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NCC National Certification
Corporation 2024-2025 NCC CEFM EXAM Electronic
Fetal Monitoring Concepts Review Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What are some important factors (risks) to consider
when evaluating a fetal heart rate strip? - Answer>>
--*PNLs* (abnormal?)
--weight gain/loss
--Maternal age
--*Gestational age*
--*MATERNAL vital signs*
--*Membrane status*
--*Cervical exam*
What are the easiest ways for assessment of maternal
oxygenation status? - Answer>> *Pulse Ox* (& other
vital signs, RR)
*Blood gas* (if indicated, asthma exacerbation)
*Lung soungs* (pneumonia, pulmonary edema?)
What effect can *HTN/Preeclampsia* have on the
Placenta? - Answer>> *VASOCONSTRICTION*
which adversely effects placental perfusion and can
lead to:
--*IUGR*
--*Infarcts* (decreases functional area of the placenta &
functional capacity)
Placental Infarcts - Answer>> - Necrosis of placental
villi
- Anechoic or Hypoechoic areas in placenta
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Placental infarcts will do what to
the placental function? -
Answer>> *DECREASE functional area* of placenta
*DECREASE functional capacity*
What effect can *Diabetes* have on Placental
perfusion? - Answer>> Secondary to *Maternal
Vasculopathy* & HYPERglycemia* this can lead to:
*reduced utero-placental perfusion* = *IUGR*
What can change for fetal energy demands when you
have a "DIABETIC mother" uncontrolled and there is
*Fetal HYPERglycemia & HYPERinsulinemia*? -
Answer>> Fetal hyperglycemia & hyperinsulinemia
can cause:
*Increased fetal O2 consumption* which may induce
*fetal hypoxemia & acidosis* if the O2 needs of the
fetus are not met by the placenta.
What are some common conditions which could lead to
a *POOR maternal Oxygenation status*? - Answer>>
Respiratory DEPRESSION (*Meds or Seizure*)
*Pulmonary EMBOLISM*
*Pneumonia*
*Asthma*
*Atelectasis*
ARDS
*Smoking*
*ANEMIA*
What are some examples of *collagen-vascular
diseases*? HOw does these effect pregnancy? -
Answer>> *Rheumatoid arthritis*
*Scleroderma*
*SLE* (lupus)
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= maternal *vasocontriction*
which can lead to interruptions in
placental & uterine blood flow
--'IUGR'
What fetal cardiac condition may you see in a mother
with *SLE* (systemic lupus erythematosis)? -
Answer>> *Secondary Heart BLOCK*
*Renal disease* (CKD, etc.) could cause what? -
Answer>> *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to
interruptions in placental & uterine blood flow
--'IUGR'
*Thyroid Disease* could cause what? - Answer>>
*Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to
interruptions in placental & uterine blood flow
--'IUGR'
What is the concern with *cardiac disease* in expectant
mothers? - Answer>> Cardiac disease ----> impaired
cardiac function or even cardiac failure
---> *Decrease cardiac output* ----> decreased blood
flow/oxygen flow through placenta
IUGR, etc.
What are some common causes of *Maternal
HYPOTENSION*? - Answer>> *Supine hypotension* of
pregnancy
*VASODILATION* 2/2 epidural
This will *DECREASE O2 & blood flow through the
placenta*.
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