FHM AWHONN FINAL 68 EXAM QUESTIONS CONTAINING ANSWERS

when is terb contraindicated? - ️️r/o placental seperation, uteroplacental bleeding, mat hr of 118-122 What should I never do during decel - ️️scalp stim what should i do when a ctx is difficult to trace? - ️️palpate and adjust toco what provides perfusion assessment from the fetus to the placenta - ️️doppler flow studies What is the most consitent predictor of newborn acidemia? - ️️Absent or min variability with recurrent late or variable decels or bradycardia what is my top priority with cord compression? - ️️maximize umbilical circulation (pos change and amnioinfusion) what increases the potential for umb cord compression - ️️low AFI what does betamethasone and mag cause in FHR - ️️alterations in fetal movements supressing variablilty (decreased) and decreased biophysical activities What does a cat I and moderate variabilty indicate? - ️️A well oxygenated, meorologically intact fetus which has reserves What constitutes recurrent - ️️50% or more w/ctx in 20 min variables are caused by _______ homeostatic response by the baroreceptors, the umb vein _______ causing the umb ____ to vasoconstrict with response to ____________ in art and veins. - ️️intrinsic....vasoconstrict....artery.....baroreceptors The umbilical vein transport blood to the _____ and the umbilical arteries transport blood away from the _____ and to the ________. - ️️Vein to the fetus and arteries away from fetus to placenta The two causes of variable decels are: - ️️Fetal hypoxemia and cord compression Tachycardia >160 w/o variability is Category __ - ️️Cat 2 Recurrent var decels w min or mod var - ️️Cat 2 reactive term NST - ️️>2 FHR accels (15X15)in a 20 min window (may extend to 40m) reactive pre term NST - ️️2 fhr accels (10 X10) in 20 min, may be increased to 60-90 Prolonged decel - ️️Down by 15bpm for > 2 min