ADVANCED FETAL MONITORING
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
WhatmwillmST-segmentmanalysismtellmyou?m-mCORRECTmANSWERm-mTheoretically,mST-
segmentmanalysismofmthemfetalmECGmprovidesmcontinuousminformationmregardingmthemabilitymofmth
emfetalmheartmtomrespondmtomstressminmlabormbymprovidingminformationmaboutmintracardiacmrespon
sesmtomintrapartummhypoxia.
-
mAnalysismofmthemSTmsegmentmmaympermitmdetectionmofmmyocardialmischemiamandmthemfetus'mabili
tymtomrespondmtomstressmpriormtomperipheralmorganmandmcentralmnervousmsystemmdamage.
WhenmdomST-segmentmandmT-wavemchangesmoccur?m-
mCORRECTmANSWERmwithmmyocardialmischemia,mpriormtompermanentmcellmdamage.
WhatmaremST-segmentmandmT-wavemelevationmindicativemof?m-
mCORRECTmANSWERmfetusmatmriskmofmdevelopingmhypoxiambutmstillmcapablemofmrespondingmagains
tmhypoxemia.
WhatmaremST-segmentmandmT-wavemdepressionmindicativemof?m-
mCORRECTmANSWERmhasmbeenmassociatedmwithmtheminabilitymofmthemfetalmheartmtomfurthermrespo
ndmtomhypoxia,mindicatingmthatmthemfetusmeithermhadmnomtimemtomrespondmormhasmexhaustedmcom
pensatorymmechanisms.
WhenmaremfetalmSTmchangesmclinicallymrelevant?m-
mCORRECTmANSWERmwhenmtheymcoincidemwithmcategorym2mtracings
, Howmdomyoumdifferentiatemanmirregularmheartmratemfrommpossiblemartifactmormelectronicminterfere
nce?m-mCORRECTmANSWERm-mauscultation
-multrasound
-mechocardiogram
-mecg
Whatmismanmarrhythmia?m-mCORRECTmANSWERm-
mthemsporadic,mirregularmbeatsmtypicalmofmthemfrequentmfetalmeventsmheardmormrecordedmonmthemtr
acing
-
mWhenmtheremismamdisturbanceminmthemheartmcell'smabilitymtomformmandmdischargemanmimpulsemind
ependentlym(automaticitym&mexcitability),mcardiacmrhythmmmaymbecomemtachycardic,mbradycardic
,mormirregularmwithmectopicmbeatsmormprematuremrhythmsmsuchmasmprematurematrialmcontractions.
Howmaremarrythmiasmcategorized?m-mCORRECTmANSWERm-
mbasedmuponmthemanatomicalmsitemofmvariantmimpulsemformation,mconduction,mormamcombinationm
ofmboth
Whatmismthemprognosismregardingmarryhtmias?m-mCORRECTmANSWERm-
mMostmarembenignmandmrequiremnomintervention
-mMostmwillmconvertmtomamnormalmsinusmrhythmmaftermbirth
Wheremdoesmthemelectricalmimpulsemthatmgovernsmheartmratemandmrhythmmoriginate?m-
mCORRECTmANSWERminmthemSAmNodemlocatedminmthemrightmatrium
WheremdoesmthemelectricalmimpulsemthatmgovernsmheartmratemandmrhythmmspreadmfrommthemSAmn
ode?m-
mCORRECTmANSWERmdownwardmtomthematrioventricularm(AV)mnode,mthembundlemofmHis,m&mthemPu
rkinjemfibers
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
WhatmwillmST-segmentmanalysismtellmyou?m-mCORRECTmANSWERm-mTheoretically,mST-
segmentmanalysismofmthemfetalmECGmprovidesmcontinuousminformationmregardingmthemabilitymofmth
emfetalmheartmtomrespondmtomstressminmlabormbymprovidingminformationmaboutmintracardiacmrespon
sesmtomintrapartummhypoxia.
-
mAnalysismofmthemSTmsegmentmmaympermitmdetectionmofmmyocardialmischemiamandmthemfetus'mabili
tymtomrespondmtomstressmpriormtomperipheralmorganmandmcentralmnervousmsystemmdamage.
WhenmdomST-segmentmandmT-wavemchangesmoccur?m-
mCORRECTmANSWERmwithmmyocardialmischemia,mpriormtompermanentmcellmdamage.
WhatmaremST-segmentmandmT-wavemelevationmindicativemof?m-
mCORRECTmANSWERmfetusmatmriskmofmdevelopingmhypoxiambutmstillmcapablemofmrespondingmagains
tmhypoxemia.
WhatmaremST-segmentmandmT-wavemdepressionmindicativemof?m-
mCORRECTmANSWERmhasmbeenmassociatedmwithmtheminabilitymofmthemfetalmheartmtomfurthermrespo
ndmtomhypoxia,mindicatingmthatmthemfetusmeithermhadmnomtimemtomrespondmormhasmexhaustedmcom
pensatorymmechanisms.
WhenmaremfetalmSTmchangesmclinicallymrelevant?m-
mCORRECTmANSWERmwhenmtheymcoincidemwithmcategorym2mtracings
, Howmdomyoumdifferentiatemanmirregularmheartmratemfrommpossiblemartifactmormelectronicminterfere
nce?m-mCORRECTmANSWERm-mauscultation
-multrasound
-mechocardiogram
-mecg
Whatmismanmarrhythmia?m-mCORRECTmANSWERm-
mthemsporadic,mirregularmbeatsmtypicalmofmthemfrequentmfetalmeventsmheardmormrecordedmonmthemtr
acing
-
mWhenmtheremismamdisturbanceminmthemheartmcell'smabilitymtomformmandmdischargemanmimpulsemind
ependentlym(automaticitym&mexcitability),mcardiacmrhythmmmaymbecomemtachycardic,mbradycardic
,mormirregularmwithmectopicmbeatsmormprematuremrhythmsmsuchmasmprematurematrialmcontractions.
Howmaremarrythmiasmcategorized?m-mCORRECTmANSWERm-
mbasedmuponmthemanatomicalmsitemofmvariantmimpulsemformation,mconduction,mormamcombinationm
ofmboth
Whatmismthemprognosismregardingmarryhtmias?m-mCORRECTmANSWERm-
mMostmarembenignmandmrequiremnomintervention
-mMostmwillmconvertmtomamnormalmsinusmrhythmmaftermbirth
Wheremdoesmthemelectricalmimpulsemthatmgovernsmheartmratemandmrhythmmoriginate?m-
mCORRECTmANSWERminmthemSAmNodemlocatedminmthemrightmatrium
WheremdoesmthemelectricalmimpulsemthatmgovernsmheartmratemandmrhythmmspreadmfrommthemSAmn
ode?m-
mCORRECTmANSWERmdownwardmtomthematrioventricularm(AV)mnode,mthembundlemofmHis,m&mthemPu
rkinjemfibers