NBME Step 2 CK Form 7 Cesarean delivery (NBME Answers)

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NBME Answer🗽Explanations

NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#42 (reveal difficulty score)
A 27-year-old primigravid woman at 39 weeks' ...
Cesarean delivery 🔍 / 📺 / 🌳 / 📖
tags: repro inc

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submitted by ∗step_prep5(246)

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Category 3 fetal heart tracings (require immediate delivery): (1) Recurrent late decelerations + absent variability (2) Recurrent variable decelerations + absent variability (3) Bradycardia + absent variability (4) Sinusoidal pattern
Cervical dilation < 10 cm and need for immediate delivery –> C-section
Cervical dilation of 10 cm and need for immediate delivery –> Operative vaginal delivery (forceps delivery)
Key idea: Indications for C-section in the active phase (6-10 cm cervix) of labor (1) Active phase arrest with no cervical change for 4 hours with adequate contractions (>200 Montivideo units) or for 6 hours with inadequate contractions (2) Category 3 fetal HR tracing

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