Can you discuss your experience in managing cases of fetal growth restriction or macrosomia?

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Sample interview questions: Can you discuss your experience in managing cases of fetal growth restriction or macrosomia?

Sample answer:

As a Certified Nurse Midwife (CNM), I have extensive experience managing cases of fetal growth restriction (FGR) and macrosomia.

Assessment:

  • FGR: I thoroughly assess maternal history, perform serial ultrasound examinations to monitor fetal growth, and assess for signs of placental insufficiency (e.g., Doppler flow studies).
  • Macrosomia: I estimate fetal weight using ultrasound, assess maternal glucose tolerance, and monitor for potential complications (e.g., shoulder dystocia).

Management:

  • FGR: I implement measures to improve uteroplacental blood flow (e.g., bed rest, lateral positioning), monitor fetal well-being (e.g., fetal heart rate monitoring), and consider delivery interventions (e.g., induction of labor, cesarean section) if necessary.
  • Macrosomia: I collaborate with physicians to optimize maternal glucose control, provide education on healthy diet and exercise, and monitor for potential intrapartum complications.

Delivery Planning:

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