EXAM WITH COMPLETE QUESTIONS AND
DETAILED ANSWERS (VERIFIED ANSWERS)
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The umbilical arterial cord blood gas values reflect
A. Metabolic acidemia
B. Mixed acidemia
C. Respiratory acidemia
19 yo p0 at 34 weeks presents with nausea and vomiting.
Tracing shows baseline of 210bpm, if fh continues at this
rate, the recommended treatment is maternal
administration of
A. Dioxin
B. Mag sulfate
C. Phenobarbital
,19 yo p0 at 34 weeks presents with nausea and vomitting.
Tracing shows baseline of 210bpm, moderate variability,
-accels, +variables. If baseline persists at this rate the
fetus is at risk of:
A. Hydrops
B. Low output failure
C. Second degree heart block
20 minutes into an nst, the patient still has not felt the
baby move. You have 2 accelerations of 15 beats by 15
beats. You would
A. Have her ambulate for 20 minutes then reapply the
monitor to see if the baby is more active
B. Consider this a reactive nst and discontinue
monitoring
C. Continue to monitor until the mother perceives fetal
movement that correlates to acceleration
21 yo p0 at 33 wks presents with decreased fm. No
pregnancy complication. Tracing showing baseline 140
with absent variability. When volume of efm is turned up,
the fh is too fast to count. These findings are consistent
with:
,A. Maternal hr
B. Normal baseline rate
C. Svt
28 yo p0 at 35wks iol chtn r/o pec, afi 2.0. She has ise and
iupc in place. Pit is at 2mu. Based on above strip (minimal
variability, recurrent late decels) what would next
intervention be?
A. Perform a vaginal exam
B. Reposition the mother
C. Turn off the pit
30 yo p0 at 40wks iol chtn, on pitocin. Bp 178/89 just
before test dose of epidural. Tracing now with prolonged
decel. After repositioning the pateitn the first action is to
A. Administer a 1l bolus
B. Apply o2
C. Stop the pit
, 34 wks r/o ptl. Tracing showing baseline 180bpm,
moderate variability. The appropriate action in response
to the fh baseline is:
A. Continue observation based upon normal findings
B. Interpret with caution; further evaluation needed
C. Prepare for cesarean section
34 yo gdma2 admitted with nausea vomiting abdominal
pain. Glucose is 515. Tracing with minimal variability.
Suspect:
A. Dka
B. Euglycemia
C. Insulin shock
35 wks having nst. Baseline 130 bpm. Rn uses vas to
reduce the length of time needed to obtain the nst. Fetal
well being requires:
A. 1 accel to 145
B. 2 accels to 140
C. 2 accels to 145