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| Section | Objectives |
|---|---|
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
| Fetal Heart Rate Interpretation | - Category I, II, and III tracing interpretation - Accelerations and decelerations - Baseline rate and variability |
| Intrapartum Assessment and Monitoring | - External and internal monitoring techniques - Risk assessment during labor |
| Maternal and Fetal Complications | - High-risk obstetric conditions affecting fetal monitoring - Hypoxia and uteroplacental insufficiency |
| Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
1. Interventions undertaken to address fetal tachycardia are targeted at maximizing
A) maternal circulation
B) sympathetic autonomic tone
C) uteroplacental perfusion
2. 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) Administer terbutaline
B) Modify pushing
C) Consider amnioinfusion
3. This fetal heart rate tracing represents:
A) Prolonged acceleration
B) Coupling of contractions
C) Category I tracing
4. This external tracing is from a 19-year-old (G1P0) at 39-weeks gestation. She is 6 cm dilated, 100% effaced, and -2 station. The fetus is in an occiput posterior position. She rates her pain as 8. She reports being lightheaded. She is most likely at risk for respiratory:
A) Acidosis
B) Alkalosis
C) Depression
5. A woman reports 12 fetal movements over one hour. The best recommendation is to:
A) Continue to monitor for one hour
B) Instruct her to count again the next day
C) Administer a nonstress test
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: B |
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