Fetal Health Surveillance | Set 2 Questions and Answers with
100% Correct Answers | Latest Version
Question 1.
Level-I Evidence
Correct Answer: At Least one proper randomized controlled trial
Question 2.
Level-II1
Correct Answer: Well-designed controlled trials without randomization
Question 3.
Level-II2
Correct Answer: Well-designed cohort or case-control analytic studies
Question 4.
Level-II3
Correct Answer: Comparisons between times or places with or without the
intervention
Question 5.
Opinions of respected authorities, clinical experience, descriptive studies or expert
committees
Correct Answer: Level-III
Question 6.
A: Good evidence to recommend; B: Fair evidence to recommend; C: Evidence is
conflicting and does not allow a recommendation; D: Fair evidence to recommend against;
E: Good evidence to recommend against; I: Insufficient evidence to make
recommendations
Correct Answer: Levels, A, B, C, D, E, I
Question 7.
Supportive Care Recommendation
Correct Answer: SOGC FHS Consensus Guideline states (Recommendation 7),
"Women in active labour should receive continuous close support from an
appropriately trained person" (I-A)
Question 8.
What does labour support decrease?
Correct Answer: Use of pain medication, use of regional analgesia/anesthesia,
, use of operative vaginal birth, cesarean births, episiotomy rates, dissatisfaction
with the birth experience and length of labour
Question 9.
Why do we monitor the fetus during labour?
Correct Answer: We monitor the fetus because fetal oxygenation is affected by
maternal oxygenation, utero-placental blood flow, and blood flow from the
placenta through the cord, and the distribution of oxygen in fetal tissues.
During contractions, the uteroplacental blood flow is reduced, and therefore
oxygen exchange to the fetus is reduced.
Question 10.
What is the goal of fetal surveillance?
Correct Answer: To detect potential fetal decompensation and allow time for
interventions to prevent perinatal or neonatal morbidity or mortality.
Question 11.
Is Cerebral Palsy caused by Intra- partum Events?
Correct Answer: No evidence to indicate that EFM reduces CP, but there are
some situations where intrapartum hypoxia may be associated with CP. Short
term hypoxia will not usually result in CP. The likelihood of a hypoxic event
resulting in long-term sequelae is dependent upon the nature and duration of
the insult and the vulnerability of the fetus.
Question 12.
What are the four criteria that are essential to consider a relationship between intrapartum
asphyxia and CP?
Correct Answer: - Evidence of metabolic acidosis in the umbilical cord arterial
blood at delivery: pH<7, base deficit greater or equal to 12 mmol/L
- Early onset or severe to moderate neonatal encephalopathy in infant born at or
beyond 34 weeks
- CP of the spastic quadriplegic or dyskinetic type
- Exclusion of other identifiable etiologies
Question 13.
Evidence of intra- partum insult:
Correct Answer: - signal hypoxic event before or during labour
- sudden and sustained fetal bradycardia or absence of fetal heart rate
variability in the presence of persistent decelerations
- apgar scores: 0-3 beyond 5 minutes onset of multisystem involvement within
72 hours
- evidence of acute nonfocal cerebral abnormality
100% Correct Answers | Latest Version
Question 1.
Level-I Evidence
Correct Answer: At Least one proper randomized controlled trial
Question 2.
Level-II1
Correct Answer: Well-designed controlled trials without randomization
Question 3.
Level-II2
Correct Answer: Well-designed cohort or case-control analytic studies
Question 4.
Level-II3
Correct Answer: Comparisons between times or places with or without the
intervention
Question 5.
Opinions of respected authorities, clinical experience, descriptive studies or expert
committees
Correct Answer: Level-III
Question 6.
A: Good evidence to recommend; B: Fair evidence to recommend; C: Evidence is
conflicting and does not allow a recommendation; D: Fair evidence to recommend against;
E: Good evidence to recommend against; I: Insufficient evidence to make
recommendations
Correct Answer: Levels, A, B, C, D, E, I
Question 7.
Supportive Care Recommendation
Correct Answer: SOGC FHS Consensus Guideline states (Recommendation 7),
"Women in active labour should receive continuous close support from an
appropriately trained person" (I-A)
Question 8.
What does labour support decrease?
Correct Answer: Use of pain medication, use of regional analgesia/anesthesia,
, use of operative vaginal birth, cesarean births, episiotomy rates, dissatisfaction
with the birth experience and length of labour
Question 9.
Why do we monitor the fetus during labour?
Correct Answer: We monitor the fetus because fetal oxygenation is affected by
maternal oxygenation, utero-placental blood flow, and blood flow from the
placenta through the cord, and the distribution of oxygen in fetal tissues.
During contractions, the uteroplacental blood flow is reduced, and therefore
oxygen exchange to the fetus is reduced.
Question 10.
What is the goal of fetal surveillance?
Correct Answer: To detect potential fetal decompensation and allow time for
interventions to prevent perinatal or neonatal morbidity or mortality.
Question 11.
Is Cerebral Palsy caused by Intra- partum Events?
Correct Answer: No evidence to indicate that EFM reduces CP, but there are
some situations where intrapartum hypoxia may be associated with CP. Short
term hypoxia will not usually result in CP. The likelihood of a hypoxic event
resulting in long-term sequelae is dependent upon the nature and duration of
the insult and the vulnerability of the fetus.
Question 12.
What are the four criteria that are essential to consider a relationship between intrapartum
asphyxia and CP?
Correct Answer: - Evidence of metabolic acidosis in the umbilical cord arterial
blood at delivery: pH<7, base deficit greater or equal to 12 mmol/L
- Early onset or severe to moderate neonatal encephalopathy in infant born at or
beyond 34 weeks
- CP of the spastic quadriplegic or dyskinetic type
- Exclusion of other identifiable etiologies
Question 13.
Evidence of intra- partum insult:
Correct Answer: - signal hypoxic event before or during labour
- sudden and sustained fetal bradycardia or absence of fetal heart rate
variability in the presence of persistent decelerations
- apgar scores: 0-3 beyond 5 minutes onset of multisystem involvement within
72 hours
- evidence of acute nonfocal cerebral abnormality
