C-EFM Exam UPDATED ACTUAL Exam
Questions and CORRECT Answers
For auscultation documentation what needs to be documented? - CORRECT ANSWER -
Rate, Rhythm (regular/irregular), increases or decreases from baseline
And need to listen 30 seconds before, during and after contraction
What do you NOT document for auscultation documentation? - CORRECT ANSWER -
Variability and decelerations
In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often? -
CORRECT ANSWER - Every 30 minutes
In the 2nd stage (pushing) how often can you intermittently monitor for low and high right
patients - CORRECT ANSWER - Low risk q15 min
High risk q5 min
During intermittent monitoring when do you also need to listen to FHR? - CORRECT
ANSWER - During interventions such as medications, SROM/AROM, cervix check, etc.
What is the normal FHR range? - CORRECT ANSWER - 110-160 bpm
Category 1 auscultation includes ALL... - CORRECT ANSWER - -normal FHR baseline
-regular rhythm
-presence of access
-absence of decels
Category 2 auscultation includes ANY of the following - CORRECT ANSWER --
irregular rhythm
, -presence of decels
-tachycardia
-bradycardia
US/EFM detects? - CORRECT ANSWER - Fetal heart movement
When does a baby need 15x15? - CORRECT ANSWER - At 32 weeks
Benefits of EFM/US? - CORRECT ANSWER - -you can see what's going on with baby all
the time
-we can see variability which tells about oxygenation
-gives us an objective legal record
-Non invasive
Limitations of EFM/US? - CORRECT ANSWER - -constant readjustment
-limited patient movement
-when the monitor doubles or halves the FHR
Why would the EFM/US double or halve the FHR? - CORRECT ANSWER - If the FHR
is less than 30 or greater than 240 or the baby has a heart arrhythmia
FSE/IFM does what? - CORRECT ANSWER - Directly monitors the R to R interval
"Ekg for baby"
FSE/IFM benefits? - CORRECT ANSWER - Very precise
Pt can have more movement
FSE/IFM limitations? - CORRECT ANSWER - -water needs to be broken
Questions and CORRECT Answers
For auscultation documentation what needs to be documented? - CORRECT ANSWER -
Rate, Rhythm (regular/irregular), increases or decreases from baseline
And need to listen 30 seconds before, during and after contraction
What do you NOT document for auscultation documentation? - CORRECT ANSWER -
Variability and decelerations
In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often? -
CORRECT ANSWER - Every 30 minutes
In the 2nd stage (pushing) how often can you intermittently monitor for low and high right
patients - CORRECT ANSWER - Low risk q15 min
High risk q5 min
During intermittent monitoring when do you also need to listen to FHR? - CORRECT
ANSWER - During interventions such as medications, SROM/AROM, cervix check, etc.
What is the normal FHR range? - CORRECT ANSWER - 110-160 bpm
Category 1 auscultation includes ALL... - CORRECT ANSWER - -normal FHR baseline
-regular rhythm
-presence of access
-absence of decels
Category 2 auscultation includes ANY of the following - CORRECT ANSWER --
irregular rhythm
, -presence of decels
-tachycardia
-bradycardia
US/EFM detects? - CORRECT ANSWER - Fetal heart movement
When does a baby need 15x15? - CORRECT ANSWER - At 32 weeks
Benefits of EFM/US? - CORRECT ANSWER - -you can see what's going on with baby all
the time
-we can see variability which tells about oxygenation
-gives us an objective legal record
-Non invasive
Limitations of EFM/US? - CORRECT ANSWER - -constant readjustment
-limited patient movement
-when the monitor doubles or halves the FHR
Why would the EFM/US double or halve the FHR? - CORRECT ANSWER - If the FHR
is less than 30 or greater than 240 or the baby has a heart arrhythmia
FSE/IFM does what? - CORRECT ANSWER - Directly monitors the R to R interval
"Ekg for baby"
FSE/IFM benefits? - CORRECT ANSWER - Very precise
Pt can have more movement
FSE/IFM limitations? - CORRECT ANSWER - -water needs to be broken
