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Advanced fetal monitoring Exam Questions
And Answers (Guaranteed A+)
What will ST-segment analysis tell you? - Answer✔- Theoretically, ST-segment analysis of the
fetal ECG provides continuous information regarding the ability of the fetal heart to respond to
stress in labor by providing information about intracardiac responses to intrapartum hypoxia.
- Analysis of the ST segment may permit detection of myocardial ischemia and the fetus' ability
to respond to stress prior to peripheral organ and central nervous system damage.
When do ST-segment and T-wave changes occur? - Answer✔with myocardial ischemia, prior to
permanent cell damage.
What are ST-segment and T-wave elevation indicative of? - Answer✔fetus at risk of developing
hypoxia but still capable of responding against hypoxemia.
What are ST-segment and T-wave depression indicative of? - Answer✔has been associated with
the inability of the fetal heart to further respond to hypoxia, indicating that the fetus either had no
time to respond or has exhausted compensatory mechanisms.
When are fetal ST changes clinically relevant? - Answer✔when they coincide with category 2
tracings
How do you differentiate an irregular heart rate from possible artifact or electronic interference?
- Answer✔- auscultation
- ultrasound
- echocardiogram
- ecg
What is an arrhythmia? - Answer✔- the sporadic, irregular beats typical of the frequent fetal
events heard or recorded on the tracing
- When there is a disturbance in the heart cell's ability to form and discharge an impulse
independently (automaticity & excitability), cardiac rhythm may become tachycardic,
bradycardic, or irregular with ectopic beats or premature rhythms such as premature atrial
contractions.
How are arrythmias categorized? - Answer✔- based upon the anatomical site of variant impulse
formation, conduction, or a combination of both
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Advanced fetal monitoring Exam Questions
And Answers (Guaranteed A+)
What will ST-segment analysis tell you? - Answer✔- Theoretically, ST-segment analysis of the
fetal ECG provides continuous information regarding the ability of the fetal heart to respond to
stress in labor by providing information about intracardiac responses to intrapartum hypoxia.
- Analysis of the ST segment may permit detection of myocardial ischemia and the fetus' ability
to respond to stress prior to peripheral organ and central nervous system damage.
When do ST-segment and T-wave changes occur? - Answer✔with myocardial ischemia, prior to
permanent cell damage.
What are ST-segment and T-wave elevation indicative of? - Answer✔fetus at risk of developing
hypoxia but still capable of responding against hypoxemia.
What are ST-segment and T-wave depression indicative of? - Answer✔has been associated with
the inability of the fetal heart to further respond to hypoxia, indicating that the fetus either had no
time to respond or has exhausted compensatory mechanisms.
When are fetal ST changes clinically relevant? - Answer✔when they coincide with category 2
tracings
How do you differentiate an irregular heart rate from possible artifact or electronic interference?
- Answer✔- auscultation
- ultrasound
- echocardiogram
- ecg
What is an arrhythmia? - Answer✔- the sporadic, irregular beats typical of the frequent fetal
events heard or recorded on the tracing
- When there is a disturbance in the heart cell's ability to form and discharge an impulse
independently (automaticity & excitability), cardiac rhythm may become tachycardic,
bradycardic, or irregular with ectopic beats or premature rhythms such as premature atrial
contractions.
How are arrythmias categorized? - Answer✔- based upon the anatomical site of variant impulse
formation, conduction, or a combination of both
1|Page
