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NCC EFM EXAM LATEST 202 4 REAL EXAM 200
QUESTIONS AND DETAIED ANSWER S (VERIFIED
ANSWERS) |AGRADE
RATED
A likely cause of fetal tachycardia with moderate variability in a term fetus is what? - ANSWER>>Maternal fever
Fetal scalp stimulation is appropriate in the context of? - ANSWER>>Minimal variability
During the first stage of labor, amnioinfusion is an appropriate intervention for what? - ANSWER>>Recurrent variable decelerations
Initial treatment for recurrent late decelerations with moderate variability during the first stage of labor is what? - ANSWER>>Maternal positioning
Maternal oxygen for intrauterine resuscitation should be given at what rate? - ANSWER>>10L/Minute
Rationale for increasing Oxytocin no more frequently than Q30 minutes is based upon the what? - ANSWER>>Half-life of Oxytocin
Oxygen would be appropriate for intrauterine resuscitation based upon? - ANSWER>>Absent variability
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2 G1P0 @ 32 weeks. 6cm/90%/-2. Following SROM, the FHR decreases to 50. Your initial reaction is to what? - ANSWER>>Perform a vaginal exam to check for cord prolapse
Fetal scalp stimulation during labor is appropriate to assess for? - ANSWER>>Assess for metabolic acidosis during minimal or absent variability
If an acceleration of the FHR is elicited during fetal scalp stimulation, the fetal pH can be assumed to be at least what? - ANSWER>>7.19
Normal pH - ANSWER>>7.20-7.29 Greater than 7.10 indicates non-acidemia
Normal PCO2 - ANSWER>>59-56 Less than 60 indicates non-acidemia
Normal HCO3 - ANSWER>>22-24 Greater than 22 indicates non-acidemia
Normal BE - ANSWER>>-2.7 - (-3.6) Greater than -12 indicates non-acidemia
Respiratory Acidemia Levels - ANSWER>>pH less than or equal to 7.10 PCO2 greater than 60
HCO3 WNL
BE WNL
Metabolic Acidemia Levels - ANSWER>>pH less than or equal to 7.10 2 / 3
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PCO2 WNL
HCO3 decreased less than 22 BE decreased less than or equal to -12
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
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
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