liliaeliz
Forum Elite
Topics: 40
Posts: 370
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A 27 Y.O PRIMAGRAVID 39WEEKS GESTATION HAS BEEN IN LABOR FOR 10 HS. OVER THE PAST 3 HS. ,THE CERVIX HAS REMAINED 90% EFFACED AND 8 CM DILATED ,CONTACTION OCCUR EVERY 8 MINUTES ,FHR:140 MIN,HER TEMPERATURE 37 BP;120/80 PULSE 80 /MIN RESP,20/MIN .THE VERTEX LEFT OCCIPUT ANTERIOR AND 0 STATION THE MOST APPROPIATE NEXT STEP IN THE MANAGMENT?
ORAL ADMINISTRATION OF BARBITURATE
AUGMENTATION WITH OXITOCIN
ROTATION OF THE FETAL HEAD TO OCCIPUT POSTERIOR
VACCUM DELIVERY
CESAREAN DELIVERY
PLEASE EXPLAIN THE ANS.
Edited by Aashi on 08/26/07 - 09:16 PM. Reason: Pls do NOT typein ALL CAPS..this is a forum rule
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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augment with oxytocin ......... its been 13 hours and she is 8 cm ... primi willl take 20 hours to reach 10 cm her vitals and babies vitals are normal so no need of CS rite now no one is in distress.......
barbiturates for wat ??? and vacum done only after 10 cm she not yet reached there....
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| Justice
Forum Fanatic
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B
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Don't live in a town where there are no doctors
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| Pulvinar
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and her uterine contractions are inadequate..so augment oxitoci
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Have determination and Fear not!!!.
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| zeloc
Forum Junior
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Please put number of the NBME in the title, makes it easier, thanks.
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