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Exam (elaborations)

AWHONN Advanced Fetal Monitoring Exam

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AWHONN Advanced Fetal Monitoring Exam Cat 1 - CORRECT ANSWER-What category rules out fetal acidemia? Severe astha, cardiac issues, and ecclampic seizures - CORRECT ANSWER-What maternal conditions greatly impact fetal oxygenation? intervillous space - CORRECT ANSWER-Where does the exchange of O2 and nutrients take place?

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Uploaded on
January 2, 2025
Number of pages
11
Written in
2024/2025
Type
Exam (elaborations)
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AWHONN Advanced Fetal Monitoring Exam


Catz1z-zCORRECTzANSWER-Whatzcategoryzruleszoutzfetalzacidemia?



Severezastha,zcardiaczissues,zandzecclampiczseizuresz-zCORRECTzANSWER-
Whatzmaternalzconditionszgreatlyzimpactzfetalzoxygenation?



intervillouszspacez-zCORRECTzANSWER-WherezdoeszthezexchangezofzO2zandznutrientsztakezplace?



O2zenterszthezintervillouszspacezviazthezmaternalzarteries,ztozthezvillizthenzthezumbilicalzveinztakezthezo2zb
loodztozthezfetus.zThezumbilicalzarteriesztakezthezdeO2zbloodzfromzthezbabyzthroughzthezvillizandzbackztozt
hezmotherz-zCORRECTzANSWER-Howziszo2zbloodztransferredztozthezfetus?



Highztozlowzconcentrationz

MomztozfetuszforzO2z

LowztozhighzconcentrationzforzCO2zsozbabyztozmomz-zCORRECTzANSWER-Diffusion



Diffusionz-zCORRECTzANSWER-HowziszO2ztransferredzfromzmomztozbaby



CarryzO2zintozintervillouszspacez

Arezmaximallyzdilatedzsoztheyzcanznotzbezincreasedz-zCORRECTzANSWER-Explainzspiralzarterieszinzplacenta



Maternalzconditionszlikezpre-ezandzcardiaczdisease

Maternalzhypotensionz

Placentalzchanges-zabruptions,zinfections,zedema,zorzsmallerzsize

Excessivezuterinezactivityz

Vasoconstrictionz-zCORRECTzANSWER-Whatzarezfactorszthatzcanzdecreasezuteroplacentalzbloodzflow?

, Theyzarezconstrictedzwhichzdecreaseszbloodzflowz-zCORRECTzANSWER-
Whatzhappensztozthezspiralzarterieszduringzpre-e?



Thezaortazandzvenazcavazgetzcompressedz(20zweeks)z-zCORRECTzANSWER-
Whyzdoeszthezsupinezpositionzcausezdecreasedzuteroplactenalzbloodzflow?



Blockszthezsympatheticzpathwayz

Poolingzofzbloodzinzthezlowerzextremitieszdecreaseszbloodzflowzbackztozmomszheartzwhichzdecreaseszbloo
dzflowztozthezfetusz-zCORRECTzANSWER-
Whyzdoeszmaternalzhypotensionzhappenzafterzregionalzanalgesia?



60%z-zCORRECTzANSWER-Whatzpercentageziszuteroplacentalzbloodzflowzdecreasedzbyzduringzcxts?



Environmentztozlungsztozheartztozvasculatureztozuterusztozplacentaztozumbilicalzcordz-zCORRECTzANSWER-
Explainzthezpathwayzforzmaternal-zfetalzexchangezforzfetalzoxygenationz(basic)



Limbs,zkidneys,zandzdescendingzaortaz-zCORRECTzANSWER-WhereziszthezleastzO2zbloodzinzthezfetus?



Umbilicalzveinzandzductouszvenousz-zCORRECTzANSWER-WhereziszthezmostzO2zbloodzinzthezfetus?



Ductuszvenosusz-zCORRECTzANSWER-
Connectszthezumbilicalzveinztozthezinferiorzvenazcava,zbypassingzthezliver

ShuntzthatzallowszmostzO2zbloodztozfetalzheart



ductuszvenosus,zforamenzovale,zductuszarteriosusz-zCORRECTzANSWER-
3zimportantzshuntszinzfetalzcirculation



ForamenzOvalez-zCORRECTzANSWER-connectsztheztwozatriazinzthezfetalzheart

AllowszO2zbloodztozflowzthroughzthezheartzandzdirectlyztozthezbrain
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