In assessing the immediate condition of the newborn after birth, a sample of cord blood may be a useful adjunct to the Apgar score. Cord blood is then tested for pH, carbon dio-xide, oxygen, and base deficit or excess
Clinical situations that warrant this additional testing include (choose all that apply): a. Low 5 minute Apgar score.
b. IUGR.
c. Maternal thyroid disease.
d. Intrapartum fever.
e. Multiple gestation.
f. Abnormal fetal heart rate tracing.
A, B, C, D, E, F
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Correct ACOG suggests obtaining cord blood values in ALL of these clinical sit-uations. Samples can be drawn from both the umbilical artery and the umbilical vein. Results may indicate that fetal compromise has occurred.
Incor-rect None of the above.
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