High-Risk Obstetrics: Fetal Heart Tracings (FHTs) and Addressing Fetal Compromise, through a series of screen-based clinical decision simulations, describes the steps to be taken for Category III fetal heart rate patterns in late second stage labor, the importance of anticipating the need for emergency interventions when clinically indicated, the elements of informed consent, the risk factors associated with placental abruption, and the means to address findings for which there may be more than one interpretation and differing risks for injury.