CEFM - NCC
Study online at https://quizlet.com/_9e695p
1. What are some --*PNLs* (abnormal?)
important fac- --weight gain/loss
tors (risks) to --Maternal age
consider when --*Gestational age*
evaluating a fetal --*MATERNAL vital signs*
heart rate strip? --*Membrane status*
--*Cervical exam*
2. What are the eas- *Pulse Ox* (& other vital signs, RR)
iest ways for as- *Blood gas* (if indicated, asthma exacerbation)
sessment of ma- *Lung soungs* (pneumonia, pulmonary edema?)
ternal oxygena-
tion status?
3. What effect can *VASOCONSTRICTION*
*HTN/Preeclamp- which adversely effects placental perfusion and can lead to:
sia* have on the --*IUGR*
Placenta? --*Infarcts* (decreases functional area of the placenta & functional capacity)
4. Placental Infarcts - Necrosis of placental villi
- Anechoic or Hypoechoic areas in placenta
5. Placental infarcts *DECREASE functional area* of placenta
will do what *DECREASE functional capacity*
to the placental
function?
6. What effect can Secondary to *Maternal Vasculopathy* & HYPERglycemia* this can lead to:
*Diabetes* have *reduced utero-placental perfusion* = *IUGR*
on Placental per-
fusion?
7.
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
What can Fetal hyperglycemia & hyperinsulinemia can cause:
change for fetal *Increased fetal O2 consumption* which may induce *fetal hypoxemia & acidosis*
energy demands if the O2 needs of the fetus are not met by the placenta.
when you have a
"DIABETIC
mother"
uncontrolled
and there is
*Fetal
HYPERglycemia
&
HYPERinsuline-
mia*?
8. What are some Respiratory DEPRESSION (*Meds or Seizure*)
common condi- *Pulmonary EMBOLISM*
tions which could *Pneumonia*
lead to a *POOR *Asthma*
maternal Oxy- *Atelectasis*
genation sta- ARDS
tus*? *Smoking*
*ANEMIA*
9. What are *Rheumatoid arthritis*
some examples *Scleroderma*
of *collagen-vas- *SLE* (lupus)
cular diseases*?
HOw does these = maternal *vasocontriction* which can lead to interruptions in placental & uterine
effect pregnan- blood flow
cy? --'IUGR'
10. *Secondary Heart BLOCK*
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
What fetal car-
diac condition
may you see
in a mother
with *SLE* (sys-
temic lupus ery-
thematosis)?
11. *Renal disease* *Maternal VASOCONSTRICTION*
(CKD, etc.) could
cause what? = maternal *vasocontriction* which can lead to interruptions in placental & uterine
blood flow
--'IUGR'
12. *Thyroid Dis- *Maternal VASOCONSTRICTION*
ease* could
cause what? = maternal *vasocontriction* which can lead to interruptions in placental & uterine
blood flow
--'IUGR'
13. What is the con- Cardiac disease ----> impaired cardiac function or even cardiac failure
cern with *car- ---> *Decrease cardiac output* ----> decreased blood flow/oxygen flow through
diac disease* in placenta
expectant moth- IUGR, etc.
ers?
14. What are some *Supine hypotension* of pregnancy
common causes *VASODILATION* 2/2 epidural
of *Maternal HY-
POTENSION*? This will *DECREASE O2 & blood flow through the placenta*.
15. What are the 1. *Maternal Oxygen status*
*Maternal* 'EX- --fetus relies on the ability of mother to be well-oxygenated
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
TRINSIC fac- Anything that interferes with maternal oxygenation has the potential to compro-
tors' which ef- mise the fetus.
fect delivery of
bloos & availabil- 2. *Maternal HEMOGLOBIN levels* O2 is released from the maternal Hgb &
ity of blood/O2 attaches to fetal Hgb (*O2 carrying capacity*)
through placen-
3. *Cardiac OUTPUT* -- decreased CO affects blood flow to the uterus & placenta.
ta?
16. In terms of Ma- PaO2 = immediately available O2 for exchange
ternal Oxygen
Status, in order Needs adequate *maternal ventilation & pulmonary function*
for there to be
*adequate arter-
ial oxygen ten-
sion (PaO2)* --
there needs to be
what?
17. What are the 1. '*UTERINE Blood flow*
*'Placental fac- 2. Damaged chorionic vessels* (leaking into the intervillouos space)
tors'* which can 3. *Decrease in SIZE or functioning area* of the *Placenta*
effect the effi- 4. *Placental Reserve*
ciency of *Utero-
placental perfu- There can be Acute vs. Chronic decreases in uteroplacental function.
sion*?
18. Describe *Uter- UTERINE BLOOD FLOW:
ine BLOOD flow*
changes during -Nonpregnancy rate is usually 50ml/min, during *pregnancy = 700ml/min*!!
pregnancy. -*10-15%* of total *cardiac output*
--rate, % of CO,
*70-90%* of this blood flow goes to *PLACENTA/intervillous space* = intervillous
space perfusion is dependent on adequate uterine blood flow.
