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1. Year 5 Assessment– 30.03.2021
This is the Cardiotocography (CTG) trace of a mother who is in active phase of labour
QuestionNo. 1
MentionFOUR (4) observationsinthe CTG (4 marks)
(a)
(b)
(c )
(d)
QuestionNo.2
What isthe interpretationof thisCTG? CTG findingis normal,presence of earlydeceleration
whichIs normal as fetal headundergocompressionduringdescentinactive labourandresulting
increase inintracranial pressure,causingstretchof baroreceptorleadingto increase in
parasympatheticspathwaythatinthe endcause bradycardia(deceleration) (2 marks)

2. QuestionNo. 3
What isthe cause of thistype of CTG trace? ( 1 mark)
QuestionNo. 4
Write THREE (3) stepstocorrect the problemin thispatient(3marks)
● Repositionpatient,maintainhydration,oxygenation,Ctgshouldbe continue for30 min
● See if earlydecelerationispersistent,orif anynon reassuringandabnormal feature
present
○ If any of itpresents,dofetal scalpbloodsamplingtodetectacidosisandexpedite
labour
○ If presentof hyperstimulation,considertocolytics(nifedipineorivatosiban)
● If normal ctg, repeatanotherctg after 30 min,watchand managedlabouras usual