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Relias - Fetal Heart Monitoring Exam Questions And Answers All Verified By An Expert A+ Graded

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uterine blood supply - ANS - 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 ...

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  • September 6, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Relias - Fetal Heart Monitoring
  • Relias - Fetal Heart Monitoring
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YC
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Relias - Fetal Heart Monitoring
Exam Questions And Answers All Verified
By An Expert A+ Graded

, uterine blood supply - ANS - 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 - ANS *Maternal Oxygenation:*
asthma, hyper- or hypo- ventilation




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




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




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*Fetal circulation:* cord compression or occlusion

Fetal hypoxemia - ANS - can occur d/t reduced fetal O2 reserves, excessive uterine activity, or
reduced uteroplacental blood flow
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- worsening fetal hypoxemia can lead to abnormal FHR patterns, mostly minimal or absent
variability from acidemia

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

2 - reduced O2 delivery at tissue level
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Fetal anaerobic metabolism - ANS - occurs when long term O2 delivery is insufficient to meet
cellular needs of tissues
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- results in production of lactic acid and other non carbonic acids
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- ACIDOSIS is the presence of excessive acids in tissues

acidosis - ANS pH below 7.35

pH is low

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

alkalosis - ANS pH above 7.45

pH is high

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