Atlanta Fire Academy
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Oxygen is transferred from mom to fetus via the placenta through? - correct answersPassive (Simple) Diffusion 
 
Intervillous space perfusion is dependent on? - correct answersAdequate Uterine Blood Flow 
 
Maternal Fetal Exchange is best promoted by which maternal position? - correct answersEither Rt or Lt Lateral 
 
What is transfer down the concentration gradient from higher to lower called? - correct answersDiffusion 
 
The most likely physical rationale for recurrent late decels after epidu...
Causes of uteroplacental perfusion decrease: - correct answers• HTN 
• Pregnancy 
• DM 
• Hypotension 
• Excessive uterine contractions (hypertonus) 
• Decreased surface area, edema, degenerative calcifications, infarcts, infection 
 
FHR reflects fetal oxygenation from which extrinsic factors: - correct answers• Maternal oxygenation 
• Uterine blood flow 
• Placental change 
• Umbilical blood flow 
 
FHR reflects oxygenation from which intrinsic factors: - correct answers•...
Causes of uteroplacental perfusion decrease: - CORRECT ANSWER • HTN 
• Pregnancy 
• DM 
• Hypotension 
• Excessive uterine contractions (hypertonus) 
• Decreased surface area, edema, degenerative calcifications, infarcts, infection 
FHR reflects fetal oxygenation from which extrinsic factors: - CORRECT ANSWER • 
Maternal oxygenation 
• Uterine blood flow 
• Placental change 
• Umbilical blood flow 
FHR reflects oxygenation from which intrinsic factors: - CORRECT ANSWER • Fe...
This guide includes all content that is important to understand in each chapter. A comprehensive level of understanding will 
ensure your success. For more focused guidance: If something is bolded/underlined, then it’s probably going to be on your 
exam. All page numbers refer to Durham 3rd ed. 
Chapter 3 
Genetics 
 Nurse role and relevance of genetics to childbearing families 
 Common genetic (inherited) conditions that you would counsel and screen patients either prior to pregnancy or...
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above -Answer- e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change -Answer- a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to the FHR baselin...
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above Correct Answer-e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change Correct Answer-a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the ...
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - CORRECT ANSWERS e. All of the above 
How does the fetus compensate for decreased maternal circulating volume? 
a. Increases cardiac output by increasing stroke volume. 
b. Increases cardiac output by increasing it's heart rate. 
c. Increases cardiac output by increasing fetal movement. - CORRECT ANSWERS 
b. Increases cardiac output by ...
What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - CORRECT 
ANSWER Eunice Kennedy Shriver National Institute of Child Health & Human 
Development (NICHD) 
Primary reason for continuous EFM - CORRECT ANSWER Legal reasons. No real 
benefit of continuous EFM according to studies. 
Correlation found between continuous EFM and Deliveries. - CORRECT ANSWER 
continuous EFM found to have increase rates of assisted vaginal deliveries or cesarean 
deliveries. 
VBAC vs TOLAC - CORR...
A 73-year-old man comes to the office with fatigue that has become progressively 
worse over the last several months. He is also short of breath when he walks up one 
flight of stairs. He drinks 4 vodka martinis a day. He complains of numbness and tingling 
in his feet. On physical examination he has decreased sensation of his feet. His 
hematocrit is 28% and his MCV is 114 fL (elevated). What is the most appropriate next 
step in management? 
A. Vitamin B12 level 
B. Folate level 
C. Peripheral...
thrombocytopenia - deficiency of platelets in the blood. This causes bleeding into the 
tissues, bruising, and slow blood clotting after injury. 
A 16 year old boy presented to a doctor by his mother for the injury which he had 
recently during cycle riding. On examination doctor noticed the loose, overly-flexible 
joints, smooth or stretchy, easily-bruised skin and abnormal wound healing and scar 
formation. This is the characteristic feature of the disorder known as - Ehlers-Danlos 
syndrome 
...