Course Exam Questions with Verified Answers | i.- i.- i.- i.- i.- i.- i.-
Latest 2025/2026 |Graded A. i.- i.- i.-
CASE STUDY A) HELEN. Helen, a 23 year-old G3 P0020 at 25&6 comes
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to L&D with a chief complaint of "backache and cramping". Helen is a
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thin, young woman and her prenatal record indicates she was born
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prematurely. She's had 2 SABs and multiple uterine/vaginal infections, i.- i.- i.- i.- i.- i.- i.- i.- i.-
including treatment for dysplasia with a LEEP procedure. She began
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prenatal care at 16 weeks and attended 2 appointments due to
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transportation issues. Following a swab of the fluid in her vagina, which i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
was negative for ferning, SVE findings were 2/70/-3, cephalic
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presentation. Helen denies recent sexual intercourse. States her baby is i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
active today. FHR is auscultated at 156 bpm and external EFM
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components are placed. Demographic, obstetric, and socioeconomic i.- i.- i.- i.- i.- i.- i.-
factors provide essential information to enable individualized
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intrapartum care planning. BASED ON STATISTICAL REPORTS AND i.- i.- i.- i.- i.- i.- i.- i.-
CURRENT PUBLISHED LITERATURE, BLACK WOMEN HAVE A HIGHER
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INCIDENCE OF: Preterm birth i.- i.-i.- i.- i.-
If visualized, what characteristics of Helen's EFM tracing would be
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indicative of uninterrupted fetal oxygenation? Accelerations of 10
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bpm above baseline lasting at least 10 seconds above baseline,
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moderate variability, and no FHR decelerations i.- i.- i.- i.- i.-
What other assessment parameters are advisable given Helen's history
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and presenting statements?
i.- Vital signs, notation of vaginal bleeding i.- i.-i.- i.- i.- i.- i.- i.- i.-
, Helen's nurse uses the SBAR framework for communicating patient
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information to colleagues. What do the letters SBAR stand for?
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situation B-background A-assessment R-recommendation
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Refer to tracing C-1. Helen's fetal monitoring continues using external
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components. Which of the following characteristics are most common
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in the preterm fetus?
i.- i.- Baseline rates at high normal and variable i.- i.-i.- i.- i.- i.- i.- i.- i.- i.- i.-
decelerations
Refer to tracing C-1. What typical characteristics of preterm uterine
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activity are present in Helen's tracing?
i.- Low amplitude, high
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frequency contractions i.-
Which medications used with preterm labor can affect FHR
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characteristics? Betamethasone and terbutaline i.-i.- i.- i.- i.-
What characterizes a preterm fetal response to interruptions in
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oxygenation? More rapid deterioration from Category I to
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Category II or III i.- i.- i.-
Clinical decision-making at the bedside should include:
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of physiologic concepts with maternal-fetal assessment findings
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