baseline heart rate

Discussion in 'USMLE STEP 2 CS' started by Nivea., May 1, 2008.

  1. Nivea.

    Nivea. Guest

    A 22-year-old gravida 1, para 0 at 33 weeks of gestation presents to labor and delivery and reports cramping and lower back pain. She denies leaking of fluid from the vagina. You perform a speculum examination that shows no pooling, and Nitrazine paper stays yellow after contact with the secretions in the posterior fomix. Cervical cultures are taken. She is placed on fetal heart rate and uterine contraction monitoring, which shows a baseline heart rate of 155 bpm and three uterine contractions per a 10-minute period. Her cervix is dilated to 2 to 3 cm and 80% effaced. She also tells you that she has diabetes mellitus that has not been well controlled throughout pregnancy. The next best step in management of this patient is

    A. Antibiotics

    B. MgS04

    C. Terbutaline

    D. Corticosteroids

    E. Ultrasound

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