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Intrapartum Assessment

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Which of the following is currently the most prevalent obstetrical procedure performed in the United States?

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a. Episiotomy

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b. Fetal monitoring

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c. Cesarean delivery

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d. Operative vaginal delivery

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Continuous R-to-R wave fetal heart rate computation is reflected clinically as which of the following?

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a. Periodic change

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b. Episodic change

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c. Beat-to-beat variability

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d. Shift in the heart rate baseline

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Which of the following are scaling factors for fetal heart rate monitoring recommended by a 1997 National Institute of Child Health and Human Development (NICHD) workshop?

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a. 3 cm/min chart recorder paper speed

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b. 1 cm/min chart recorder paper speed

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c. 60 beats per minute per vertical centimeter

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d. None of the above

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In cases of fetal demise, external Doppler ultrasound will most likely detect signals from which of the following?

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Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Intrapartum assessment. In Williams Obstetrics, 24th ed. New York, McGraw-Hill, 2014, Figure 24-5.

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a. Placenta

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b. Maternal heart

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c. Maternal aorta

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d. None of the above

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According to the National Institute of Child Health and Human Development (NICHD), a fetal heart rate acceleration is defined by which of the following?

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a. Accelerations lasting > 5 minutes are considered a baseline change.

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b. It is considered prolonged, if it lasts ≥ 2 minutes and < 10 minutes.

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c. For all gestational ages, an acceleration lasts ≥ 15 seconds and rises ≥ 15 beats above the heart rate baseline.

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d. None of the above

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