C-EFM case studies
C-EFM · Put your knowledge to work in context.
The Certified in Electronic Fetal Monitoring (C-EFM) credential is a specialty certification for nurses, nurse-midwives, and other clinicians who interpret fetal heart rate and uterine contraction tracings as part of perinatal care. It signals that the holder can recognize normal and abnormal patterns, connect them to maternal-fetal physiology, and act on them within accepted clinical and professional standards. The exam samples seven content areas: maternal and fetal physiology, monitoring equipment and techniques, fetal heart rate pattern interpretation (the largest share), uterine contraction assessment, antepartum fetal assessment, intrapartum management and interventions, and professional practice, documentation, and communication. Preparation works best in layers. The C-EFM case studies are 5 cases and about 2,841 words.
1Late Decelerations With Tachysystole After Amnioinfusion Decision
A 31-year-old G2P1 at 40 weeks 2 days is in active labor with an epidural. She was admitted at 4 cm and is now 7 cm, 90% effaced, station 0.
706 words, about 4 min2Sinusoidal-Like Pattern at 33 Weeks With Decreased Movement
A 33-year-old G3P2 at 33 weeks 1 day presents to triage reporting decreased fetal movement for 2 days. She has gestational diabetes managed with insulin and a history of a prior 36-week stillbirth.
606 words, about 3 min3Variable Decelerations During Second-Stage Pushing With an Epidural
A 27-year-old G1P0 at 39 weeks 4 days is fully dilated and has been pushing for 50 minutes. She has an epidural and is pushing in the semi-recumbent position.
525 words, about 3 min4Category II Tracing at 5 cm With Rising Baseline and Minimal Variability
A 24-year-old G1P0 at 38 weeks 5 days is in spontaneous labor at 5 cm, 80% effaced, station -1. Membranes are intact.
521 words, about 3 min5Postdates Antepartum Testing and a Nonreactive NST at 41 Weeks
A 29-year-old G2P1 at 41 weeks 0 days comes for an antenatal visit. Her pregnancy has been uncomplicated except for diet-controlled gestational diabetes.
483 words, about 2 min