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CEFM EXAM NEWEST 2025/ 2026 CEFM PRACTICE
EXAM COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||VERIFIED
EXAM!!! (VERIFIED ANSWERS) |ALREADY GRADED
A+|| LATEST UPDATE!!!
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.
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What is the significance of preterms and minimal
variability? - ANSWER-Remember preterms don't typically
achieve moderate variability so not as concerning.
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
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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)
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
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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
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 are risks of obesity during pregnancy?
CEFM EXAM NEWEST 2025/ 2026 CEFM PRACTICE
EXAM COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||VERIFIED
EXAM!!! (VERIFIED ANSWERS) |ALREADY GRADED
A+|| LATEST UPDATE!!!
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.
,2|Page
What is the significance of preterms and minimal
variability? - ANSWER-Remember preterms don't typically
achieve moderate variability so not as concerning.
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
,3|Page
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)
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
, 4|Page
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
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 are risks of obesity during pregnancy?
