SAQ 331 – Obstetrics – threatened preterm labour and CTG interpretation

Marked out of 13.00

A 24-year-old woman, 29 weeks pregnant in her first pregnancy, presents to a rural ED with intermittent cramping abdominal pain. She has no vaginal bleeding, no fluid loss, and normal fetal movements. There is no local obstetric or neonatal cover. Her CTG is shown below.

Observation Value
Temperature 37.2 C
Heart rate 64/min
Blood pressure 109/72 mmHg
Respiratory rate 22/min
Oxygen saturation 99% on room air
Cardiotocograph trace with fetal heart rate and uterine activity.
CTG

Name one (1) other obstetric condition that must be considered.

(Marked out of 1.0)


/ 1

Name one (1) investigation to help exclude imminent preterm labour and state the principle behind it.

(Marked out of 2.0)


/ 2

Interpret the CTG, including an overall summary.

(Marked out of 6.0)


/ 6

Outline four (4) management steps if preterm labour is confirmed or strongly suspected.

(Marked out of 4.0)


/ 4

Total Score: 0 / 13

Percentage: 0%

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