Electronic Fetal Monitoring Certification (C-
EFM)Real EXAM UPDATE/PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS (complete
solutions) ASSURED SUCCESS/GRADED A+
,Section 1: Fetal Heart Rate Baseline
1. What is the normal range for fetal heart rate baseline?
A) 100-140 bpm
B) 110-160 bpm
C) 120-180 bpm
D) 90-150 bpm
Answer: B
Rationale: NICHD defines a normal baseline as 110-160 bpm. Tachycardia is >160 bpm, and bradycardia is <110 bpm.
2. How is the fetal heart rate baseline determined?
A) The average rate over 10 minutes, rounded to increments of 5 bpm
B) The highest rate observed in a 20-minute window
C) The lowest rate observed during a contraction
D) The rate over a 2-minute period, excluding accelerations
,Answer: A
Rationale: The baseline is the mean FHR rounded to 5 bpm during a 10-minute segment, excluding periodic or episodic
changes, and periods of marked variability. There must be at least 2 minutes of identifiable baseline segments.
3. Fetal tachycardia is defined as a baseline greater than:
A) 150 bpm for >10 minutes
B) 160 bpm for >10 minutes
C) 170 bpm for >5 minutes
D) 160 bpm for >2 minutes
Answer: B
Rationale: Tachycardia is a baseline >160 bpm lasting at least 10 minutes.
4. Which maternal condition is most likely to cause fetal tachycardia?
A) Maternal hypotension
B) Chorioamnionitis
C) Supine position
D) Maternal hypothermia
, Answer: B
Rationale: Maternal fever/intra-amniotic infection is a common cause of fetal tachycardia. Other causes include fetal
hypoxia, medications (terbutaline), and fetal anemia.
5. Fetal bradycardia is defined as a baseline below:
A) 120 bpm for >10 minutes
B) 100 bpm for >5 minutes
C) 110 bpm for >10 minutes
D) 90 bpm for >2 minutes
Answer: C
Rationale: Bradycardia is a baseline <110 bpm lasting at least 10 minutes.
6. A prolonged fetal heart rate deceleration that results in a baseline shift to 105 bpm for over 20 minutes should be
reclassified as:
A) Tachycardia
B) Bradycardia
C) Recurrent decelerations
D) Sinusoidal pattern
EFM)Real EXAM UPDATE/PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS (complete
solutions) ASSURED SUCCESS/GRADED A+
,Section 1: Fetal Heart Rate Baseline
1. What is the normal range for fetal heart rate baseline?
A) 100-140 bpm
B) 110-160 bpm
C) 120-180 bpm
D) 90-150 bpm
Answer: B
Rationale: NICHD defines a normal baseline as 110-160 bpm. Tachycardia is >160 bpm, and bradycardia is <110 bpm.
2. How is the fetal heart rate baseline determined?
A) The average rate over 10 minutes, rounded to increments of 5 bpm
B) The highest rate observed in a 20-minute window
C) The lowest rate observed during a contraction
D) The rate over a 2-minute period, excluding accelerations
,Answer: A
Rationale: The baseline is the mean FHR rounded to 5 bpm during a 10-minute segment, excluding periodic or episodic
changes, and periods of marked variability. There must be at least 2 minutes of identifiable baseline segments.
3. Fetal tachycardia is defined as a baseline greater than:
A) 150 bpm for >10 minutes
B) 160 bpm for >10 minutes
C) 170 bpm for >5 minutes
D) 160 bpm for >2 minutes
Answer: B
Rationale: Tachycardia is a baseline >160 bpm lasting at least 10 minutes.
4. Which maternal condition is most likely to cause fetal tachycardia?
A) Maternal hypotension
B) Chorioamnionitis
C) Supine position
D) Maternal hypothermia
, Answer: B
Rationale: Maternal fever/intra-amniotic infection is a common cause of fetal tachycardia. Other causes include fetal
hypoxia, medications (terbutaline), and fetal anemia.
5. Fetal bradycardia is defined as a baseline below:
A) 120 bpm for >10 minutes
B) 100 bpm for >5 minutes
C) 110 bpm for >10 minutes
D) 90 bpm for >2 minutes
Answer: C
Rationale: Bradycardia is a baseline <110 bpm lasting at least 10 minutes.
6. A prolonged fetal heart rate deceleration that results in a baseline shift to 105 bpm for over 20 minutes should be
reclassified as:
A) Tachycardia
B) Bradycardia
C) Recurrent decelerations
D) Sinusoidal pattern
