CERTIFICATION (EFM) EXAM 2025. 100%
COMPLETE WITH SOLUTIONS. EXPERT
VERIFIED FOR GUARANTEED PASS GRADED
A+
How long may a standard NST be extended in a term gestation if reactivity is not initially
demonstrated?
A. From the initial 20 min to 40 min
B. From the initial 20 min to 60 min
C. From the initial 30 min to 60 min
- CORRECT ANS: A. From the initial 20 min to 40 min
Accounts for fetal sleep
Which is the most appropriate application of vibroacoustic stimulation (fetal acoustic
stimulation) in a standard NST?
A. The device is placed at the top of the maternal fundus
B. The mother uses a marker button to document the fetal movement response
C. The stimulation is applied after a baseline is established
- CORRECT ANS: C. The stimulation is applied after a baseline is established
Which of the following characteristics are most common in the preterm fetus?
A. Increased baseline rate and prolonged accelerations
B. Increased baseline rate and variable decelerations
C. Prolonged accelerations and variable decelerations
- CORRECT ANS: B. Increased baseline rate and variable decelerations
As well as decreased variability
What typical characteristics of preterm uterine activity may be present in a patient
experiencing preterm labor?
A. An irritable uterus with wandering hypertonus
B. Low-amplitude high-frequency contractions
C. Tetanic contractions
- CORRECT ANS: B. Low amplitude high-frequency contractions
Which medications used with preterm labor can affect the FHR characteristics?
A. Terbutaline and antibiotics
B. Betamethasone and terbutaline
C. Antibiotics and narcotics
- CORRECT ANS: B. Betamethasone and terbutaline
What characterizes a preterm fetal response to stress?
A. More frequently occurring late decelerations
B. More frequently occurring prolonged decelerations
, C. More rapid deterioration from Category I to Category II or III
- CORRECT ANS: C. More rapid deterioration from Category I to Category II or III
More likely to be subjected to hypoxia
Clinical decision-making at the bedside should include:
A. Communication with the primary care provider only during a crisis
B. Integration of physiologic concepts with maternal-fetal assessment findings
C. Reliance primarily on technology over bedside assessments
- CORRECT ANS: B. Integration of physiologic concepts with maternal-fetal assessment
findings
In the United States, the paper speed on the monitor is set at
A. 1 cm/min
B. 2 cm/min
C. 3 cm/min
- CORRECT ANS: C. 3 cm/min
A woman being monitored externally has a suspected fetal arrhythmia. The most
appropriate action is to
A. Insert a spiral electrode and turn off the logic
B. Turn the logic on if an external monitor is in place
C. Use a Doppler to listen to the ventricular rate
- CORRECT ANS: A. Insert a spiral electrode and turn off the logic
The ultrasound transducer on the electronic fetal monitor measures the
A. Electrical signal of the fetal heart
B. Mechanical movements of the fetal heart reflected off of sound waves
C. R-to-R intervals of the fetal heart
- CORRECT ANS: B. Mechanical movements of the fetal heart reflected off of sound waves
The purpose of autocorrelation in external monitoring is to
A. Compare incoming waveforms for comparison
B. Decrease signal to noise levels
C. Distinguish fetal from maternal HR
- CORRECT ANS: A. Compare incoming waveforms for comparison
The area of maximum intensity of the FHR is usually the fetal
A. Back
B. Chest
C. Umbilicus
- CORRECT ANS: A. Back
Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm