Case 2: Ms. CD
Ms. CD is a 37 yo G4P3003 at 40.2 who presented in active labor with spontaneous rupture of membranes. On initial exam, she is 5 cm dilated, 80% effaced, and the vertex is at 0 station. There is light meconium staining of the amniotic fluid. She has had three previous vaginal deliveries. Her pregnancy has been otherwise normal. Her pulse is 104, BP 123/78, respirations 20, and pulse oximetry is 99%. Below is her current fetal tracing one hour after admission:

Based upon the section of FHT that follows, please answer the questions below:

Case2

Please answer the following questions: 

1. What is the baseline of the FHT?
Correct. Remember, the baseline is the average heart rate rounded to the nearest five bpm.
Incorrect. Remember, the baseline is the average heart rate rounded to the nearest five bpm. To review baseline heart rate go to, Baseline.
2. Describe the variability.
Correct. Moderate variability here represents a well-oxygenated fetus in spite of the concurrent decelerations.
Incorrect. The answer is moderate. To review variability go to, Baseline Variability.
3. Are there accelerations present?
Correct. There are no accelerations present.
Incorrect. There are no accelerations present. Click here to review.
4. Are there decelerations present?
Correct. There are recurrent variable down to 70 bpm with each contraction.
Incorrect. There are recurrent variable down to 70 bpm with each contraction.
5. Are contractions present?
Correct. Her contractions are every 3 minutes.
Incorrect. Her contractions are every 3 minutes.
6. Is this FHT reassuring?
Correct. This tracing requires immediate intervention.
Incorrect. This tracing requires immediate intervention.

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