NCC Maternal Newborn Nursing Practice Exam 2025 – Complete Preparation Guide

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Question: 1 / 145

What does a low pH in umbilical blood typically indicate?

Fetal distress

A low pH in umbilical blood is indicative of acidosis, which often results from inadequate oxygenation of the fetus. This condition is typically referred to as fetal distress, specifically when there is a problem with the fetal heart rate or a lack of adequate blood flow and oxygen supply to the fetus. This can occur due to a variety of factors, including uteroplacental insufficiency, during labor when contractions may compromise blood flow, or in the presence of other complications that prevent proper oxygenation.

In contrast, normal fetal oxygenation would usually correspond to a balanced pH level, suggesting that the fetus is receiving sufficient oxygen. Neural tube defects and low maternal blood pressure are not directly indicated by low pH levels in umbilical blood and do not specifically relate to acute conditions affecting fetal distress. Thus, the association of low pH with fetal distress is critical for identifying potential issues that require immediate intervention to protect the well-being of the fetus.

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Normal fetal oxygenation

Neural tube defect

Low maternal blood pressure

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