Atlanta Fire Academy
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Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - CORRECT ANSWER e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - CORRECT ANSWER a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to...
LATE DECELERATIONS ARE MEDIATED PRIMARILY BY - CORRECT ANSWER 
CHEMORECEPTORS 
BASELINE - CORRECT ANSWER FHR IN A 10 MIN SEGMENT 
TACHYCARDIA - CORRECT ANSWER FHR >160 
BRADYCARDIA - CORRECT ANSWER FHR <110 
VARIABILITY - CORRECT ANSWER VARIATIONS IN BASELINE ABSENT-0 
MIN <=5 
MOD 6-25 
MARKED >25 
NO DISTINCTION IS MADE BETWEEN SHORT TERM & LONG TERM VARIABILITY 
BECAUSE - CORRECT ANSWER THEY ARE VISUALIZED AS A UNIT 
ACCELERATION - CORRECT ANSWER
What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - CORRECT 
ANSWER Eunice Kennedy Shriver National Institute of Child Health & Human 
Development (NICHD) 
Primary reason for continuous EFM - CORRECT ANSWER Legal reasons. No real 
benefit of continuous EFM according to studies. 
Correlation found between continuous EFM and Deliveries. - CORRECT ANSWER 
continuous EFM found to have increase rates of assisted vaginal deliveries or cesarean 
deliveries. 
VBAC vs TOLAC - CORR...
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to 
the FHR baseline? 
a. Increas...
Acceleration - ANSWER -Onset to peak <30 seconds 
- >15 bpm above baseline by >15 seconds but <2 minutes 
-(Before 32 weeks gestation: peak >10 bpm and lasting >10 seconds) 
Prolonged Acceleration - ANSWER >2 minutes but <10 minutes 
Early Deceleration - ANSWER -Gradual decrease and return of FHR associated 
with a contraction 
-Onset to nadir of >30 seconds 
-Nadir occurs at the same time as the peak of the contraction 
Late Deceleration - ANSWER -Gradual decrease and...
1. Which of the following factors can have a negative effect on uterine blood 
flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above: e. All of the above 
2. How does the fetus compensate for decreased maternal circulating volume? 
a. Increases cardiac output by increasing stroke volume. 
b. Increases cardiac output by increasing it's heart rate. 
c. Increases cardiac output by increasing fetal movement.: b. Increases cardiac output by increasing it's heart rate....
Ductus venosus connects ______ to ______? - ANSWER Umb. vein to IVC 
Foramen ovale connects _______to______? - ANSWER R. atrium to L. atrium 
Ductus arteriosus connects _______ to _______? - ANSWER Pulm. artery to aorta 
Normal rate - ANSWER 110 to 160 BPM 
Average baseline rate at 15wks gestation - ANSWER 160 BPM 
Average rate in fetus with heart block - ANSWER 60 BPM (intrinsic ventricular 
or nodal rate) 
Sympathetic effects - ANSWER Incr. HR, constricted peripheral and visceral 
blood vessel...
Causes of uteroplacental perfusion decrease: - CORRECT ANSWER • HTN 
• Pregnancy 
• DM 
• Hypotension 
• Excessive uterine contractions (hypertonus) 
• Decreased surface area, edema, degenerative calcifications, infarcts, infection 
FHR reflects fetal oxygenation from which extrinsic factors: - CORRECT ANSWER • 
Maternal oxygenation 
• Uterine blood flow 
• Placental change 
• Umbilical blood flow 
FHR reflects oxygenation from which intrinsic factors: - CORRECT ANSWER • Fe...
Carla Hernandez is a 32-year-old Hispanic female, G2P1 (L1), at 39 5/7 weeks of gestation. She was admitted to 
labor and delivery in active labor at 0600 hours today, accompanied by her husband Earl. 
To progress the delivery, artificial rupture of membranes was performed by the provider a few minutes ago. The 
provider has just left the room to make rounds. 
Suddenly, the fetal heart rate drops dramatically, and you discover that the umbilical cord is prolapsed. You are 
ready to handle this s...
Chapter 3 
Genetics 
 Nurse role and relevance of genetics to childbearing families 
 Common genetic (inherited) conditions that you would counsel and screen patients either prior to pregnancy or at 
their first prenatal visit 
 Testing women of advanced maternal age (AMA) (who is considered AMA) and increased risk of chromosomal 
abnormalities 
 Teratogens and at what crucial time exposure will cause the most damage 
o Look at each and understand what risks/complications it may pose...