A multigravid woman is receiving oxytocin by infusion for augmentation of labor. Fetal heart rate is 190 bpm with beat-to-beat variability of 6 to 8 bpm. The most appropriate immediate action would be to
(A) continue observation
(B) sample fetal scalp blood
(C) discontinue oxytocics
(D) administer a beta-adrenergic blocker to the mother
A 21-year-old athlete has laryngospasm following extubation after undergoing repair of an inguinal hernia during general anesthesia. Bag and mask ventilation relieves the patient's symptoms. In the PACU 15 minutes later, he has dyspnea; Sp02 is 85% at an Fl02 of .40. Which of the following is the most likely cause?
(A) Atelectasis
(B) Decreased cardiac output
(C) Pulmonary edema
(D) Pulmonary embolism
(E) Residual paralysis
C
Pulsus paradoxus is commonly seen during anesthesia in patients with each of the following conditions EXCEPT
Eight hours after abdominal surgery, a 51-year-old patient becomes increasingly somnolent. Epidural morphine 5 mg was administered immediately following the procedure. Postoperatively, respiratory rate has not decreased below 12/min and Sp02 has remained greater than 92%. Arterial blood gas analysis shows Pa02 80 mmHg, PaC02 82 mmHg, and pH 7.1. Which of the following is the most appropriate conclusion?
(A) Analysis of the blood sample was delayed
(B) The blood sample was venous rather than arterial
(C) The patient is receiving supplemental oxygen
(D) The pulse oximeter readings are falsely high
(E) No treatment is required at this time
C
A neurologically intact 48-year-old woman is scheduled for removal of a parietal lobe arteriovenous malformation. The relative risk for complete resection is to be determined by a test occlusion of the feeding artery. Which of the following intraoperative monitoring techniques is most appropriate for this test?
(A) Brain stem auditory evoked potentials
(B) Cerebral blood flow using radioactive xenon
(C) EEG
(D) Evoked potentials elicited by stimulating the posterior tibial nerve