Exam (elaborations)
ADVANCED FETAL MONITORING TEST WITH ALL ANSWERS
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ADVANCED FETAL MONITORING TEST WITH ALL ANSWERS
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ADVANCED FETAL MONITORING TESTWITH ALL ANSWERS
Cat 1 - correct answer- What category rules out fetal acidemia?
B B BB B B B B B B B
Severe astha, cardiac issues, and ecclampic seizures - correct answer- What
B B B B B B B BB B B
maternal conditions greatly impact fetal oxygenation?
B B B B B B
intervillous space - correct answer- Where does the exchange of O2 and nutrients
B B BB B B B B B B B B B
Btake place? B
O2 enters the intervillous space via the maternal arteries, to the villi then the umbilical
B B B B B B B B B B B B B B
vein take the o2 blood to the fetus. The umbilical arteries take the deO2 blood from
B B B B B B B B B B B B B B B B
the baby through the villi and back to the mother - correct answer- How is o2 blood
B B B B B B B B B B B BB B B B B B
transferred to the fetus?
B B B B
High to low concentration
B B B B
Mom to fetus for O2 B B B B B
Low to high concentration for CO2 so baby to mom - correct answer- Diffusion
B B B B B B B B B B BB B B
Diffusion - correct answer- How is O2 transferred from mom to baby
B BB B B B B B B B B B
Carry O2 into intervillous space
B B B B B
Are maximally dilated so they can not be increased - correct answer- Explain spiral
B B B B B B B B B BB B B B
arteries in placenta
B B B
Maternal conditions like pre-e and cardiac disease
B B B B B B
Maternal hypotension B B
Placental changes- abruptions, infections, edema, or smaller size
B B B B B B B
Excessive uterine activity B B B
Vasoconstriction - correct answer- What are factors that can decrease uteroplacental B BB B B B B B B B B
blood flow?
B B
, They are constricted which decreases blood flow - correct answer- What happens to
B B B B B B B BB B B B B
the spiral arteries during pre-e?
B B B B B
The aorta and vena cava get compressed (20 weeks) - correct answer- Why does the
B B B B B B B B B BB B B B B
supine position cause decreased uteroplactenal blood flow?
B B B B B B B
Blocks the sympathetic pathway B B B B
Pooling of blood in the lower extremities decreases blood flow back to moms heart
B B B B B B B B B B B B B
which decreases blood flow to the fetus - correct answer- Why does maternal
B B B B B B B B BB B B B B
hypotension happen after regional analgesia?
B B B B B
60% - correct answer- What percentage is uteroplacental blood flow decreased by
B BB B B B B B B B B B
during cxts?
B B
Environment to lungs to heart to vasculature to uterus to placenta to umbilical cord -
B B B B B B B B B B B B B B B
correct answer- Explain the pathway for maternal- fetal exchange for fetal
B B B B B B B B B B B
oxygenation (basic)
B B
Limbs, kidneys, and descending aorta - correct answer- Where is the least O2 blood
B B B B B BB B B B B B B B
in the fetus?
B B B
Umbilical vein and ductous venous - correct answer- Where is the most O2 blood in
B B B B B BB B B B B B B B B
the fetus?
B B
Ductus venosus - correct answer- Connects the umbilical vein to the inferior vena
B B BB B B B B B B B B B
cava, bypassing the liver
B B B B
Shunt that allows most O2 blood to fetal heart
B B B B B B B B
ductus venosus, foramen ovale, ductus arteriosus - correct answer- 3 important
B B B B B B BB B B B
shunts in fetal circulation
B B B B
Foramen Ovale - correct answer- connects the two atria in the fetal heart
B B BB B B B B B B B B B
Allows O2 blood to flow through the heart and directly to the brain
B B B B B B B B B B B B
Ductus Arteriosus - correct answer- a blood vessel in a fetus that bypasses
B B BB B B B B B B B B B
pulmonary circulation by connecting the pulmonary artery directly to the ascending
B B B B B B B B B B B
aorta
B
80-100 mL/kg - correct answer- What is a normal blood volume for a fetus at term?
B B BB B B B B B B B B B B B B
Increased heart rate - correct answer- What happens if you stimulate the sympathetic
B B B BB B B B B B B B B
Bnervous system? B
Regulates the sympathetic - correct answer- What does the parasympathetic nervous
B B B BB B B B B B B
system do?
B B
Increased heart rate - correct answer- What happens when catecholamines
B B B BB B B B B B
B(sympathetic) get released? B B
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