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NCC EFM Cert. Exam 2022/2023 with complete solution.

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Ductus venosus connects ______ to ______? Umb. vein to IVC Foramen ovale connects _______to______? R. atrium to L. atrium 01:04 01:38 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

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NCC EFM Cert. Exam
Ductus venosus connects ______ to ______? - Answer Umb. vein to IVC

Foramen ovale connects _______to______? - Answer R. atrium to L. atrium

Ductus arteriosus connects _______ to _______? - Answer Pulm. artery to aorta

Normal rate - Answer 110 to 160 BPM

Average baseline rate at 15wks gestation - Answer 160 BPM

Average rate in fetus with heart block - Answer 60 BPM (intrinsic ventricular or nodal
rate)

Sympathetic effects - Answer 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 - Answer ~ 32wks

Primary indicator of fetal oxygenation - Answer Presence or absence of variability

Location of chemoreceptors - Answer aortic arch

Chemoreceptors respond to? - Answer Changes in O2 and CO2

Location of baroreceptors - Answer Aortic arch and carotid bodies

Maximal reactivity occurs when? - Answer Late at night

Max duration of fetal nonreactivity? - Answer 80min

Sensitivity - Answer Probablity of detecting a true positive

Specificity - Answer Probability that true negative will be detected

False positive - Answer erroneosly positive when reality is negative

False negative - Answer erroneously negative when reality is positive

NST - Answer Two 15x15 accels in 20min (up to 40min)

% of false positive CSTs? - Answer ~ 30%

BPP components - Answer 1) Fetal breathing movements
2) Gross body movements
3) Fetal tone
4) Reactive fetal heart rate

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