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1. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:
A) Normal
B) Acidosis
C) Hypoxia
2. Fetal respiratory acidosis is most likely to present with which of the following fetal heart rate decelerations?
A) Variable
B) Late
C) Early
3. Maternal-fetal oxygen transfer takes place in the:
A) Intervillous space
B) Umbilical vein
C) Spiral arteries
4. This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:
A) Check maternal blood pressure
B) Continue to monitor
C) Perform a cervical exam
5. (Full question statement)
A woman at 39-weeks gestation is in labor, progressing normally. The baseline fetal heart rate has increased from 125 to 150 beats per minute over the last hour with moderate variability. What is the next step?
A) Continue to observe
B) Perform an ultrasound
C) Initiate antibiotic therapy
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: A |
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