CEFM STUDY TEST QUESTIONS
WITH ALL CORRECT ANSWERS
If the pH is low, what other blood gas parameter is used to determine if the acidosis is
respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - Answer- b
acidosis occurs whenthere is an increase in - Answer- hydrogen ions in the tissue
acidemia is when there is an increase in - Answer- hydrogen ions in the blood
base deficit is the parameter that is used to distinguish between - Answer- metabolic
and respiratory acidosis
when the buffer, or base, gets used up due to the need to neutralize lactic acid, the
results of the fetal blood sample will show - Answer- an increase in base deficit
when lactic acid builds up in fetal circulation - Answer- the buffer system (hc03) gets
activated
interruption of oxygen transfer to the fetus may result in the fetal need for - Answer-
buffers
to neutralize the increase in lactic acid, the fetal response is to use - Answer- sodium
bicarb (nahco3)
legal term describes failure to meet the required standard of care - Answer- breach of
duty
fetal chemoreceptors are stimulated by - Answer- an increase in CO2
when fetal baroreceptors are stimulated by rising pressure, the fhr will - Answer-
decrease
uteroplacental blood flow may diminished by - Answer- regional analgesia
the umbilical vein carries - Answer- oxygenated blood to the fetus
, the umbilical artery carries - Answer- deoxygenated blood away from fetus
when scalp stimulation is achieved - Answer- it indicates the absence of fetal metabolic
acidemia
supporting a patients request that she recieve an opioid and an epidural during labor is
an example of the ethical principle of - Answer- autonomy
reasonable suspicion tha t afellow nurse is drunk - Answer- report aspa
the type of research study that provides the strongest level of evidence for the
effectiveness of an intervention is a - Answer- meta analysis
decg application requirements - Answer- determination of dilation, station, and
presenting part
iupc records contraction - Answer- frequency, duration, intensity of contractions, and
resting tone
one limitation of a decg is - Answer- it can record maternal heart rate when there is a
fetal demise
an iupc measures - Answer- resting tone and intensity of contractions
which of the following is the most accurate mean of obtaining information regarding the
strength, frequency, and duration of contractions?
iupc, palpation, toco - Answer- iupc
according to acog, a high risk patient in second stage of labor should have fhr reviewed
how often? - Answer- q5 min
a external fetal monitor measures the - Answer- mechanical movement of the heart
reflected off sounds waves
decg measures - Answer- r to r intervals
when auscultating a fhr baseline, the fetal heart rate should be confirmed after the
contractions for? - Answer- 30-60 seconds
what fetal heart rate characteristics can be determined with auscultation? - Answer-
baseline
uteroplacental circulation - Answer- maternal blood enters the intervillous space via the
spiral arteries
WITH ALL CORRECT ANSWERS
If the pH is low, what other blood gas parameter is used to determine if the acidosis is
respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2 - Answer- b
acidosis occurs whenthere is an increase in - Answer- hydrogen ions in the tissue
acidemia is when there is an increase in - Answer- hydrogen ions in the blood
base deficit is the parameter that is used to distinguish between - Answer- metabolic
and respiratory acidosis
when the buffer, or base, gets used up due to the need to neutralize lactic acid, the
results of the fetal blood sample will show - Answer- an increase in base deficit
when lactic acid builds up in fetal circulation - Answer- the buffer system (hc03) gets
activated
interruption of oxygen transfer to the fetus may result in the fetal need for - Answer-
buffers
to neutralize the increase in lactic acid, the fetal response is to use - Answer- sodium
bicarb (nahco3)
legal term describes failure to meet the required standard of care - Answer- breach of
duty
fetal chemoreceptors are stimulated by - Answer- an increase in CO2
when fetal baroreceptors are stimulated by rising pressure, the fhr will - Answer-
decrease
uteroplacental blood flow may diminished by - Answer- regional analgesia
the umbilical vein carries - Answer- oxygenated blood to the fetus
, the umbilical artery carries - Answer- deoxygenated blood away from fetus
when scalp stimulation is achieved - Answer- it indicates the absence of fetal metabolic
acidemia
supporting a patients request that she recieve an opioid and an epidural during labor is
an example of the ethical principle of - Answer- autonomy
reasonable suspicion tha t afellow nurse is drunk - Answer- report aspa
the type of research study that provides the strongest level of evidence for the
effectiveness of an intervention is a - Answer- meta analysis
decg application requirements - Answer- determination of dilation, station, and
presenting part
iupc records contraction - Answer- frequency, duration, intensity of contractions, and
resting tone
one limitation of a decg is - Answer- it can record maternal heart rate when there is a
fetal demise
an iupc measures - Answer- resting tone and intensity of contractions
which of the following is the most accurate mean of obtaining information regarding the
strength, frequency, and duration of contractions?
iupc, palpation, toco - Answer- iupc
according to acog, a high risk patient in second stage of labor should have fhr reviewed
how often? - Answer- q5 min
a external fetal monitor measures the - Answer- mechanical movement of the heart
reflected off sounds waves
decg measures - Answer- r to r intervals
when auscultating a fhr baseline, the fetal heart rate should be confirmed after the
contractions for? - Answer- 30-60 seconds
what fetal heart rate characteristics can be determined with auscultation? - Answer-
baseline
uteroplacental circulation - Answer- maternal blood enters the intervillous space via the
spiral arteries
