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| Section | Objectives |
|---|---|
| Uterine Activity | - Normal uterine contraction patterns - Tachysystole and abnormal contraction patterns |
| Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Intrauterine Resuscitation and Interventions | - Maternal position changes and oxygen administration - Fluid management and medication adjustments |
| Fetal Heart Rate Interpretation | - Baseline rate and variability - Category I, II, and III tracing interpretation - Accelerations and decelerations |
| Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
Question 1
This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?
(Tracing A = black; Tracing B = blue)
A. Give terbutaline
B. Continue to observe
C. Cesarean birth
Question 2
A sentinel or reportable event as defined by the Joint Commission or other regulatory bodies/agencies is one that
A. requires mandatory education for providers
B. requires investigation and response
C. must involve malpractice or negligence
Question 3
When evaluating a baseline fetal heart rate change, the fetal heart rate is assessed for a minimum of:
A. 30 minutes
B. 15 minutes
C. 10 minutes
Question 4
To differentiate a fetal dysrhythmia from artifact, it is important to recognize that artifact appears as deflections that are:
A. Uniform but occur irregularly
B. Varied and disorganized
C. Similar in pattern
Question 5
Intermittent fetal heart rate auscultation for a low-risk, spontaneous laboring patient who is 4-5 centimeters dilated should be assessed at intervals every
A. 45-60 minutes
B. 15-30 minutes
C. 5-10 minutes
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: B |
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