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EFM Certification Exam Review With Correct Questions And Answers 2024
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EFM Certification
EFM Certification Exam Review With Correct Questions And Answers 2024
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what is the main purpose of fetal heart rate monit
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EFM Certification Exam Review With Correct Questions And Answers 2024 What yis ythe ymain ypurpose yof yfetal yheart yrate ymonitoring? y- ycorrect yanswer.to yassess ythe yadequacy yof yfetal yoxygenation yduring ylabor What yare ythe ytwo ymain yreasons yfor yassessing yfetal yoxygenation yduring ylabor? y- ycorrect yanswer.1. yconfirming ynormal yoxygenation yso ynormal ylabor ycan ycontinue ysafely 2. ypreventing yfetal yinjury ythat ycould yresult yfrom yinterrupted yfetal yoxygenation Oxygen yis ytransported yfrom ythe yenvironment yto ythe yfetus yvia ythe y"oxygen ypathway" ythat yincludes? y- ycorrect yanswer.Lungs Heart Vasculature Uterus Placenta Umbilical yCord Fetus Oxygenated yblood yfrom ythe ymother yenters ythe yplacenta yvia? y- ycorrect yanswer.uterine yvasculature ythat yconnects yto ythe yspiral yarteries, ythen ymoves yinto ythe yintervillous yspace What yoccurs yin ythe yintervillous yspace yof ythe yplacenta? y- ycorrect yanswer.exchange yof ygases, ynutrients, ywastes, ymolecules, yand yfetal/maternal yblood yseparation Umbilical yarteries ycarry yblood yin ywhich ydirection? y- ycorrect yanswer.from ythe yfetus yto ythe yplacenta The yumbilical yvein ycarries yblood yin ywhich ydirection? y- ycorrect yanswer.from ythe yplacenta yto ythe yfetus What yis ythe ypurpose yof ychorionic yvilli yin ythe yplacenta? y- ycorrect yanswer. the ylocation yin ywhich yfetal yand ymaternal yexchange yoccur hypoxemia y- ycorrect yanswer.deficient yamount yof yoxygen yin ythe yblood What yis ythe yexpected yPAO2 yof ythe yumbilical yartery yat ybirth? y- ycorrect yanswer.15 -25mm yHg hypoxia y- ycorrect yanswer.deficiency yin ythe yamount yof yoxygen yreaching ythe ytissues yand yorgans What yis ymetabolic yacidosis? y- ycorrect yanswer.An yaccumulation yof ylactic yacid yin ythe ytissues What yis ythe ycause yof ymetabolic yacidosis yin ynewborns? y- ycorrect yanswer.deficient yoxygen yin ythe yblood yforces ythe ybody yto yconvert yfrom yaerobic yto yanaerobic ymetabolism ywhich ygenerates ylactic yacid yas ya ybyproduct What yis ymetabolic yacidemia? y- ycorrect yanswer.exc essive yuse yof ybicarbonate yto ystabilize yacidic yblood, ywhich ylowers ythe yblood ypH ytoo ymuch low yblood ypH ylevel Recurrent yand/or ysustained yhypoxia yand yacidosis ycan ylead yto? y- ycorrect yanswer.hypoxic yischemic yinjury yto ytissues yand yorgans Can yyou ydetect yfetal yvariability ywith ya yfetoscope yor ydoppler? y- ycorrect yanswer.No When ydetecting yfetal ydecelerations, ywhat yare ythe ymain ydifferences ybetween ya yfetoscope, ydoppler, yand yelectronic yfetal ymonitoring? y- ycorrect yanswer.the yfetoscope yand ydoppler ycan ydetect ya ydeceleratio n yhappening ybut yonly ythe yEFM ycan ydifferentiate ythe ytype yof ydeceleration yhappening What yis yLeopolds ymaneuver? y- ycorrect yanswer.To ydetermine ypresentation yand yposition yof yfetus yand yaid yin ylocation yof yFHR what yare ythe y4 ymaneuvers yduring yleopold's? y- ycorrect yanswer.1. ydetermine ywhat ypart yof yfetus yis ylocated yin yfundus 2. ydetermine ylocation yof yfetal yback 3. ydetermine ypresenting ypart 4. ydetermine ylocation yof ythe ycephalic yprominence Can yvariability ybe ydetermined ywith yauscultated yfetal yheart ymonitoring? y- ycorrect yanswer.no What yshould ybe ydocumented ywith yauscultated yfetal yheart yrate? y- ycorrect yanswer.counted yfetal yheart yrate rhythm presence yof yincreases, ydecreases, yabrupt yor ygradual bradycardia yor ytachycardia uterine yactivity yvia ypalpation Category y1 yAuscultated yfetal yheart yrate ydescription y- ycorrect yanswer.baseline yrange yof y110-160 regular yrhythm presence yor yabsence yof yFHR yincreases yfrom ybaseline absence yof ydecreases yfrom ybaseline Category y2 yauscultated yfetal yheart yrate ydescription y- ycorrect yanswer.everything ythat yis ynot yclassified yas ycategory y1 What yare ycommon ycauses yof yexcessive yuterine yactivity? y- ycorrect yanswer.cervical yripening yagents oxytocin abruptio yplacentae uterine yoverdi stention y(amnioinfusion, ymultiple ygestation, ymacrosomia, yhydramnios) Define yfetal yheart yrate ybaseline y- ycorrect yanswer.the ymean yfetal yheart yrate yover ya y10 yminute ysegment yexcluding yaccelerations, ydecelerations, yor ymarked yvariability. What ydefines ya yfetal yheart yrate ybaseline yas y"Indeterminate"? y- ycorrect yanswer.when ythe ybaseline yis ynot ydetected yfor ya yminimum yof y2 yminutes yduring ya y10 yminute ysegment (heart yrate ydoes ynot yneed yto ybe y2 ycontinuous yminutes) Define yfetal ytachycardia y- ycorrect yanswer.baseline ygreat er ythan y160bpm Define yfetal ybradycardia y- ycorrect yanswer.baseline yless ythan y110bpm Define yfetal ybaseline yvariability y- ycorrect yanswer. - yfluctuations yin yfetal yheart yrate ymeasured yfrom ythe ypeak(upper) yto ythe ytrough(lower) yof ythe yheart yrate yfluctuations y - yrounded yto yincrements yof y5 ybpm Define yminimal yvariability y- ycorrect yanswer.the yamplitude yrange yis ydetectable ybut yless ythan y5 ybpm Define ymoderate yvariability y- ycorrect yanswer.Amplitude yfrom ypeak yto ytrough y6-25 ybpm Define ymarked yvariability y- ycorrect yansw er.Amplitude yfrom ypeak yto ytrough yis ygreater ythan y25 ybpm define: yfetal yheart yrate yaccelerations y- ycorrect yanswer.an yabrupt yincrease yin yFHR yfrom ybaseline yof yat yleast y15 ybpm. ymust ybe yless ythan y30 yseconds reassuring yand yusually yindicates yfetal ywell ybeing Accelerations yof y15x15 yare yrequired yat ywhat ygestation? y- ycorrect yanswer.32 yweeks yand yhigher Prolonged yacceleration ydefinitions y- ycorrect yanswer.greater ythan y2 ymins ybut yless ythan y10 yminutes