NM 704 Exam 2 QUESTIONS 100% Verified Questions &
Answers
Q: What is descent that is progressing more slowly (1 cm for nulliparous and 2 cm for multips)?
Answer:
Protracted descent
Q: What is no dilation in 2 hours?
Answer:
Secondary arrest of dilation
Q: What is arrest of descent?
Answer:
No descent in an hour
Q: According to Friedan, when does active phase of labor begin?
Answer:
When rate of progress increases
Q: According to Friedman, when does the second stage of labor begin?
Answer:
Complete dilation
Q: According to Friedman, when does the second stage of labor end?
Answer:
Birth of baby
Q: What did Friedman find with women who had protracted or arrested descents?
Answer:
52.5% still gave birth vaginally
Q: According to Friedman, what is the time limit for the latent phase for a nulliparous mother?
Answer:
Less than 20 hours
Q: According to Friedman, what is the time limit for the latent phase for a multiparous mother?
Answer:
Less than 14 hours
, Q: According to Friedman, what is the rate of dilation during active phase for a nulliparous mother?
Answer:
1.2 cm/hour
Q: According to Friedman, what is the rate of dilation during active phase for a multiparous mother?
Answer:
1.5 cm/hour
Q: What are some theories about why labor takes longer now than before?
Answer:
(1) bigger babies (2) greater BMIs
Q: When waiting for a longer labor progression, what was there no difference in?
Answer:
(1) PPH (2) PP fever (3) neonatal resuscitation (4) 5 min APGAR (5) neurological abnormalities
Q: What is increased labor a risk for?
Answer:
(1) Cesarean sections (2) increased 3-4th degree tears (3) increased instrumental delivery
Q: Per ACOG/SMFM, when should a cesarean section be performed for longer labor?
Answer:
(1) 4 hours of adequate labor and no change in dilation (2) 6 hours of adequate labor could not be achieved with use of
oxytocin
Q: What are indications for an induction of labor?
Answer:
(1) gHTN (2) preeclampsia/eclampsia (3) IUGR (4) cholestasis (5) DM (6) fetal demise (7) intra-amniotic infection (8)
intra-amniotic infection (9) oligo (10) nonreassuring fetal status
Q: When can an elective induction be scheduled?
Answer:
Before 39 weeks
Q: What are some reasons for an elective induction?
Answer:
(1) maternal or provider convenience (2) history of fast labors (3) relief of physiologic pregnancy discomforts (4)
avoidance of certain calendar dates or holidays (5) patient satisfaction
Q: What are some issues with the antidiuretic effect of oxytocin?
Answers
Q: What is descent that is progressing more slowly (1 cm for nulliparous and 2 cm for multips)?
Answer:
Protracted descent
Q: What is no dilation in 2 hours?
Answer:
Secondary arrest of dilation
Q: What is arrest of descent?
Answer:
No descent in an hour
Q: According to Friedan, when does active phase of labor begin?
Answer:
When rate of progress increases
Q: According to Friedman, when does the second stage of labor begin?
Answer:
Complete dilation
Q: According to Friedman, when does the second stage of labor end?
Answer:
Birth of baby
Q: What did Friedman find with women who had protracted or arrested descents?
Answer:
52.5% still gave birth vaginally
Q: According to Friedman, what is the time limit for the latent phase for a nulliparous mother?
Answer:
Less than 20 hours
Q: According to Friedman, what is the time limit for the latent phase for a multiparous mother?
Answer:
Less than 14 hours
, Q: According to Friedman, what is the rate of dilation during active phase for a nulliparous mother?
Answer:
1.2 cm/hour
Q: According to Friedman, what is the rate of dilation during active phase for a multiparous mother?
Answer:
1.5 cm/hour
Q: What are some theories about why labor takes longer now than before?
Answer:
(1) bigger babies (2) greater BMIs
Q: When waiting for a longer labor progression, what was there no difference in?
Answer:
(1) PPH (2) PP fever (3) neonatal resuscitation (4) 5 min APGAR (5) neurological abnormalities
Q: What is increased labor a risk for?
Answer:
(1) Cesarean sections (2) increased 3-4th degree tears (3) increased instrumental delivery
Q: Per ACOG/SMFM, when should a cesarean section be performed for longer labor?
Answer:
(1) 4 hours of adequate labor and no change in dilation (2) 6 hours of adequate labor could not be achieved with use of
oxytocin
Q: What are indications for an induction of labor?
Answer:
(1) gHTN (2) preeclampsia/eclampsia (3) IUGR (4) cholestasis (5) DM (6) fetal demise (7) intra-amniotic infection (8)
intra-amniotic infection (9) oligo (10) nonreassuring fetal status
Q: When can an elective induction be scheduled?
Answer:
Before 39 weeks
Q: What are some reasons for an elective induction?
Answer:
(1) maternal or provider convenience (2) history of fast labors (3) relief of physiologic pregnancy discomforts (4)
avoidance of certain calendar dates or holidays (5) patient satisfaction
Q: What are some issues with the antidiuretic effect of oxytocin?
