Which is the most appropriate method of intrapartum fetal monitoring when a woman has a history of hypertension during pregnancy?
a. Continuous auscultation with a fetoscope
b. Continuous electronic fetal monitoring
c. Intermittent assessment with a Doppler transducer
d. Intermittent electronic fetal monitoring for 15 minutes each hour
B
Feedback
A It is not practical to provide continuous auscultation with a fetoscope.
B Maternal hypertension may reduce placental blood flow through vasospasm of
the spiral arteries. Reduced placental perfusion is best assessed with continuous
electronic fetal monitoring to identify patterns associated with this condition.
C This fetus needs continuous monitoring because it is at high risk for
complications.
D This fetus needs continuous monitoring because it is at high risk for
complications.
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