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1. Accelerations that last 10 minutes or more are considered:
A) Baseline variability
B) A baseline change
C) Tachycardia
2. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include
A) preparing for cesarean birth
B) increasing the oxytocin
C) preparing for operative vaginal birth
3. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:
A) Consider amnioinfusion
B) Administer terbutaline
C) Modify pushing
4. The fetal heart rate tracing shown represents
A) category II
B) category III
C) category I
5. A woman (G1, P0) at 41-weeks gestation presents to OB triage to rule out labor. Her cervical exam is 1 cm/50%/-2. Membranes are intact. She would like to go home if not in labor. Based on this tracing, which represents the last two hours, the best approach is:
A) discharge to home
B) admission to hospital
C) further observation
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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