NM717 INTRAPARTUM COMPREHENSIVE EXAM
2026 QUESTIONS AND ANSWERS GRADED A+
◉ Pre-term prelabor rupture of membranes? Answer: PPROM
◉ Risks following ROM? Answer: (1) infection (2) preterm birth (3)
prolapsed course
◉ What can cause false positive with fern? Answer: (1) cervical
mucus (2) semen
◉ After ROM, do not perform a digital vaginal/cervical examination
unless what? Answer: Active labor present
◉ Subjective signs for ROM? Answer: (1) large gush (2) slow trickle
◉ Should you rely on just one test for SROM? Answer: No
◉ False positive for nitrazine test? Answer: (1) blood (2) semen (3)
urine (4) BV (5) trich
,◉ False negative for nitrazine test? Answer: Not enough amniotic
fluid present
◉ How long to let fern slide dry? Answer: 10 minutes
◉ Usually in the LOT position if engagement occurs during labor
with rotation to LOA? Answer: Descent
◉ Vertex begins partially flexed; is completely flexed when reaches
pelvic floor, changing presenting diameter to suboccipitobregmatic
of 9.5 cm? Answer: Flexion
◉ Rotation of 45 degrees to OA allow the head to maximize the AP
diameter of gynecoid pelvis? Answer: Internal rotation
◉ Fulcrum of the neck under the symphysis pubis allows head birth?
Answer: Extension
◉ Vertex rotates 45 degrees as the shoulders begin entering the AP
diameter? Answer: Restitution
◉ As head rotates another 45 degrees, shoulders complete the
remainder of the rotation to allow delivery in direct AP diameter?
Answer: External rotation
, ◉ How often should BP of low risk women be checked during
second stage of labor? Answer: Every 15 minutes
◉ A visually apparent, symmetrical, gradual decrease and return of
the FHR, delayed in its onset relative to the onset of a uterine
contraction with the FHR nadir occurring after the peak of the ctx,
and with its return typically occurring after the end of the ctx?
Answer: Late deceleration
◉ The mean FHR rounded to increments of 5 beats per minute
during a 10 minute segment, excluding periodic or episodic
changes? Answer: Baseline
◉ A visually apparent abrupt increase in the FHR with a peak of 15
beats per minute or more above baseline and a duration of 15
seconds or more? Answer: Acceleration
◉ A visually apparent decrease in the FHR at least 15 BPM below the
baseline, that continue for at least 2 minutes but less than 10
minutes? Answer: Prolonged deceleration
◉ What is best choice for fetal assessment? Answer: Either
continuous or intermittent
2026 QUESTIONS AND ANSWERS GRADED A+
◉ Pre-term prelabor rupture of membranes? Answer: PPROM
◉ Risks following ROM? Answer: (1) infection (2) preterm birth (3)
prolapsed course
◉ What can cause false positive with fern? Answer: (1) cervical
mucus (2) semen
◉ After ROM, do not perform a digital vaginal/cervical examination
unless what? Answer: Active labor present
◉ Subjective signs for ROM? Answer: (1) large gush (2) slow trickle
◉ Should you rely on just one test for SROM? Answer: No
◉ False positive for nitrazine test? Answer: (1) blood (2) semen (3)
urine (4) BV (5) trich
,◉ False negative for nitrazine test? Answer: Not enough amniotic
fluid present
◉ How long to let fern slide dry? Answer: 10 minutes
◉ Usually in the LOT position if engagement occurs during labor
with rotation to LOA? Answer: Descent
◉ Vertex begins partially flexed; is completely flexed when reaches
pelvic floor, changing presenting diameter to suboccipitobregmatic
of 9.5 cm? Answer: Flexion
◉ Rotation of 45 degrees to OA allow the head to maximize the AP
diameter of gynecoid pelvis? Answer: Internal rotation
◉ Fulcrum of the neck under the symphysis pubis allows head birth?
Answer: Extension
◉ Vertex rotates 45 degrees as the shoulders begin entering the AP
diameter? Answer: Restitution
◉ As head rotates another 45 degrees, shoulders complete the
remainder of the rotation to allow delivery in direct AP diameter?
Answer: External rotation
, ◉ How often should BP of low risk women be checked during
second stage of labor? Answer: Every 15 minutes
◉ A visually apparent, symmetrical, gradual decrease and return of
the FHR, delayed in its onset relative to the onset of a uterine
contraction with the FHR nadir occurring after the peak of the ctx,
and with its return typically occurring after the end of the ctx?
Answer: Late deceleration
◉ The mean FHR rounded to increments of 5 beats per minute
during a 10 minute segment, excluding periodic or episodic
changes? Answer: Baseline
◉ A visually apparent abrupt increase in the FHR with a peak of 15
beats per minute or more above baseline and a duration of 15
seconds or more? Answer: Acceleration
◉ A visually apparent decrease in the FHR at least 15 BPM below the
baseline, that continue for at least 2 minutes but less than 10
minutes? Answer: Prolonged deceleration
◉ What is best choice for fetal assessment? Answer: Either
continuous or intermittent
