Case 4: Ms. RB
Ms. RB is a 29 year old G1 at 40.5 who underwent induction of labor secondary to oligohydramnios. At 4cm dilation, she underwent artificial rupture of membranes and the amniotic fluid was noted to have moderate meconium staining. Her obstetric history has been unremarkable. Currently she is on 12 mu/min of Pitocin. Below is her current fetal tracing:

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.
Incorrect. The answer is minimal. 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 variable decelerations present.
Incorrect. There are variable decelerations present.
5. Are contractions present?
Correct. Yes, there are more than 5 contractions in 10 minutes, which defines hyperstimulation.
Incorrect. There are more than 5 contractions in 10 minutes, which defines hyperstimulation.
6. Is this FHT reassuring?
Correct. This tracing requires immediate intervention.
Incorrect. This tracing requires immediate intervention.

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