NCC EFM EXAM QUESTIONS AND VERIFIED ANSWERS
Mortified BPP
Pts 41 weeks
Ruptured vasa previa
Fetal tachycardia, bradycardia, sinusoidal FHR. 60% mortality.
placental abruption
Uterine tenderness. Pt all over the place. Not cooperative
Risk factors for abruption
Htn, smoking, cocaine use, prior abruption
Interventions for abruption
Get help, 2 IVs, labs,us, poor man dic labs
Fetal svt
Can be caused by maternal fever
Svt tracing
Can exhibit half counting. May be intermittent or sustained
Svt complications
May develop CHF, ischemic cerebral disease, hydrops, fetal death
Svt treatment
Digoxin therapy but not in hydrops
3rd degree heart block
Can lead to conventional cardiomyopathy. HR 50-60. After birth pacemaker maybe
used.
Most objective determination if fetal metabolic condition at moment or birth
Abnormal FHR tracing, maternal thyroid, severe Iugr, lower 5 min APGAR
With abnormal FHT
1% will develop CP
Resting tone with amnio infusion
35-40
Complete heart block
Can be caused by maternal lupus
Release of maternal catecholamine
Mortified BPP
Pts 41 weeks
Ruptured vasa previa
Fetal tachycardia, bradycardia, sinusoidal FHR. 60% mortality.
placental abruption
Uterine tenderness. Pt all over the place. Not cooperative
Risk factors for abruption
Htn, smoking, cocaine use, prior abruption
Interventions for abruption
Get help, 2 IVs, labs,us, poor man dic labs
Fetal svt
Can be caused by maternal fever
Svt tracing
Can exhibit half counting. May be intermittent or sustained
Svt complications
May develop CHF, ischemic cerebral disease, hydrops, fetal death
Svt treatment
Digoxin therapy but not in hydrops
3rd degree heart block
Can lead to conventional cardiomyopathy. HR 50-60. After birth pacemaker maybe
used.
Most objective determination if fetal metabolic condition at moment or birth
Abnormal FHR tracing, maternal thyroid, severe Iugr, lower 5 min APGAR
With abnormal FHT
1% will develop CP
Resting tone with amnio infusion
35-40
Complete heart block
Can be caused by maternal lupus
Release of maternal catecholamine
