and variable decelerations must be absent
sent in a category
I strip?
5. does a catego- no; accelerations are not required for a category I tracing
ry I tracing have
to have accelera-
tions?
6. category I tracing
example
7.
, CEFM Exam
Study online at https://quizlet.com/_cc0xkt
what does a cat- the acid-base balance is indeterminate
egory II tracing includes anything that is not category I or III
mean?
8. what is the base- - bradycardia WITHOUT absent variability
line rate of a cat- - tachycardia
egory II tracing?
9. what is the vari- - minimal baseline variability
ability of a cate- - absent baseline variability WITHOUT recurrent decelerations
gory II tracing? - marked variability
10. minimal variabili- less than 5 BPM
ty example
11. marked variabili- greater than 25 BPM
ty example
12. are accelerations accelerations are not present after fetal stimulation to classify tracing as category
present in cate- II
gory II tracings
after fetal stimu-
lations?
13.
, CEFM Exam
Study online at https://quizlet.com/_cc0xkt
what are the pos- - recurrent variable decelerations accompanied by minimal or moderate baseline
sible periodic or variability
episodic deceler- - prolonged deceleration > 2 minutes but < 10 minutes
ations present in - recurrent late decelerations with moderate baseline variability
category II trac- - variable decelerations with other characters (slow return to baseline or shoul-
ings? ders)
14. variable deceler- an abrupt decrease in FHR below baseline; greater than 15 BPM lasting greater
ation example than 15 seconds, but less than 2 minutes from onset to return to baseline
15. prolonged decel- a decrease in FHR below the baseline of 15 bpm or more, lasting at least 2 minutes
eration example but < 10 minutes from onset to return to baseline
16. late deceleration a gradual decrease and return to baseline of the fetal heart rate associated with
example uterine contractions
17. what does a cat- predicts abnormal acid-base status
egory III tracing
predict?
18. a category III - absent baseline FHR variability and ANY of the following:
tracing includes - recurrent late decelerations
- recurrent variable decelerations
, CEFM Exam
Study online at https://quizlet.com/_cc0xkt
either of the fol- - bradycardia
lowing... - sinusoidal pattern
19. what does ab- predictive of current or impending fetal asphyxia so severe that fetus is at risk for
sent variabili- neurologic damage and death
ty with recur-
rent late deceler-
ations or variable
deceleration indi-
cate?
20. what is a sinu- smooth, wave-like baseline appears 3 to 6 time per minute
soidal pattern? can be documented if pattern lasts for > 20 minutes
21. what do indeter- tracings require evaluation of possible etiology
minate and ab-
normal (category
II or III) tracings
require?
22. what are some - discontinuation of labor stimulating agents
initial assess- - vaginal examination
ments and inter- - maternal repositioning
ventions for cate- - correction of maternal hypotension
gory II or III trac- - IV fluid bolus of LR solution
ings? - assessment of tachysystole (reduce uterine activity if noted)
- amnioinfusion
- modification of maternal pushing maternal efforts in 2nd stage
- maternal O2 at 10L per non-rebreather (used with minimal variability or recur-
rent lates that have not resolved with initial uterine measures)