CEFM PRACTICE TEST EXAM 1
COMPREHENSIVE STUDY GUIDE FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Normal for fetal pH, bicarb, CO2.
Answer: fetal pH > or = 7.10 (otherwise acidosis)
bicarb between +/- 12 (otherwise metabolic)
CO2 < 60 (otherwise respiratory)
⩥ hypoxemia.
Answer: low o2 in blood
⩥ hypoxia.
Answer: low o2 in tissue
⩥ metabolic acidosis.
Answer: increased lactic acid in tissue
⩥ metabolic acidemia.
Answer: depleted base/decrease pH in blood
,⩥ HIE apgar score.
Answer: Less than 5 at 5 and 10 min
⩥ sympathetic and parasympathetic neurotransmitters.
Answer: sympathetic: epinephrine, norepinephrine
parasympathetic: acetycholine
⩥ sinusoidal fhr pattern.
Answer: oscillation frequency 2-5 cycles/min
amplitude 5-15bpm
baseline 120-160 bpm
⩥ maternal lupus can increase risk of.
Answer: heart block/structural issues
⩥ fetal cardiac anomaly treatment SVT (210-300bpm).
Answer: digoxin/flecainide/amiodarone
⩥ fetal SVT could lead to....
Answer: wears out fetal heart (CHF), fetal stroke volume decreases,
hydrops (edema), death
, ⩥ ideal intercontraction intervals during 1st and 2nd stage of labor.
Answer: 1st: 60 sec
2nd: 45 sec
⩥ Laminaria/Dilapan.
Answer: osmotic dilators, kelp that absorbs water and expands for
manual dilation
⩥ cytotec/cervidil other name.
Answer: prostaglandin PGE1 (cytotec)
prostaglandin PGE2 (cervidil)
⩥ Low risk documentation recs.
Answer: active: q30 min
second stage: q15 min
⩥ high risk documentation recs.
Answer: latent phase: q15-30 min
active: q15 min
active 2nd stage: q5min
COMPREHENSIVE STUDY GUIDE FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Normal for fetal pH, bicarb, CO2.
Answer: fetal pH > or = 7.10 (otherwise acidosis)
bicarb between +/- 12 (otherwise metabolic)
CO2 < 60 (otherwise respiratory)
⩥ hypoxemia.
Answer: low o2 in blood
⩥ hypoxia.
Answer: low o2 in tissue
⩥ metabolic acidosis.
Answer: increased lactic acid in tissue
⩥ metabolic acidemia.
Answer: depleted base/decrease pH in blood
,⩥ HIE apgar score.
Answer: Less than 5 at 5 and 10 min
⩥ sympathetic and parasympathetic neurotransmitters.
Answer: sympathetic: epinephrine, norepinephrine
parasympathetic: acetycholine
⩥ sinusoidal fhr pattern.
Answer: oscillation frequency 2-5 cycles/min
amplitude 5-15bpm
baseline 120-160 bpm
⩥ maternal lupus can increase risk of.
Answer: heart block/structural issues
⩥ fetal cardiac anomaly treatment SVT (210-300bpm).
Answer: digoxin/flecainide/amiodarone
⩥ fetal SVT could lead to....
Answer: wears out fetal heart (CHF), fetal stroke volume decreases,
hydrops (edema), death
, ⩥ ideal intercontraction intervals during 1st and 2nd stage of labor.
Answer: 1st: 60 sec
2nd: 45 sec
⩥ Laminaria/Dilapan.
Answer: osmotic dilators, kelp that absorbs water and expands for
manual dilation
⩥ cytotec/cervidil other name.
Answer: prostaglandin PGE1 (cytotec)
prostaglandin PGE2 (cervidil)
⩥ Low risk documentation recs.
Answer: active: q30 min
second stage: q15 min
⩥ high risk documentation recs.
Answer: latent phase: q15-30 min
active: q15 min
active 2nd stage: q5min
