1
, ✓ 200 QUESTIONS AND DETAIED ANSWERS COVERED
✓ GRADED A+
RATED
The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 7.04
PCO2 80
HCO3 22
BE 4 - ANSWER>>Respiratory Acidemia
The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 7.14
PCO2 50
HCO3 23
BE -4 - ANSWER>>WNL - If pH is WNL, no acidemia is present.
Fetal respiratory acidemia is indicated by an umbilical artery cord blood pH of 7.04 and PCO2 of
? - ANSWER>>Greater than 60
2
,The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 6.98
PCO2 49
HCO3 16
BE -16 - ANSWER>>Fetal Metabolic Acidemia
Fetal metabolic acidemia is indicated by an umbilical artery cord blood pH of 6.94 and base
excess of? - ANSWER>>Less than or equal to -12
Comparing respiratory and metabolic acidemia, a common problem in both conditions is what?
- ANSWER>>Low pH
Tachycardia is a fetal recovery response from fetal hypoxemia is most likely due to fetal? -
ANSWER>>Increased catecholamine release
When using a fetal doppler ultrasound to determine FHR, autocorrelation ... -
ANSWER>>compares successive reflected waveforms at many points
The most consistent sign of uterine rupture during TOLAC (VBAC) is what? - ANSWER>>Variable
decelerations
Per ACOG, the acceptable time frame to accomplish delivery in the setting of a Category III
tracing is what? - ANSWER>>Has not been established
Loss of FHR variability can result from what? - ANSWER>>Medication administration
3
, Terbutaline administration is associated with what in relation to the baseline FHR? -
ANSWER>>An increase in baseline FHR
Sustained supra ventricular tachycardia increases fetal risk for what? - ANSWER>>Congestive
heart failure
The tocodynamometer (TOCO) detects changes in? - ANSWER>>Shape of uterine wall
When assessing FHR, the doppler uses reflected sound waves to detect ? - ANSWER>>motion of
heart walls or valves
Complete heart block increases fetal risk for ? - ANSWER>>neonatal pacemaker
In the biophysical profile (BPP), the chronic marker for placental dysfunction is what? -
ANSWER>>amniotic fluid volume
A normal contraction stress test (CST) would be documented as what? - ANSWER>>A negative
contraction stress test
A negative or positive contraction stress test is most consistent with fetal survival within one
week of the test? - ANSWER>>Negative
Spontaneous FHR accelerations reflect ? - ANSWER>>Neurologic integrity
4
, ✓ 200 QUESTIONS AND DETAIED ANSWERS COVERED
✓ GRADED A+
RATED
The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 7.04
PCO2 80
HCO3 22
BE 4 - ANSWER>>Respiratory Acidemia
The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 7.14
PCO2 50
HCO3 23
BE -4 - ANSWER>>WNL - If pH is WNL, no acidemia is present.
Fetal respiratory acidemia is indicated by an umbilical artery cord blood pH of 7.04 and PCO2 of
? - ANSWER>>Greater than 60
2
,The following umbilical artery cord blood results are most consistent with what kind of
acidemia? pH 6.98
PCO2 49
HCO3 16
BE -16 - ANSWER>>Fetal Metabolic Acidemia
Fetal metabolic acidemia is indicated by an umbilical artery cord blood pH of 6.94 and base
excess of? - ANSWER>>Less than or equal to -12
Comparing respiratory and metabolic acidemia, a common problem in both conditions is what?
- ANSWER>>Low pH
Tachycardia is a fetal recovery response from fetal hypoxemia is most likely due to fetal? -
ANSWER>>Increased catecholamine release
When using a fetal doppler ultrasound to determine FHR, autocorrelation ... -
ANSWER>>compares successive reflected waveforms at many points
The most consistent sign of uterine rupture during TOLAC (VBAC) is what? - ANSWER>>Variable
decelerations
Per ACOG, the acceptable time frame to accomplish delivery in the setting of a Category III
tracing is what? - ANSWER>>Has not been established
Loss of FHR variability can result from what? - ANSWER>>Medication administration
3
, Terbutaline administration is associated with what in relation to the baseline FHR? -
ANSWER>>An increase in baseline FHR
Sustained supra ventricular tachycardia increases fetal risk for what? - ANSWER>>Congestive
heart failure
The tocodynamometer (TOCO) detects changes in? - ANSWER>>Shape of uterine wall
When assessing FHR, the doppler uses reflected sound waves to detect ? - ANSWER>>motion of
heart walls or valves
Complete heart block increases fetal risk for ? - ANSWER>>neonatal pacemaker
In the biophysical profile (BPP), the chronic marker for placental dysfunction is what? -
ANSWER>>amniotic fluid volume
A normal contraction stress test (CST) would be documented as what? - ANSWER>>A negative
contraction stress test
A negative or positive contraction stress test is most consistent with fetal survival within one
week of the test? - ANSWER>>Negative
Spontaneous FHR accelerations reflect ? - ANSWER>>Neurologic integrity
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