Exam Questions with 100%
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What were the 3 main findings of the Cochrane review on intrapartum EFM
vs IA? - 🧠 ANSWER ✔✔1. EFM associated with higher C/S
2. No difference in neo or mat mortality or morbidity
3. EFM reduction 50% of neonatal seizures, but no long term differences
(cerebral palsy, mortality or well-being)
,The following are outcomes related to which type of labour support?:
Increased spontaneous vaginal birth
Shorter duration of labour
Decreased operative births (cesarean and instrumental vaginal birth)
Decreased use of any analgesia and/or regional analgesia
Fewer low 5-minute Apgar scores
Fewer negative feelings about childbirth experience - 🧠 ANSWER
✔✔Continuous labour support (1-to-1)
When a normal tracing is identified it may be appropriate to interrupt the
EFM tracing for up to _____________ minutes to facilitate periods of
ambulation, bathing, or position change, providing that a) the maternal fetal
condition is stable and b) if Oxytocin is being administered, the infusion rate
is not increased. (III-B) - 🧠 ANSWER ✔✔30 minutes
Is EFM or IA recommended for the labour admission assessment of a low
risk individual? - 🧠 ANSWER ✔✔IA
, Sympathetic Nervous System - 🧠 ANSWER ✔✔1. nerves - medulla
oblongata --> ventricles
2. neurotransmitter is norepinephrine
3. stimulation = increase FHR
Parasympathetic Nervous System - 🧠 ANSWER ✔✔1. vagus nerve from
medulla oblongata innervates the sino-atrial (SA) and atrioventricular (AV)
nodes in the heart
2. neurotransmitter is acetylcholine
3. stimulation = decrease FHR
Where are baroreceptors located? - 🧠 ANSWER ✔✔1. Aortic arch
2. Carotid sinus
Are barometric responses abrupt or gradual? - 🧠 ANSWER ✔✔abrupt (<30
seconds from onset to nadir)
Are chemoreceptor changes abrupt or gradual? - 🧠 ANSWER ✔✔gradual
(>30 seconds from onset to nadir
Where are the peripheral and central chemoreceptors located? - 🧠
ANSWER ✔✔peripherally in the aortic arch and carotid sinus
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