CEFM EXAM UPDATED 2024 WITH
COMPLETE SOLUTIONS
If a category II tracing with minimal variability and absent fetal heart accelerations begin
to show late decelerations
A. Immediate caesarean delivery is indicated
B. It should be considered indeterminate
C. The tracing has progressed to category III status - Answer- It should be considered
indeterminate
Severe fetal anemia should be suspected in what fetal heart rate manifestation
A. Shallow late decelerations
B. Sinusoidal pattern
C. Wandering baseline - Answer- Sinusoidal pattern
To confirm baseline rate, at least how many minutes of tracing is needed for review
A. 2 minutes
B. 5 minutes
C. 10 minutes - Answer- 10 minutes
A Sinusoidal fetal heart rate pattern is characterized by
A. Cyclic frequency of 10 minutes
B. Identical baseline amplitude and duration
C. Smooth repetitive oscillations - Answer- Smooth repetitive oscillations
Accelerations that are 10 minutes or more are considered
A. A baseline change
B. Artifact
C. Most likely due to head compression - Answer- A baseline change
The quantification of a deceleration is made by the
A. Beats per minute from acme above baseline to nadir
B. Combination of depth and duration time
C. Depth of the nadir in beats per minute below the baseline - Answer- Depth of the
nadir in beats per minute below the baseline
Early decelerations are characterized by the nadir of deceleration occurring
A. At the peak of the contraction
B. At the start of the contraction
C. Between contractions - Answer- At the peak of the contraction
COMPLETE SOLUTIONS
If a category II tracing with minimal variability and absent fetal heart accelerations begin
to show late decelerations
A. Immediate caesarean delivery is indicated
B. It should be considered indeterminate
C. The tracing has progressed to category III status - Answer- It should be considered
indeterminate
Severe fetal anemia should be suspected in what fetal heart rate manifestation
A. Shallow late decelerations
B. Sinusoidal pattern
C. Wandering baseline - Answer- Sinusoidal pattern
To confirm baseline rate, at least how many minutes of tracing is needed for review
A. 2 minutes
B. 5 minutes
C. 10 minutes - Answer- 10 minutes
A Sinusoidal fetal heart rate pattern is characterized by
A. Cyclic frequency of 10 minutes
B. Identical baseline amplitude and duration
C. Smooth repetitive oscillations - Answer- Smooth repetitive oscillations
Accelerations that are 10 minutes or more are considered
A. A baseline change
B. Artifact
C. Most likely due to head compression - Answer- A baseline change
The quantification of a deceleration is made by the
A. Beats per minute from acme above baseline to nadir
B. Combination of depth and duration time
C. Depth of the nadir in beats per minute below the baseline - Answer- Depth of the
nadir in beats per minute below the baseline
Early decelerations are characterized by the nadir of deceleration occurring
A. At the peak of the contraction
B. At the start of the contraction
C. Between contractions - Answer- At the peak of the contraction
