RELIAS - FETAL HEART MONITORING
Exam 2 Questions and Answers Top Rated
A+
Factors for neonatal encephalopathy or cerebral palsy - Correct Answer-
Data shows that intrapartum hypoxia-ischemia is rarely sole significant
contributing factor for this
Other contributing factors include:
- infection
- prolonged intermittent hypoxia assoc w/subcortical and cortical or
preventricular damage
- acute total or near total hypoxia is assoc w/damage to midbrain and
brainstem
Low ph in newborns - Correct Answer-- no absolute fetal arterial ph
threshold assoc w/harm in all newborns
- typically if ph is < 7.10 that is used to determine acidosis and if the ph is <
7 then that is associated w/ low apgars, early neonatal seizues, and
neonatal deaths
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,Prolonged intermittent hypoxia is assoc w/ - Correct Answer-subcortical
and cortical (term) or perventricular (preterm) damage
Acute total or near total hypoxia is assoc w/damage to - Correct Answer-
midbrain and brainstem
Fetal hypoxemia can occur under the following conditions - Correct
Answer-- excessive uterine contractions
- prolonged contractions without adequate resting tone or duration between
contractions
- abnormal uterine physiology or anatomy is present
- separation of placenta and uterus
(recurrent late, variable, or prolonged decels suggest this)
Risk factors for late decels - Correct Answer-Uteroplacental factors:
- tachysystole
- post term
- placental abruption
Inadequate spiral artery dilation r/t pre-e
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, Fetal factors:
- hypoxia
- tachycardia
- IUGR
- hyperthermia
Maternal factors for late decels - Correct Answer-Inhalation: asthma, sleep
apnea
Circulation: hypotension, HTN, hypovolemia, anemia, microvascular
disease, tachycardia
Risk factors for variable decels - Correct Answer-Uteroplacental:
- oligo
- ruptured membranes
- abnormal cord insertion
Fetal factors:
- umbilical cord prolapse or compression
- cord stretching w/ pushing or rapid descent
- preterm
3 | Page
Exam 2 Questions and Answers Top Rated
A+
Factors for neonatal encephalopathy or cerebral palsy - Correct Answer-
Data shows that intrapartum hypoxia-ischemia is rarely sole significant
contributing factor for this
Other contributing factors include:
- infection
- prolonged intermittent hypoxia assoc w/subcortical and cortical or
preventricular damage
- acute total or near total hypoxia is assoc w/damage to midbrain and
brainstem
Low ph in newborns - Correct Answer-- no absolute fetal arterial ph
threshold assoc w/harm in all newborns
- typically if ph is < 7.10 that is used to determine acidosis and if the ph is <
7 then that is associated w/ low apgars, early neonatal seizues, and
neonatal deaths
1 | Page
,Prolonged intermittent hypoxia is assoc w/ - Correct Answer-subcortical
and cortical (term) or perventricular (preterm) damage
Acute total or near total hypoxia is assoc w/damage to - Correct Answer-
midbrain and brainstem
Fetal hypoxemia can occur under the following conditions - Correct
Answer-- excessive uterine contractions
- prolonged contractions without adequate resting tone or duration between
contractions
- abnormal uterine physiology or anatomy is present
- separation of placenta and uterus
(recurrent late, variable, or prolonged decels suggest this)
Risk factors for late decels - Correct Answer-Uteroplacental factors:
- tachysystole
- post term
- placental abruption
Inadequate spiral artery dilation r/t pre-e
2 | Page
, Fetal factors:
- hypoxia
- tachycardia
- IUGR
- hyperthermia
Maternal factors for late decels - Correct Answer-Inhalation: asthma, sleep
apnea
Circulation: hypotension, HTN, hypovolemia, anemia, microvascular
disease, tachycardia
Risk factors for variable decels - Correct Answer-Uteroplacental:
- oligo
- ruptured membranes
- abnormal cord insertion
Fetal factors:
- umbilical cord prolapse or compression
- cord stretching w/ pushing or rapid descent
- preterm
3 | Page
