Case 3: Ms. GA

Ms. GA is a 31 year old G4P1203 with intrauterine pregnancy at 35.3 weeks presenting with regular uterine contractions and spontaneous rupture of membranes 8 hours ago. Her medical history is significant for hypothyroidism and one previous cesarean section with two successful vaginal births after cesarean (VBAC). She has desired a trial of labor in this pregnancy. Her labor was augmented after four hours of no cervical change and currently her Pitocin is on 4 mu/min.


Below is her current fetal tracing:

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

Case4

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. Minimal variability must be interpreted in context with the clinical picture.
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 repetitive early decelerations which are not worrisome in and of themselves.
Incorrect. There are repetitive early decelerations which are not worrisome in and of themselves.
5. Are contractions present?
Correct. Her contractions are every 2 minutes.
Incorrect. Her contractions are every 2 minutes.
6. Is this FHT reassuring?
Correct. This tracing overall is reassuring.
Incorrect. This tracing overall is reassuring.

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