00:01
Okay, this question here says a 26 -year -old g2 paraguayan woman at 41 wixgee station is brought in by ambulance.
00:12
Emergency medical technician reports that a pelvic examination performed 20 minutes ago when the patient had a severe urge to push revealed that she was fully dilated and the fetal station was full.
00:24
Fetal heart tones were confirmed to be in the 150s with no audible decelerations.
00:32
When the patient is placed on the fetal monitor, the heart rate is noted to be in 60s, okay, so it is very low.
00:38
The maternal heart rate is reported as 100.
00:41
Without pushing, the fetal scalp is visible in the introitus.
00:44
A repeat pelvic exam shows that the infant is in the occiput anterior position.
00:50
What is the most appropriate next step in the management of this patient? so in this case, with the information provided, the most appropriate next step in the management of this patient is, well, practically immediate intervention for fetal varicardia, okay? fetal varicardia is defined as a fetal heart rate that is below 110 beats per minute.
01:15
And in this case, the fetal heart rate has dropped to the 60s, which is significantly low.
01:21
The presence of a visible fetal scalp in the introitus and the occipital anterior position suggests that a delivery is imminent...
