NCC EFM Cert Exam Graded A

NCC EFM Cert Exam Graded A Ductus venosus connects ______ to ______? ️Umb. vein to IVC Foramen ovale connects _______to______? ️R. atrium to L. atrium Ductus arteriosus connects _______ to _______? ️Pulm. artery to aorta Normal rate ️110 to 160 BPM Average baseline rate at 15wks gestation ️160 BPM Average rate in fetus with heart block ️60 BPM (intrinsic ventricular or nodal rate) Sympathetic effects ️Incr. HR, constricted peripheral and visceral blood vessels, vital organs dilate and receive more blood Gest. age at which autonomic nervous system is fully developed ️~ 32wks Primary indicator of fetal oxygenation ️Presence or absence of variability Location of chemoreceptors ️aortic arch Chemoreceptors respond to? ️Changes in O2 and CO2 Location of baroreceptors ️Aortic arch and carotid bodies Maximal reactivity occurs when? ️Late at night Max duration of fetal nonreactivity? ️80min Sensitivity ️Probablity of detecting a true positive Specificity ️Probability that true negative will be detected False positive ️erroneosly positive when reality is negative False negative ️erroneously negative when reality is positive NST ️Two 15x15 accels in 20min (up to 40min) % of false positive CSTs? ️~ 30% BPP components ️1) Fetal breathing movements 2) Gross body movements 3) Fetal tone 4) Reactive fetal heart rate 5) Qualitiative amniotic fluid volume BPP Score of 10 ️Normal BPP Score of 8 ️Nl infant, low risk of chronic asphyxia BPP Score of 6 ️Borderline result - rpt in 24hrs BPP Score of 4 ️Suspect chronic asphyxia BPP Score of 0-2 ️Strongly suspect chronic asphyxia Early manifestation of fetal acidosis? ️Non-reacive NST and loss of FBM Change in FBM with maternal glucose changes? ️FBM incr. with rising mGlu FBM decr. with mHYPOglycemia Maternal smoking effects FBM how? ️FBM decr. with msmoking Corticosteroids effects FBM? ️corticosteroids may decr. FBM Maternal PAO2 at sea level? ️~105mmHg Change in cardiac output and SVR in pre-E? ️CO and SVR INCREASED in pre-E Prolonged decels occured in ___% of uterine rupture? ️71% Signif. neonatal morbidity occured when ____min or longer elapsed between onset of HFR decel and