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| Section | Objectives |
|---|---|
| Topic 1: Intrapartum Assessment and Monitoring | - Risk assessment during labor - External and internal monitoring techniques |
| Topic 2: Uterine Activity | - Tachysystole and abnormal contraction patterns - Normal uterine contraction patterns |
| Topic 3: Fetal Physiology and Oxygenation | - Fetal cardiovascular physiology - Oxygen transport and acid-base balance |
| Topic 4: Fetal Heart Rate Interpretation | - Accelerations and decelerations - Baseline rate and variability - Category I, II, and III tracing interpretation |
| Topic 5: Maternal and Fetal Complications | - Hypoxia and uteroplacental insufficiency - High-risk obstetric conditions affecting fetal monitoring |
| Topic 6: Intrauterine Resuscitation and Interventions | - Fluid management and medication adjustments - Maternal position changes and oxygen administration |
1. Fetal supraventricular tachycardia will often appear on the monitor as
A) artifact
B) the same rate as the maternal pulse
C) half the actual rate
2. The baseline fetal heart rate decreases with gestational age as a result of an increase in:
A) Intrinsic ventricular rate
B) Parasympathetic tone
C) Catecholamine production
3. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:
A) Cesarean birth
B) Biophysical profile
C) Induction of labor
4. A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:
A) Admit for induction
B) Adjust tocotransducer and continue to monitor
C) Discharge to home
5. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:
A) Dilute thick meconium
B) Treat oligohydramnios
C) Restore uterine blood flow
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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