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Relias - Fetal Heart Monitoring Exam Questions With Verified Answers

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Relias - Fetal Heart Monitoring Exam Questions With Verified Answers Uterine blood supply - answer- uterine arteries deliver oxygenated blood to spiral arteries which bring oxygen rich blood to intervillous space of placenta that has fetal capillaries - fetal capillaries carry the O2 rich blood...

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  • October 2, 2024
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  • 2024/2025
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Relias - Fetal Heart Monitoring Exam
Questions With Verified Answers



Uterine blood supply - answer✔- uterine arteries deliver oxygenated blood to spiral arteries
which bring oxygen rich blood to intervillous space of placenta that has fetal capillaries


- fetal capillaries carry the O2 rich blood to umbilical VEIN that goes to fetus


-in contrast, the umbilical ARTERIES return waste products to that intervillous space that go
into mother's venous system

Potential issues that negatively affect fetal oxygenation - answer✔*Maternal Oxygenation:*
asthma, hyper- or hypo- ventilation


*Maternal Circulation:* decreased maternal cardiac output, hypotension, decreased Hgb


*Placental O2 and CO2 Exchange:* postterm, abruption, HTN, hypotension, uterine tachysystole


*Fetal circulation:* cord compression or occlusion

Fetal hypoxemia - answer✔- can occur d/t reduced fetal O2 reserves, excessive uterine activity,
or reduced uteroplacental blood flow


- worsening fetal hypoxemia can lead to abnormal FHR patterns, mostly minimal or absent
variability from acidemia

(1) hypoxemia vs. (2) hypoxia - answer✔1 - reduce O2 in blood

, ©BRAINBARTER 2024/2025




2 - reduced O2 delivery at tissue level

Fetal anaerobic metabolism - answer✔- occurs when long term O2 delivery is insufficient to
meet cellular needs of tissues


- results in production of lactic acid and other noncarbonic acids


- ACIDOSIS is the presence of excessive acids in tissues

acidosis - answer✔pH below 7.35


pH is low


(acidosis is the process that leads to low blood pH, or acidemia)

alkalosis - answer✔pH above 7.45


pH is high

buffers - answer✔- help maintain acid base homeostasis


- 2 major fetal buffers are plasma bicarbonate and hgb

base excess and base deficit - answer✔- base deficit is expressed as a positive number


- base excess is expressed as a negative number


~ they are equivalent and terms are used interchangeably ~

fetal acidosis - answer✔- when O2 is decreased to fetus, tissue hypoxia results in acidosis, which
then shows a drop in pH, a loss of bicarb, and increase in base deficit

acidemia - answer✔assoc w/ widespread, deleterious effects on vital organ and body function

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