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CEFM Exam Newest 2025 — Updated Certified Electronic
Fetal Monitoring Study Guide, Latest Practice Test
Questions, and NCC Certification Review
Prepare for the CEFM Exam Newest 2025 with the most up-to-date Certified Electronic Fetal
Monitoring (NCC) study guide, real practice test questions, and expert review tips. Master
fetal monitoring interpretation, labor assessment, and patient safety to pass your CEFM
certification exam with confidence.
CEFM exam newest 2025
• Certified Electronic Fetal Monitoring exam 2025
• CEFM study guide updated 2025
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
,2|Page
(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.
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.
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
,3|Page
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
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
, 4|Page
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 _____, _____________, ________
_________________ meds or treatments
_________________/_________ __________________ disorders
Previous ____/_____
Previous pregnancy ______
_________________ abuse/__________________
________________ disorders-passed to fetus
_______/______________ - ANSWER-Nutritional
HTN, diabetes, lupus, etc.
infertility
Thrombophilias/blood clotting
LGA/SGA
Loss
Substance/Socioeconomics
Genetic
STD/ infections
>35= Pre-existing (HTN, DM, Lupus)
What genetic disorders can be passed on to the fetus? - ANSWER-CF, Heart, Sickle Cell Anemia,
MD
Presence of what can make pts prone to clotting? - ANSWER-(MTHFR/Factor X)
CEFM Exam Newest 2025 — Updated Certified Electronic
Fetal Monitoring Study Guide, Latest Practice Test
Questions, and NCC Certification Review
Prepare for the CEFM Exam Newest 2025 with the most up-to-date Certified Electronic Fetal
Monitoring (NCC) study guide, real practice test questions, and expert review tips. Master
fetal monitoring interpretation, labor assessment, and patient safety to pass your CEFM
certification exam with confidence.
CEFM exam newest 2025
• Certified Electronic Fetal Monitoring exam 2025
• CEFM study guide updated 2025
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
,2|Page
(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.
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.
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
,3|Page
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
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
, 4|Page
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 _____, _____________, ________
_________________ meds or treatments
_________________/_________ __________________ disorders
Previous ____/_____
Previous pregnancy ______
_________________ abuse/__________________
________________ disorders-passed to fetus
_______/______________ - ANSWER-Nutritional
HTN, diabetes, lupus, etc.
infertility
Thrombophilias/blood clotting
LGA/SGA
Loss
Substance/Socioeconomics
Genetic
STD/ infections
>35= Pre-existing (HTN, DM, Lupus)
What genetic disorders can be passed on to the fetus? - ANSWER-CF, Heart, Sickle Cell Anemia,
MD
Presence of what can make pts prone to clotting? - ANSWER-(MTHFR/Factor X)
