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Induction and Augmentation of Labor
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A 19-year-old primigravida presents to the labor and delivery unit with the complaint of contractions following spontaneous rupture of membranes. Her initial cervical exam shows she is 2 cm dilated; 3 hours later she is 5 cm dilated. Over the next 4 hours there is no further cervical dilation, and oxytocin is started. The use of oxytocin in this setting would be described as which of the following?
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A 19-year-old primigravida presents to the labor and delivery unit with the complaint of contractions following spontaneous rupture of membranes. Her initial cervical exam shows she is 2 cm dilated; 3 hours later she is 5 cm dilated. Over the next 4 hours there is no further cervical dilation. Which of the following methods of uterine stimulation could be employed?
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d. Extraamnionic saline infusion
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Which of the following complications is increased in the setting of labor induction?
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c. Amnionic fluid embolus
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d. Umbilical artery pH <7.0
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A 36-year-old G5P2 at 39 weeks’ gestation presents for labor induction. Her previous largest infant weighed 3500 grams. She had a prior vertical cesarean section for a preterm breech presentation at 27 weeks’ gestation, and has a history of herpes simplex type 1 infection. Which of the following is the correct first step in her evaluation for the appropriateness of labor induction?
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a. Ultrasound for estimated fetal weight
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b. Digital cervical exam to determine Bishop score
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c. Speculum exam to look for herpes simplex lesions
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A 36-year-old G5P2 at 39 weeks’ gestation presents for labor induction. Her previous largest infant weighed 3500 grams. She had a prior vertical cesarean section for a preterm breech presentation at 27 weeks’ gestation. ...