1|Page
CEFM EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
How can IUPC placement be verified? - ANSWER-Ask patient to
cough to verify placement (should see a spike)
What are risks with IUPC placement? - ANSWER-Invasive-
dangers include placental perforation, uterine perforation,
infection risk
What can be done with an ammnioinfusion? - ANSWER-we can
hang fluids and connected to the side port and hung to gravity,
continuous infusion or bolus. Follow orders
What kind of fluids must be used for an ammnioinfusion? What
should be noted with an ammnioinfusion? - ANSWER-an isotonic
solution either LR or NS (NS at Emory). Can't be hyper or
hypotonic solution. Note fluid that comes back out to make sure
there's good return.
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If IUPC is ever inserted and all of a sudden there's bright red
blood what does this mean? How can this be avoided? -
ANSWER-they've perforated the placenta. Nothing should ever
be forced, if they meet resistance they need to withdraw and
choose another pocket to try to reinsert.
Instead of Hyperstimulation/hypercontractility how are too
frequent contractions described? - ANSWER-Tachysystole
What is important to note about marked variability? - ANSWER-
There is no baseline with marked variability AND THE significance
of marked variability is unclear.
Marked variability can rank anywhere from a benign finding to
hypoxia risk
How should NSTs be described? - ANSWER-Delete reassuring
and non reassuring- use reactive or nonreactive for NSTs
Category 1 tracings are strongly predictive of what? - ANSWER-
normal acid-base status at the time of observation.
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Category 1 baseline rate:
Baseline variability:
No what?
________ _________________ present or absent/ may or may
not have ________________ - ANSWER-Baseline rate 110 to
160 beats per minute
• BASELINE VARIABILITY MODERATE ** must have **
• NO LATES/NO VARIABLES *** CAN'T HAVE *** (more
challenging to reserve)
• Early decelerations present or absent/may or may not (These
are benign just means head compression)
have accels (Don't have to)
Category 2 tracing are not what? - ANSWER-predictive of
abnormal acid-base status
What is significant about a category 3 tracing? - ANSWER-CAN
Indicate abnormal acid-base status of fetus, resuscitation and
prompt interventions
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If these interventions aren't working prepare for delivery
What characteristics occur with a category 3 tracing? - ANSWER-
absent variability with ANY
1- recurrent late decels or recurrent variable decels or
bradycardia
2- sinusoidal
Category 3 is very concerning for? - ANSWER-hypoxia, acidosis,
encephalopathy, CP, neuro insult, etc.
How often should a category 1 tracing be charted on? -
ANSWER-Based on risk factors- document every 15- 30 minutes
first stage and every 15 minute during second stage per hospital
policy
recommendation is with risk factors or oxytocin use >> More
frequent assessments
CEFM EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
How can IUPC placement be verified? - ANSWER-Ask patient to
cough to verify placement (should see a spike)
What are risks with IUPC placement? - ANSWER-Invasive-
dangers include placental perforation, uterine perforation,
infection risk
What can be done with an ammnioinfusion? - ANSWER-we can
hang fluids and connected to the side port and hung to gravity,
continuous infusion or bolus. Follow orders
What kind of fluids must be used for an ammnioinfusion? What
should be noted with an ammnioinfusion? - ANSWER-an isotonic
solution either LR or NS (NS at Emory). Can't be hyper or
hypotonic solution. Note fluid that comes back out to make sure
there's good return.
,2|Page
If IUPC is ever inserted and all of a sudden there's bright red
blood what does this mean? How can this be avoided? -
ANSWER-they've perforated the placenta. Nothing should ever
be forced, if they meet resistance they need to withdraw and
choose another pocket to try to reinsert.
Instead of Hyperstimulation/hypercontractility how are too
frequent contractions described? - ANSWER-Tachysystole
What is important to note about marked variability? - ANSWER-
There is no baseline with marked variability AND THE significance
of marked variability is unclear.
Marked variability can rank anywhere from a benign finding to
hypoxia risk
How should NSTs be described? - ANSWER-Delete reassuring
and non reassuring- use reactive or nonreactive for NSTs
Category 1 tracings are strongly predictive of what? - ANSWER-
normal acid-base status at the time of observation.
,3|Page
Category 1 baseline rate:
Baseline variability:
No what?
________ _________________ present or absent/ may or may
not have ________________ - ANSWER-Baseline rate 110 to
160 beats per minute
• BASELINE VARIABILITY MODERATE ** must have **
• NO LATES/NO VARIABLES *** CAN'T HAVE *** (more
challenging to reserve)
• Early decelerations present or absent/may or may not (These
are benign just means head compression)
have accels (Don't have to)
Category 2 tracing are not what? - ANSWER-predictive of
abnormal acid-base status
What is significant about a category 3 tracing? - ANSWER-CAN
Indicate abnormal acid-base status of fetus, resuscitation and
prompt interventions
, 4|Page
If these interventions aren't working prepare for delivery
What characteristics occur with a category 3 tracing? - ANSWER-
absent variability with ANY
1- recurrent late decels or recurrent variable decels or
bradycardia
2- sinusoidal
Category 3 is very concerning for? - ANSWER-hypoxia, acidosis,
encephalopathy, CP, neuro insult, etc.
How often should a category 1 tracing be charted on? -
ANSWER-Based on risk factors- document every 15- 30 minutes
first stage and every 15 minute during second stage per hospital
policy
recommendation is with risk factors or oxytocin use >> More
frequent assessments
