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Last Updated: Jun 19, 2026
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1. A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is
A) continued pushing
B) cesarean birth
C) vacuum-assisted vaginal birth
2. What is the appropriate interpretation of this tracing?
A) Multiple prolonged accelerations
B) Tachycardia with variable decelerations
C) Marked variability
3. Maternal-fetal exchange during labor is diminished by:
A) An increase in maternal cardiac output
B) Open-glottis pushing in second stage
C) Placental calcifications
4. This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:
A) Tachysystole
B) Rapid fetal descent
C) Placental abruption
5. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?
A) Variable decelerations
B) Minimal variability
C) Baseline tachycardia
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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