ALARM Exam Review (ANSWERED)
CORRECTLY TO SCORE A+
Criteria for Dystocia - Correct Answers ✅-4hrs with
<0.5cm/hr
-2hrs with no dilation
-1hr with no descent with pushing
Overall rate of CP - Correct Answers ✅2-3/1000
Intrauterine resuscitation - Correct Answers ✅-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 - Correct Answers
✅Indicated: atypical/abnormal fetal HR pattern
pH>7.25 = repeat pH if fetal status persists
pH<7.20 = delivery
,ALARM Exam Review (ANSWERED)
CORRECTLY TO SCORE A+
pH7.2-7.25 = repeat in 30mins of deliver if rapid decrease pH
since last sample
Frequency of fetal heart rate assessment - Correct Answers
✅-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 - Correct Answers ✅-
atypical/abnormal FHR pattern
-labor dystocia
-lack of effective maternal expulsive efforts
Specific indication for forceps delivery - Correct Answers
✅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) - Correct
Answers ✅-consent
-no contraindications
-anesthesia
-bladder empty
-head engages
, ALARM Exam Review (ANSWERED)
CORRECTLY TO SCORE A+
-cervix fully dilated
-fetal head position appropriate
-backup plan
-ongoing fetal/maternal assessment
-pediatrics standby for neonatal resuscitation
Contraindication for AVB - Correct Answers ✅-fetal
conditions (bleeding disorder)
-any contraindication to vaginal delivery
-non-cephalic or brow presentation
When to stop Vacuum attempt - Correct Answers ✅-2 pulls
no progress
-no delivery in 4 contractions
-3 pop-offs without obvious cause
-20mins elapsed
Position for Safety - Correct Answers ✅*may not actually
be important*
-Posterior fontanelle
-<1 Finger breadth btw forcep and skull
-Sagittal suture is perpendicular to the forceps plane
CORRECTLY TO SCORE A+
Criteria for Dystocia - Correct Answers ✅-4hrs with
<0.5cm/hr
-2hrs with no dilation
-1hr with no descent with pushing
Overall rate of CP - Correct Answers ✅2-3/1000
Intrauterine resuscitation - Correct Answers ✅-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 - Correct Answers
✅Indicated: atypical/abnormal fetal HR pattern
pH>7.25 = repeat pH if fetal status persists
pH<7.20 = delivery
,ALARM Exam Review (ANSWERED)
CORRECTLY TO SCORE A+
pH7.2-7.25 = repeat in 30mins of deliver if rapid decrease pH
since last sample
Frequency of fetal heart rate assessment - Correct Answers
✅-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 - Correct Answers ✅-
atypical/abnormal FHR pattern
-labor dystocia
-lack of effective maternal expulsive efforts
Specific indication for forceps delivery - Correct Answers
✅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) - Correct
Answers ✅-consent
-no contraindications
-anesthesia
-bladder empty
-head engages
, ALARM Exam Review (ANSWERED)
CORRECTLY TO SCORE A+
-cervix fully dilated
-fetal head position appropriate
-backup plan
-ongoing fetal/maternal assessment
-pediatrics standby for neonatal resuscitation
Contraindication for AVB - Correct Answers ✅-fetal
conditions (bleeding disorder)
-any contraindication to vaginal delivery
-non-cephalic or brow presentation
When to stop Vacuum attempt - Correct Answers ✅-2 pulls
no progress
-no delivery in 4 contractions
-3 pop-offs without obvious cause
-20mins elapsed
Position for Safety - Correct Answers ✅*may not actually
be important*
-Posterior fontanelle
-<1 Finger breadth btw forcep and skull
-Sagittal suture is perpendicular to the forceps plane
