This document contains a summary of a Cardiotocography (CTG) trace of a mother in active labor. It includes 4 questions: 1) Mention 4 observations in the CTG trace. 2) The interpretation is that the CTG finding is normal, with early decelerations present which are normal during labor as the fetal head causes compression and increased intracranial pressure. 3) The cause of this type of CTG trace is normal compression of the fetal head during descent in active labor. 4) Three steps to correct any problems are: reposition the patient, maintain hydration and oxygenation; continue CTG for 30 minutes to check for persistent or abnormal features;

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