NRSG 6115 Labor and Delivery Part 2/NRSG 3302 MATERNITY EXAM 2; 2022/2023 Questions With Correct Answers

NRSG 6115 Labor and Delivery Part 2/NRSG 3302 MATERNITY EXAM 2; 2022/2023 Questions With Correct Answers What is intrapartum fetal surviellance a tool for {{Ans- a tool to detect anything that could compromise fetal oxygenation and lead to neuro disability What are 4 indirect measures of fetal status during labor {{Ans- 1. FHR 2. blood gases 3. amniotic fluid volume 4. fetal stimulation response What is birth asphyxia {{Ans- birth asphyxia is marked impairment of gas exchange which leads to: 1. progressive hypoxia 2. hypercapnia 3. sig metabolic acidosis Purpose of the uteroplacental unit {{Ans- to provide oxygen and nutrients and remove waste What can happen if there is any insufficiency in the uteroplacental until which provides oxygen, nutrients and removes waste? {{Ans- any insufficiency can lead to loss of function What are the initial fetal reponses to insufficiency of the uteroplacental unit? {{Ans- 1. fetal hypoxia 2. shunting of blood to fetal Brain, heart and adrenal glads 3. decelerations of FHR What happens if the hypoxia doesnt resolve soon with uteroplacental insufficiency? {{Ans- the fetus will eventually switch over to anaerobic glycolysis and develop metabolic acidosis Fetus can develop metabolic acidosis through anaerobic glycolysis as a result of hypoxia from uteroplacental insufficiency, what accumulates as a result of metabolic acidosis and what does this case {{Ans- lactic acid accumulates and causes damage to the brain and to the myocardium What is the purpose of infrapartum FHR monitoring {{Ans- the purpose of intrapartum FHR monitoring is to determine if the fetus is well-oxygenated