- 1. Turn patient to left, lateral side.
-
Correct.
There is no evidence of poor uterine perfusion.
Incorrect.
There is no evidence of poor uterine perfusion.
- 2. Change maternal position to various positions until
fetal improvement.
-
Correct.
This only useful with cord compression of which there is no evidence.
Incorrect.
There
is no evidence of cord compression, so this maneuver is not likely to
be beneficial.
- 3. Fluid bolus, lower maternal head.
-
Correct.
There is no evidence of maternal hyotension.
Incorrect.
There is no evidence of maternal hyotension.
- 4. Vasopressor (e.g. Ephedrine).
-
Correct.
There is no evidence of maternal hypotension.
Incorrect.
There
is no evidence of maternal hypotension.
- 5. Supplemental Oxygen.
-
Correct.
O2 supplementation is of no benefit here.
Incorrect.
O2 supplementation is of no benefit here.
- 6. Stop Magnesium Sulfate.
- 6. Start amnioinfusion.
-
Correct.
Amnioinfusion is indicated only to treat severe
variables.
Incorrect.
Amnioinfusion is indicated only to treat severevariables.
- 7. Give tocolytic (e.g. Terbutaline).
-
Correct.
There are rarely times when this will prove beneficial and there is no
evidence of uterine hypertonus.
Incorrect.
There are rarely times when this will prove beneficial.
- 8. Perform vaginal exam.
-
Correct.
Though not contraindicated, this is not likely to be beneficial.
Incorrect.
Though
not contraindicated, this is not likely to be beneficial.
- 9. Perform expeditious (emergent) delivery (operative
vaginal delivery or Cesarean delivery)
-
Correct.
There is no evidence of fetal distress requiring emergent delivery.
Incorrect.
There is no evidence of fetal distress requiring emergent delivery.
- 10. Perform fetal scalp stimulation.
-
Correct.
There is no indication to perform scalp stimulation here.
Incorrect.
There is no indication to perform scalp stimulation here.
