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ALARM Exam Review| Exam questions with correct answers| Latest Update

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2025/2026 Written for academic year
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ALARM Exam Review| Exam questions with correct answers| Latest Update Criteria for Dystocia -4hrs with 0.5cm/hr -2hrs with no dilation -1hr with no descent with pushing Overall rate of CP 2-3/1000 Intrauterine resuscitation -get HELP -LATERAL position -FLUID load -STOP OXYTOCIN -exam/rule out cord prolapse -consider O2 by mask only if maternal hypoxia/hypovolemia -consider amnioinfusion or tocolytics in certain cases Fetal scalp blood sampling pH Indicated: atypical/abnormal fetal HR pattern pH7.25 = repeat pH if fetal status persists pH7.20 = delivery pH7.2-7.25 = repeat in 30mins of deliver if rapid decrease pH since last sample Frequency of fetal heart rate assessment -not necessary in latent phase -every 15-30min in ACTIVE phase - every 15mins 2nd stage BEFORE pushing -every 5min 2nd stage WHEN pushing indications for assisted vaginal birth -atypical/abnormal FHR pattern -labor dystocia -lack of effective maternal expulsive efforts Specific indication for forceps delivery correction of fetal head position/attitude (think of it as repositioning the head to get the narrowest part facing the outlet) Prerequisite for Assisted Vaginal Birth (slide 14)

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