CEFM - NCC
CEFM – NCC Study Guide Practice
Questions (225 Terms) with Definitive
Solutions 2023-2024.
What are some important factors (risks) to consider when evaluating a fetal heart
rate strip? - Answer: --*PNLs* (abnormal?)
--weight gain/loss
--Maternal age
--*Gestational age*
--*MATERNAL vital signs*
--*Membrane status*
--*Cervical exam*
, CEFM - NCC
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*
, CEFM - NCC
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'
, CEFM - NCC
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
CEFM – NCC Study Guide Practice
Questions (225 Terms) with Definitive
Solutions 2023-2024.
What are some important factors (risks) to consider when evaluating a fetal heart
rate strip? - Answer: --*PNLs* (abnormal?)
--weight gain/loss
--Maternal age
--*Gestational age*
--*MATERNAL vital signs*
--*Membrane status*
--*Cervical exam*
, CEFM - NCC
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*
, CEFM - NCC
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'
, CEFM - NCC
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
