CEFM Electronic Fetal Monitoring Practice
Exam Questions and Answers
1. A nurse is explaining to a pregnant patient the purpose of
electronic fetal monitoring. Which of the following statements by
the nurse is the most accu- rate way to describe the purpose of
EFM?
a. "EFM is a diagnostic procedure that monitors your baby's heart
rate or FHR and your uterine contractions.
b. "EFM is a screening procedure that monitors your baby's heart
rate or FHR and your uterine contractions."
c. "EFM is a screening procedure that only monitors your baby's
heart rate or FHR."
d. "EFM is a diagnostic procedure that only monitors the frequency,
duration, and intensity of your uterine contractions."
ANS b. "EFM is a screening procedure that monitors your baby's heart rate or FHR and
your uterine contractions."
2. The nurse measures fetal well being during labor by paying
attention to
a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the labor
c. the FHR only
,d. the frequency, duration, and intensity of the mother's uterine
contractions only
ANS a. the response of the FHR to uterine contractions
3. A nursing student explains during her presentation that the
5 factors for adequate fetal oxygenation include
1. normal maternal and volume to the placenta
2. normal in the maternal blood
3. adequate exchange of and CO2 in the placenta
4. an open path between the placenta and the fetus through
vessels in the umbillical cord
5. normal fetal circulatory and -carry functions
ANS 1. normal maternal blood flow and volume to placenta
2. normal oxygen saturation in the maternal blood
3. adequate exchange of oxygen and CO2 in the palcenta
4. an open circulatory path between the placenta and the fetus through vessels in the umbillical cord
5. normal fetal circulatory and oxygen-carrying functions
4. While monitoring a baby's fetal well being using EFM, the nurse
recognizes that the baby's baseline fetal heart rate is identified as
the
a. average rate of a 30 minute segment that excludes periodic or
,episodic changes
b. average rate of a 10 minute segment that excludes periodic or
episodic changes
c. average rate of a 20 minute segment that does not include
periodic or episodic changes
ANS b. average rate of a 10 minute segment that excludes periodic or episodic changes
5. A nurse determines that term baby's baseline fetal heart rate is
140 beats per minute. A nurse explains to her patient that this
fetal heart rate is
a. abnormal because it is not in the normal range of 90-100 bears
perm minute for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term
or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for
a term or post term fetus
ANS b. normal because it is in the range of 110-160 bpm for a term or post term fetus
6. The nurse documents that the baseline heart rate for a fetus is
between
120-160 beats per minute. Based on this finding, the nurse can
determine that the fetus is
a. post term
, b. term
c. premature
d. both a and b
ANS c. premature
7. While keeping track of a patient's uterine contractions, the nurse
documents that the measurements of the beginning of one
contraction to the beginning of the next is occurring too frequently at
quicker than every 2 minutes. The nurse is measuring which of the
following aspects of a uterine contraction?
a. duration
b. frequency
c. intensity
d. resting tone or interval
ANS b. frequency
8. One of the maternal nurses explains to a nursing student that
the duration of a contraction, which is measured from the
beginning to the end of one contraction, usually lasts
a. about 50 seconds or less
b. about 60 seconds, NO longer than 90 seconds
c. about 90 seconds or more
Exam Questions and Answers
1. A nurse is explaining to a pregnant patient the purpose of
electronic fetal monitoring. Which of the following statements by
the nurse is the most accu- rate way to describe the purpose of
EFM?
a. "EFM is a diagnostic procedure that monitors your baby's heart
rate or FHR and your uterine contractions.
b. "EFM is a screening procedure that monitors your baby's heart
rate or FHR and your uterine contractions."
c. "EFM is a screening procedure that only monitors your baby's
heart rate or FHR."
d. "EFM is a diagnostic procedure that only monitors the frequency,
duration, and intensity of your uterine contractions."
ANS b. "EFM is a screening procedure that monitors your baby's heart rate or FHR and
your uterine contractions."
2. The nurse measures fetal well being during labor by paying
attention to
a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the labor
c. the FHR only
,d. the frequency, duration, and intensity of the mother's uterine
contractions only
ANS a. the response of the FHR to uterine contractions
3. A nursing student explains during her presentation that the
5 factors for adequate fetal oxygenation include
1. normal maternal and volume to the placenta
2. normal in the maternal blood
3. adequate exchange of and CO2 in the placenta
4. an open path between the placenta and the fetus through
vessels in the umbillical cord
5. normal fetal circulatory and -carry functions
ANS 1. normal maternal blood flow and volume to placenta
2. normal oxygen saturation in the maternal blood
3. adequate exchange of oxygen and CO2 in the palcenta
4. an open circulatory path between the placenta and the fetus through vessels in the umbillical cord
5. normal fetal circulatory and oxygen-carrying functions
4. While monitoring a baby's fetal well being using EFM, the nurse
recognizes that the baby's baseline fetal heart rate is identified as
the
a. average rate of a 30 minute segment that excludes periodic or
,episodic changes
b. average rate of a 10 minute segment that excludes periodic or
episodic changes
c. average rate of a 20 minute segment that does not include
periodic or episodic changes
ANS b. average rate of a 10 minute segment that excludes periodic or episodic changes
5. A nurse determines that term baby's baseline fetal heart rate is
140 beats per minute. A nurse explains to her patient that this
fetal heart rate is
a. abnormal because it is not in the normal range of 90-100 bears
perm minute for a term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term
or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for
a term or post term fetus
ANS b. normal because it is in the range of 110-160 bpm for a term or post term fetus
6. The nurse documents that the baseline heart rate for a fetus is
between
120-160 beats per minute. Based on this finding, the nurse can
determine that the fetus is
a. post term
, b. term
c. premature
d. both a and b
ANS c. premature
7. While keeping track of a patient's uterine contractions, the nurse
documents that the measurements of the beginning of one
contraction to the beginning of the next is occurring too frequently at
quicker than every 2 minutes. The nurse is measuring which of the
following aspects of a uterine contraction?
a. duration
b. frequency
c. intensity
d. resting tone or interval
ANS b. frequency
8. One of the maternal nurses explains to a nursing student that
the duration of a contraction, which is measured from the
beginning to the end of one contraction, usually lasts
a. about 50 seconds or less
b. about 60 seconds, NO longer than 90 seconds
c. about 90 seconds or more
