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Exam (elaborations)

Advanced Fetal Monitoring exam 100% correct

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Cat 1 correct answersWhat category rules out fetal acidemia? Severe astha, cardiac issues, and ecclampic seizures correct answersWhat maternal conditions greatly impact fetal oxygenation? intervillous space correct answersWhere does the exchange of O2 and nutrients take place? O2 enters th...

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  • August 27, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
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  • Advanced Fetal Monitoring df
  • Advanced Fetal Monitoring df
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QUILLSKY
Advanced Fetal Monitoring

Cat 1 correct answersWhat category rules out fetal acidemia?



Severe astha, cardiac issues, and ecclampic seizures correct answersWhat maternal conditions greatly
impact fetal oxygenation?



intervillous space correct answersWhere does the exchange of O2 and nutrients take place?



O2 enters the intervillous space via the maternal arteries, to the villi then the umbilical vein take the o2
blood to the fetus. The umbilical arteries take the deO2 blood from the baby through the villi and back to
the mother correct answersHow is o2 blood transferred to the fetus?



High to low concentration

Mom to fetus for O2

Low to high concentration for CO2 so baby to mom correct answersDiffusion



Diffusion correct answersHow is O2 transferred from mom to baby



Carry O2 into intervillous space

Are maximally dilated so they can not be increased correct answersExplain spiral arteries in placenta



Maternal conditions like pre-e and cardiac disease

Maternal hypotension

Placental changes- abruptions, infections, edema, or smaller size

Excessive uterine activity

Vasoconstriction correct answersWhat are factors that can decrease uteroplacental blood flow?

, They are constricted which decreases blood flow correct answersWhat happens to the spiral arteries
during pre-e?



The aorta and vena cava get compressed (20 weeks) correct answersWhy does the supine position cause
decreased uteroplactenal blood flow?



Blocks the sympathetic pathway

Pooling of blood in the lower extremities decreases blood flow back to moms heart which decreases
blood flow to the fetus correct answersWhy does maternal hypotension happen after regional analgesia?



60% correct answersWhat percentage is uteroplacental blood flow decreased by during cxts?



Environment to lungs to heart to vasculature to uterus to placenta to umbilical cord correct
answersExplain the pathway for maternal- fetal exchange for fetal oxygenation (basic)



Limbs, kidneys, and descending aorta correct answersWhere is the least O2 blood in the fetus?



Umbilical vein and ductous venous correct answersWhere is the most O2 blood in the fetus?



Ductus venosus correct answersConnects the umbilical vein to the inferior vena cava, bypassing the liver

Shunt that allows most O2 blood to fetal heart



ductus venosus, foramen ovale, ductus arteriosus correct answers3 important shunts in fetal circulation



Foramen Ovale correct answersconnects the two atria in the fetal heart

Allows O2 blood to flow through the heart and directly to the brain



Ductus Arteriosus correct answersa blood vessel in a fetus that bypasses pulmonary circulation by
connecting the pulmonary artery directly to the ascending aorta

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