CEFM ACTUAL TEST BANK UPDATED
QUESTIONS AND CORRECT ANSWERS
●● What are the easiest ways for assessment of maternal oxygenation
status?
Answer: *Pulse Ox* (& other vital signs, RR)
*Blood gas* (if indicated, asthma exacerbation)
*Lung soungs* (pneumonia, pulmonary edema?)
●● What effect can *HTN/Preeclampsia* have on the Placenta?
Answer: *VASOCONSTRICTION*
which adversely effects placental perfusion and can lead to:
--*IUGR*
--*Infarcts* (decreases functional area of the placenta & functional
capacity)
●● Placental Infarcts
Answer: - Necrosis of placental villi
- Anechoic or Hypoechoic areas in placenta
●● Placental infarcts will do what to the placental function?
Answer: *DECREASE functional area* of placenta
,*DECREASE functional capacity*
●● What effect can *Diabetes* have on Placental perfusion?
Answer: Secondary to *Maternal Vasculopathy* & HYPERglycemia*
this can lead to:
*reduced utero-placental perfusion* = *IUGR*
●● What can change for fetal energy demands when you have a
"DIABETIC mother" uncontrolled and there is *Fetal HYPERglycemia
& HYPERinsulinemia*?
Answer: Fetal hyperglycemia & hyperinsulinemia can cause:
*Increased fetal O2 consumption* which may induce *fetal hypoxemia
& acidosis* if the O2 needs of the fetus are not met by the placenta.
●● What are some common conditions which could lead to a *POOR
maternal Oxygenation status*?
Answer: Respiratory DEPRESSION (*Meds or Seizure*)
*Pulmonary EMBOLISM*
*Pneumonia*
*Asthma*
*Atelectasis*
ARDS
*Smoking*
,*ANEMIA*
●● What are some examples of *collagen-vascular diseases*? HOw
does these effect pregnancy?
Answer: *Rheumatoid arthritis*
*Scleroderma*
*SLE* (lupus)
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
●● What fetal cardiac condition may you see in a mother with *SLE*
(systemic lupus erythematosis)?
Answer: *Secondary Heart BLOCK*
●● *Renal disease* (CKD, etc.) could cause what?
Answer: *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
, ●● *Thyroid Disease* could cause what?
Answer: *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
●● What is the concern with *cardiac disease* in expectant mothers?
Answer: Cardiac disease ----> impaired cardiac function or even cardiac
failure
---> *Decrease cardiac output* ----> decreased blood flow/oxygen flow
through placenta
IUGR, etc.
●● What are some common causes of *Maternal HYPOTENSION*?
Answer: *Supine hypotension* of pregnancy
*VASODILATION* 2/2 epidural
This will *DECREASE O2 & blood flow through the placenta*.
●● What are the *Maternal* 'EXTRINSIC factors' which effect delivery
of bloos & availability of blood/O2 through placenta?
Answer: 1. *Maternal Oxygen status*
QUESTIONS AND CORRECT ANSWERS
●● What are the easiest ways for assessment of maternal oxygenation
status?
Answer: *Pulse Ox* (& other vital signs, RR)
*Blood gas* (if indicated, asthma exacerbation)
*Lung soungs* (pneumonia, pulmonary edema?)
●● What effect can *HTN/Preeclampsia* have on the Placenta?
Answer: *VASOCONSTRICTION*
which adversely effects placental perfusion and can lead to:
--*IUGR*
--*Infarcts* (decreases functional area of the placenta & functional
capacity)
●● Placental Infarcts
Answer: - Necrosis of placental villi
- Anechoic or Hypoechoic areas in placenta
●● Placental infarcts will do what to the placental function?
Answer: *DECREASE functional area* of placenta
,*DECREASE functional capacity*
●● What effect can *Diabetes* have on Placental perfusion?
Answer: Secondary to *Maternal Vasculopathy* & HYPERglycemia*
this can lead to:
*reduced utero-placental perfusion* = *IUGR*
●● What can change for fetal energy demands when you have a
"DIABETIC mother" uncontrolled and there is *Fetal HYPERglycemia
& HYPERinsulinemia*?
Answer: Fetal hyperglycemia & hyperinsulinemia can cause:
*Increased fetal O2 consumption* which may induce *fetal hypoxemia
& acidosis* if the O2 needs of the fetus are not met by the placenta.
●● What are some common conditions which could lead to a *POOR
maternal Oxygenation status*?
Answer: Respiratory DEPRESSION (*Meds or Seizure*)
*Pulmonary EMBOLISM*
*Pneumonia*
*Asthma*
*Atelectasis*
ARDS
*Smoking*
,*ANEMIA*
●● What are some examples of *collagen-vascular diseases*? HOw
does these effect pregnancy?
Answer: *Rheumatoid arthritis*
*Scleroderma*
*SLE* (lupus)
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
●● What fetal cardiac condition may you see in a mother with *SLE*
(systemic lupus erythematosis)?
Answer: *Secondary Heart BLOCK*
●● *Renal disease* (CKD, etc.) could cause what?
Answer: *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
, ●● *Thyroid Disease* could cause what?
Answer: *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to interruptions in placental
& uterine blood flow
--'IUGR'
●● What is the concern with *cardiac disease* in expectant mothers?
Answer: Cardiac disease ----> impaired cardiac function or even cardiac
failure
---> *Decrease cardiac output* ----> decreased blood flow/oxygen flow
through placenta
IUGR, etc.
●● What are some common causes of *Maternal HYPOTENSION*?
Answer: *Supine hypotension* of pregnancy
*VASODILATION* 2/2 epidural
This will *DECREASE O2 & blood flow through the placenta*.
●● What are the *Maternal* 'EXTRINSIC factors' which effect delivery
of bloos & availability of blood/O2 through placenta?
Answer: 1. *Maternal Oxygen status*
