1|Page
CEFM EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
To determine if it's artifact or an arrhythmia, what can be done? -
ANSWER-turn the volume up enough on the monitor that you can
hear the irregularities
What is typical of an arrhythmia? What does artifact look like? -
ANSWER-the baseline is still visible and fetal and maternal HR
can be seen. Lines are either up or down in this image but not
both.
lines are up and down.
What may be needed with an extreme arrhythmia? - ANSWER-it
may be not enough data is seen internally and external monitors
may be needed again.
,2|Page
Externally, anterior placentas can lead to questioning what? -
ANSWER-if something is artifact or arrhythmia because there are
lots gaps
How is intensity and resting tone assessed with a toco? -
ANSWER-Palpation yields intensity and resting tone (critical skill
to assess)
Important to palpate because on bigger pts why? - ANSWER-they
may have strong cxs but they don't trace very well
How can smaller pts trace on the toco? - ANSWER-Smaller pts
can look like they're having stronger contractions because of
movement.
What does the toco show? - ANSWER-Toco sensor button yields
electrical signal (not exact information) of frequency and duration
tensing of the uterine muscle"
,3|Page
Where should the Toco be placed? - ANSWER-_fundal area AT
STRONGEST POINT ** "no fetal parts"
Placing TOCO where fetal parts are will impede tensing of uterine
muscle, try to place to the side of the buttocks. Should be kept
_____________________on fundus
Tetanic contraction- last longer than - ANSWER-90 seconds
What does an IUPC require and what does it show? - ANSWER-
ROM
Frequency, duration, intensity (mmHg) and resting tone
What is the role of an IUPC in managing Pitocin? - ANSWER-
There may be times when when pt has appropriate cxs, adequate
cervical change, no tachysytole, and there are orders to increase
Pit. IUPC will allow for Pitocin management (doesn't need to be
placed in all pts because it's invasive), if we feel Pitocin is high
enough, and they should be achieving cervical change based on
Palpation and frequency and provider wants more pit we can
suggest IUPC to determine if more is needed. Sometimes more
time is needed instead
, 4|Page
What would indicate the need for a c/s with an IUPC? - ANSWER-
With IUPC if they've had 4 hrs of adequate uterine cxs with no
cervical change this does constitute need for c/s. Without IUPC 6
hrs is needed.
What are other uses for an IUPC? - ANSWER-Ammnioinfusion,
Quantitative analysis-to promote cervical change, Withdraw
amniotic fluid
Where should an IUPC be placed? What is the typical resting
tone? - ANSWER-IUPC should be placed at the top of the fundal
area and resting tone is typically 10-15mmHg.
What can happen to an IUPC throughout labor? How is this seen?
- ANSWER-These can come down as pts labor and this can be
seen in pts resting tone that can't be zeroed down and resting
tone could be 20-25 and it's more than we want and it may be that
IUPC is too low because it has all the pressure of the remaining
amniotic fluid that staying on it because up high through gravity,
fluid is on the low end.
CEFM EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
To determine if it's artifact or an arrhythmia, what can be done? -
ANSWER-turn the volume up enough on the monitor that you can
hear the irregularities
What is typical of an arrhythmia? What does artifact look like? -
ANSWER-the baseline is still visible and fetal and maternal HR
can be seen. Lines are either up or down in this image but not
both.
lines are up and down.
What may be needed with an extreme arrhythmia? - ANSWER-it
may be not enough data is seen internally and external monitors
may be needed again.
,2|Page
Externally, anterior placentas can lead to questioning what? -
ANSWER-if something is artifact or arrhythmia because there are
lots gaps
How is intensity and resting tone assessed with a toco? -
ANSWER-Palpation yields intensity and resting tone (critical skill
to assess)
Important to palpate because on bigger pts why? - ANSWER-they
may have strong cxs but they don't trace very well
How can smaller pts trace on the toco? - ANSWER-Smaller pts
can look like they're having stronger contractions because of
movement.
What does the toco show? - ANSWER-Toco sensor button yields
electrical signal (not exact information) of frequency and duration
tensing of the uterine muscle"
,3|Page
Where should the Toco be placed? - ANSWER-_fundal area AT
STRONGEST POINT ** "no fetal parts"
Placing TOCO where fetal parts are will impede tensing of uterine
muscle, try to place to the side of the buttocks. Should be kept
_____________________on fundus
Tetanic contraction- last longer than - ANSWER-90 seconds
What does an IUPC require and what does it show? - ANSWER-
ROM
Frequency, duration, intensity (mmHg) and resting tone
What is the role of an IUPC in managing Pitocin? - ANSWER-
There may be times when when pt has appropriate cxs, adequate
cervical change, no tachysytole, and there are orders to increase
Pit. IUPC will allow for Pitocin management (doesn't need to be
placed in all pts because it's invasive), if we feel Pitocin is high
enough, and they should be achieving cervical change based on
Palpation and frequency and provider wants more pit we can
suggest IUPC to determine if more is needed. Sometimes more
time is needed instead
, 4|Page
What would indicate the need for a c/s with an IUPC? - ANSWER-
With IUPC if they've had 4 hrs of adequate uterine cxs with no
cervical change this does constitute need for c/s. Without IUPC 6
hrs is needed.
What are other uses for an IUPC? - ANSWER-Ammnioinfusion,
Quantitative analysis-to promote cervical change, Withdraw
amniotic fluid
Where should an IUPC be placed? What is the typical resting
tone? - ANSWER-IUPC should be placed at the top of the fundal
area and resting tone is typically 10-15mmHg.
What can happen to an IUPC throughout labor? How is this seen?
- ANSWER-These can come down as pts labor and this can be
seen in pts resting tone that can't be zeroed down and resting
tone could be 20-25 and it's more than we want and it may be that
IUPC is too low because it has all the pressure of the remaining
amniotic fluid that staying on it because up high through gravity,
fluid is on the low end.
