RCPSC Obstetrics And Gynecology Practice Questions - Royal College Certification Examination In Obstetrics And Gynecology Exam

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A 32-year-old G2P1 at 38 weeks gestation has continuous electronic fetal monitoring (EFM) in labor. The tracing shows a baseline of 145 bpm, moderate variability, and late decelerations associated with more than 50% of uterine contractions. What is the most appropriate initial management step?

Perform intrauterine resuscitation, including lateral positioning, IV fluid bolus, and discontinuation of oxytocin Perform emergency cesarean delivery immediately Perform fetal scalp blood sampling for pH Apply internal fetal scalp electrode

Correct Answer:

Perform intrauterine resuscitation, including lateral positioning, IV fluid bolus, and discontinuation of oxytocin

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