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2024 VALID ADVANCED FETAL MONITORING EXAM WITH CORRECT ANSWERS
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2024 VALID ADVANCED FETAL MONITORING EXAM WITH CORRECT ANSWERS
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2024 VALID ADVANCED FETALMONITORING EXAM WITH
CORRECT ANSWERS
What is open glottis pushing? - CORRECT-ANSWERSPushing is approximately
6 to 8 seconds and repeated four times
What category rules out fetal acidemia? - CORRECT-ANSWERSCat 1
What maternal conditions greatly impact fetal oxygenation? - CORRECT-
ANSWERSSevere astha, cardiac issues, and ecclampic seizures
Spontaneous urge to push during labor that occurs when the presenting part
(of the fetus) reaches the pelvic floor; may occur without full cervical
effacement - CORRECT-ANSWERSFergusons reflex
What is a contraindication for terbutaline? - CORRECT-ANSWERSAny type of
bleeding
What is normal pH in the umbilical artery? - CORRECT-ANSWERS7.20-7.29
Greater than or equal to 7.10
What is the normal PCO2 for an umbilical artery? - CORRECT-ANSWERS49 to
56
Less than 60
What is the normal HCO3 in an umbilical artery? - CORRECT-ANSWERS22 to
24 greater than 22
What is the normal BE for an umbilical artery? - CORRECT-ANSWERS-2.7-(-
3.6)
Greater than -12
What is respiratory acidemia? - CORRECT-ANSWERSWhen there is a buildup
of carbon dioxide in the fetus
Can happen during cord compression
What do normal Apgars look like for a baby with respiratory acidemia? -
CORRECT-ANSWERSDecreased first Apgar then a normal APGAR
, What is anaerobic metabolism? - CORRECT-ANSWERSThe type of metabolism
that takes place when there is no available oxygen so glucose is used where
it is converted into lactic acid
The base attempts to neutralize the lactic acid so there is usually a buildup
of hydrogen ions
Can lead to metabolic acidemia
What is metabolic acidemia? - CORRECT-ANSWERSWhen the base gets
depleted so there is a buildup of hydrogen ions in lactic acid within the fetus
This decreases the pH within the fetus which can lead to possible cell death
Continued decreased Apgars
Decreased pH, normal PCO2, decreased HCO3, decreased BE - CORRECT-
ANSWERSMetabolic acidemia
Decreased pH, increased PCO2, normal HCO3, normal BE - CORRECT-
ANSWERSRespiratory acidemia
What is mixed acidemia? - CORRECT-ANSWERSWhen there is some oxygen
but not enough so the base still gets depleted but not quite as much
Decreased pH, increased PCO2, decreased HCO3, decreased BE - CORRECT-
ANSWERSMixed acidemia
What is velamentous insertion of the umbilical cord? - CORRECT-
ANSWERSWhen the vessels are not protected by whartons jelly
What are some risk factors of abruptio placenta? - CORRECT-ANSWERSPrior
history, hypertension, cigarette smoking, cocaine use, or blunt abdominal
trauma
Why is there if you tachycardic response after a prolonged decel? -
CORRECT-ANSWERSIt is a sympathetic response so catecholamines like
norepinephrine and epinephrine are released to recuperate
What do narcotics to you in regards to fetal heart rates? - CORRECT-
ANSWERSCan decrease variability and accelerations
What can stadol and Nubian cause in fetal heart rates? - CORRECT-
ANSWERSPseudo sinusoidal patterns
What can cocaine cause in regards to uterine activity and fetal heart rates? -
CORRECT-ANSWERSDecrease variability and increased uterine activity
What can betamethasone cause in regards to fetal heart rate? - CORRECT-
ANSWERSDecrease variability for 48 hours
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