EFM CERTIFICATION EXAM 3 PRACTICE TEST
2026 QUESTIONS WITH CORRECT ANSWERS
◉ Ductus venosus. Answer: connects the umbilical vein to the
inferior vena cava, bypassing the liver
◉ Ductus arteriosu.s Answer: connection from pulmonary artery to
proximal descending aorta
◉ Foramen ovale Answer: hole that allows blood to enter the left
atrium from the right atrium
◉ Umbilical artery value, cord blood Answer: reflects fetal condition
◉ Umbilical vein value, cord blood Answer: reflects placental
function
◉ Base Excess/Base Deficit (BE/BD) Answer: a lab calculation of the
magnitude of the metabolic acid base change from normal ~ how far
from normal the bicarbonate level is calculated
◉ The greater the base excess or base deficit... Answer: the greater
incidence of neurological injury
, ◉ pH less than 7.1 Answer: acidemia
◉ pCO2 greater than 60 Answer: respiratory acidemia
◉ BE/BD greater than 12 Answer: metabolic acidemia
◉ pCO2 greater than 60 + BE/BD greater than 12 Answer: mixed
acidemia
◉ Metabolic acidosis at birth Answer: infant may require aggressive
resuscitation, can have hypoxic ischemic encephalopathy
◉ Respiratory acidosis at birth Answer: infant may only need
stimulation and brief O2 administration, easily corrected after first
breath *NOT associated with poor neonatal outcome*
◉ Normal fetal movement typically indicates... Answer: fetus is NOT
acidotic
◉ The most important predictor of adequate fetal oxygenation
Answer: variability
2026 QUESTIONS WITH CORRECT ANSWERS
◉ Ductus venosus. Answer: connects the umbilical vein to the
inferior vena cava, bypassing the liver
◉ Ductus arteriosu.s Answer: connection from pulmonary artery to
proximal descending aorta
◉ Foramen ovale Answer: hole that allows blood to enter the left
atrium from the right atrium
◉ Umbilical artery value, cord blood Answer: reflects fetal condition
◉ Umbilical vein value, cord blood Answer: reflects placental
function
◉ Base Excess/Base Deficit (BE/BD) Answer: a lab calculation of the
magnitude of the metabolic acid base change from normal ~ how far
from normal the bicarbonate level is calculated
◉ The greater the base excess or base deficit... Answer: the greater
incidence of neurological injury
, ◉ pH less than 7.1 Answer: acidemia
◉ pCO2 greater than 60 Answer: respiratory acidemia
◉ BE/BD greater than 12 Answer: metabolic acidemia
◉ pCO2 greater than 60 + BE/BD greater than 12 Answer: mixed
acidemia
◉ Metabolic acidosis at birth Answer: infant may require aggressive
resuscitation, can have hypoxic ischemic encephalopathy
◉ Respiratory acidosis at birth Answer: infant may only need
stimulation and brief O2 administration, easily corrected after first
breath *NOT associated with poor neonatal outcome*
◉ Normal fetal movement typically indicates... Answer: fetus is NOT
acidotic
◉ The most important predictor of adequate fetal oxygenation
Answer: variability
