CEFM Practice Test
A biophysical score of 6 is considered
a. Abnormal
b. Normal
c. Equivocal - correct answer-c. Equivocal
A fetal heart rate pattern that is likely to be seen with maternal hypothermia is
a. Bradycardia
b. Marked variability
c. Tachycardia - correct answer-a. Bradycardia
A FHR change that can be seen after administration of butophanol (Stadol) is
a. Bradycardia
b. Marked variability
c. Sinusoidal-appearing - correct answer-c. Sinusoidal-appearing
A maternal medical condition which predisposes the fetus to a heart block is
a. Lupus erythematosus
b. Marfans disease
c. Mitral valve prolapse - correct answer-a. Lupus erythematosus
A modified BPP shows the following- NST is reactive with mod variability. AFI is 7. This test
would be interpreted as
a. Abnormal
b. Equivocal
c. Normal - correct answer-c. Normal
A patient receiving oxytocin has 17 ctx in 30 minutes, according to the NICHD guidelines this
is called
a. Hyperstimulation
b. Hypertonus
c. Tachysystole - correct answer-c. Tachysystole
A preterm fetus with persistent PVT that is not hydropic is best treated with maternal
administration of
a. Digoxin
b. Phenobarbital
c. Terbutaline - correct answer-a. Digoxin
A wandering FHR baseline may be indicative of
a. Fetal seizure activity
b. Impending fetal death
c. Maternal medication administration - correct answer-b. Impending fetal death
, A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate
action is to
a. Insert an FSE 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 answer-a. Insert an FSE and turn off
the logic
A woman who is 34 weeks is counting FM each day. Today she counted 8 FM in 2 hours.
Based on her kick counts, she should
a. Continue counting for one more hour
b. D/C counting until tomorrow
c. Notify her provider for further evaluation - correct answer-c. Notify her provider for further
evaluation
According to ACOG, in a patient with complications, the FHR during the 2nd stage of labor
should reviewed approximately every
a. 5 minutes
b. 15 minutes
c. 30 minutes - correct answer-a. 5 minutes
According to ACOG, in a patient without complications, the FHR tracing during the 1st stage
of labor should be reviewed apporximately every
a. 5 minutes
b. 15 minutes
c. 30 minutes - correct answer-c. 30 minutes
According to ACOG, intermittent auscultation is appropriate for
a. All pregnancies
b. Neither complicated or uncomplicated pregnancies
c. Uncomplicated pregnanies - correct answer-c. Uncomplicated pregnancies
According to NICHD definitions, which one of the following decelerations must drop by at
least 15 beats per minute
a. Early
b. Late
C. Prolonged - correct answer-c. Prolonged
According to the task force of national institute of child health and human development of the
NIH, decelerations that have an abrupt onset and a nadir in less than 30 seconds are
a. Early
b. Late
c. Variable - correct answer-c. Variable
Activation of fetal peripheral chemoreceptors results in which FHR change
a. Decrease
b. Increase
c. No change - correct answer-a. Decrease
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