Study online at https://quizlet.com/_9e695p
1. What are some --*PNLs* (abnormal?)
important fac- --weight gain/loss
tors (risks) to --Maternal age
consider when --*Gestational age*
evaluating a fetal --*MATERNAL vital signs*
heart rate strip? --*Membrane status*
--*Cervical exam*
2. What are the eas- *Pulse Ox* (& other vital signs, RR)
iest ways for as- *Blood gas* (if indicated, asthma exacerbation)
sessment of ma- *Lung soungs* (pneumonia, pulmonary edema?)
ternal oxygena-
tion status?
3. What effect can *VASOCONSTRICTION*
*HTN/Preeclamp- which adversely effects placental perfusion and can lead to:
sia* have on the --*IUGR*
Placenta? --*Infarcts* (decreases functional area of the placenta & functional capacity)
4. Placental Infarcts - Necrosis of placental villi
- Anechoic or Hypoechoic areas in placenta
5. Placental infarcts *DECREASE functional area* of placenta
will do what *DECREASE functional capacity*
to the placental
function?
6. What effect can Secondary to *Maternal Vasculopathy* & HYPERglycemia* this can lead to:
*Diabetes* have *reduced utero-placental perfusion* = *IUGR*
on Placental per-
fusion?
7.
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
What can Fetal hyperglycemia & hyperinsulinemia can cause:
change for fetal *Increased fetal O2 consumption* which may induce *fetal hypoxemia & acidosis*
energy demands if the O2 needs of the fetus are not met by the placenta.
when you have a
"DIABETIC
mother"
uncontrolled
and there is
*Fetal
HYPERglycemia
&
HYPERinsuline-
mia*?
8. What are some Respiratory DEPRESSION (*Meds or Seizure*)
common condi- *Pulmonary EMBOLISM*
tions which could *Pneumonia*
lead to a *POOR *Asthma*
maternal Oxy- *Atelectasis*
genation sta- ARDS
tus*? *Smoking*
*ANEMIA*
9. What are *Rheumatoid arthritis*
some examples *Scleroderma*
of *collagen-vas- *SLE* (lupus)
cular diseases*?
HOw does these = maternal *vasocontriction* which can lead to interruptions in placental & uterine
effect pregnan- blood flow
cy? --'IUGR'
10. *Secondary Heart BLOCK*
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
What fetal car-
diac condition
may you see
in a mother
with *SLE* (sys-
temic lupus ery-
thematosis)?
11. *Renal disease* *Maternal VASOCONSTRICTION*
(CKD, etc.) could
cause what? = maternal *vasocontriction* which can lead to interruptions in placental & uterine
blood flow
--'IUGR'
12. *Thyroid Dis- *Maternal VASOCONSTRICTION*
ease* could
cause what? = maternal *vasocontriction* which can lead to interruptions in placental & uterine
blood flow
--'IUGR'
13. What is the con- Cardiac disease ----> impaired cardiac function or even cardiac failure
cern with *car- ---> *Decrease cardiac output* ----> decreased blood flow/oxygen flow through
diac disease* in placenta
expectant moth- IUGR, etc.
ers?
14. What are some *Supine hypotension* of pregnancy
common causes *VASODILATION* 2/2 epidural
of *Maternal HY-
POTENSION*? This will *DECREASE O2 & blood flow through the placenta*.
15. What are the 1. *Maternal Oxygen status*
*Maternal* 'EX- --fetus relies on the ability of mother to be well-oxygenated
, CEFM - NCC
Study online at https://quizlet.com/_9e695p
TRINSIC fac- Anything that interferes with maternal oxygenation has the potential to compro-
tors' which ef- mise the fetus.
fect delivery of
bloos & availabil- 2. *Maternal HEMOGLOBIN levels* O2 is released from the maternal Hgb &
ity of blood/O2 attaches to fetal Hgb (*O2 carrying capacity*)
through placen-
3. *Cardiac OUTPUT* -- decreased CO affects blood flow to the uterus & placenta.
ta?
16. In terms of Ma- PaO2 = immediately available O2 for exchange
ternal Oxygen
Status, in order Needs adequate *maternal ventilation & pulmonary function*
for there to be
*adequate arter-
ial oxygen ten-
sion (PaO2)* --
there needs to be
what?
17. What are the 1. '*UTERINE Blood flow*
*'Placental fac- 2. Damaged chorionic vessels* (leaking into the intervillouos space)
tors'* which can 3. *Decrease in SIZE or functioning area* of the *Placenta*
effect the effi- 4. *Placental Reserve*
ciency of *Utero-
placental perfu- There can be Acute vs. Chronic decreases in uteroplacental function.
sion*?
18. Describe *Uter- UTERINE BLOOD FLOW:
ine BLOOD flow*
changes during -Nonpregnancy rate is usually 50ml/min, during *pregnancy = 700ml/min*!!
pregnancy. -*10-15%* of total *cardiac output*
--rate, % of CO,
*70-90%* of this blood flow goes to *PLACENTA/intervillous space* = intervillous
space perfusion is dependent on adequate uterine blood flow.
