1|Page
NM 704 EXAM 3 AND PRACTICE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
What can a distended bladder interrupt during labor? -
ANSWER-impede the progress of labor by preventing fetal
descent as well as increasing the discomfort and pain in the
lower abdomen
empty bladder at least every 2 hours during the active phase of
the first stage of labor
Frequency of FHR in the first stage of labor - ANSWER-q15-30
mins (ACNM/AWHONN)
q30 (ACOG)
Frequency of FHR in the second stage of labor for ACOG and
AWHONN - ANSWER-q15 mins (ACOG)
q5-15min (AWHONN)
Frequency of FHR in the second stage of labor for ACNM -
ANSWER-q15min and q5min when pushing
,2|Page
What occurs hemodynamically during labor? - ANSWER-blood
volume increases 40-50%, increased in blood volume, Cardiac
output increases by 10-15% in the first stage of labor and 50%
in the second stage of labor due to increased stroke volume. BP
and HR increases during contractions and decreases between
contractions
What occurs with the respiratory rate during labor? - ANSWER-
higher requirement for oxygen during labor and decreased total
lung capacity. oxygen consumption increases during uterine
contractions, inbetween contractions it allows for reperfusion
and restoration of oxygen to the myometrium. faliure to restore
causes lactic acid buildup and ischemic pain contributing to
uterine pain during labor
What occurs hematologically during labor? - ANSWER-
coagulation factors are enhanced during labor and promote
rapid hemostasis after placental separation.
Peak in WBC does not indicate infection
What happens to the GI system during labor? - ANSWER-loose
stools can occur prior to labor and promote prostaglandin
,3|Page
release, during labor GI motility is delayed, there is increased
intra-abdominal pressure which can cause N/V during the final
stages of cervical dilation. Hemorrhoids can develop due to
pushing and pressure of the fetal presenting part
What occurs with pain and physiological response in labor? -
ANSWER-anxiety and fear increase pain as well as previous
experience
use interventions like massage to interrupt pain pathway,
cognitive straities like distraction and relaxation
What is there to know about vaginal exams in labor? - ANSWER-
exams every 1-2 hours are not justifiable, observe outward
signs for labor progress such as changes in behavior, increase in
bloody show, or an urge to push
vaginal exams should be done only if the outcome will change
your management
Food intake and labor - ANSWER-poor nutrition during labor
can be associated with longer labor and increase pain in labor
patient can eat and drink as tolerated (clear liquids, light food,
drink fluids low in acid, sugar and salt)
, 4|Page
When should IV access and/or IV fluids - ANSWER--tolerate oral
fluids or no
-necessary for epidural anesthesia and some antibiotics, pain
meds, oxytocin
-saline lock may be beneficial for a birthing person at moderate
or high risk of PPH to allow for rapid use of IV uterotonics
during and after the third stage of labor
Potential hazard to the newborn of giving dextrose containing
intravenous hydration to laboring people - ANSWER-in large
doses IV dextrose can cause fetal lactic acidosis, newborn
jaundice and hypoglycemia
Indications for amniotomy - ANSWER-Labor induction alone or
with oxytocin
Contraindications to amniotomy - ANSWER-presence of HIV
known vasa previa-blood vessels on membrane
history of uterine rupture
NM 704 EXAM 3 AND PRACTICE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
What can a distended bladder interrupt during labor? -
ANSWER-impede the progress of labor by preventing fetal
descent as well as increasing the discomfort and pain in the
lower abdomen
empty bladder at least every 2 hours during the active phase of
the first stage of labor
Frequency of FHR in the first stage of labor - ANSWER-q15-30
mins (ACNM/AWHONN)
q30 (ACOG)
Frequency of FHR in the second stage of labor for ACOG and
AWHONN - ANSWER-q15 mins (ACOG)
q5-15min (AWHONN)
Frequency of FHR in the second stage of labor for ACNM -
ANSWER-q15min and q5min when pushing
,2|Page
What occurs hemodynamically during labor? - ANSWER-blood
volume increases 40-50%, increased in blood volume, Cardiac
output increases by 10-15% in the first stage of labor and 50%
in the second stage of labor due to increased stroke volume. BP
and HR increases during contractions and decreases between
contractions
What occurs with the respiratory rate during labor? - ANSWER-
higher requirement for oxygen during labor and decreased total
lung capacity. oxygen consumption increases during uterine
contractions, inbetween contractions it allows for reperfusion
and restoration of oxygen to the myometrium. faliure to restore
causes lactic acid buildup and ischemic pain contributing to
uterine pain during labor
What occurs hematologically during labor? - ANSWER-
coagulation factors are enhanced during labor and promote
rapid hemostasis after placental separation.
Peak in WBC does not indicate infection
What happens to the GI system during labor? - ANSWER-loose
stools can occur prior to labor and promote prostaglandin
,3|Page
release, during labor GI motility is delayed, there is increased
intra-abdominal pressure which can cause N/V during the final
stages of cervical dilation. Hemorrhoids can develop due to
pushing and pressure of the fetal presenting part
What occurs with pain and physiological response in labor? -
ANSWER-anxiety and fear increase pain as well as previous
experience
use interventions like massage to interrupt pain pathway,
cognitive straities like distraction and relaxation
What is there to know about vaginal exams in labor? - ANSWER-
exams every 1-2 hours are not justifiable, observe outward
signs for labor progress such as changes in behavior, increase in
bloody show, or an urge to push
vaginal exams should be done only if the outcome will change
your management
Food intake and labor - ANSWER-poor nutrition during labor
can be associated with longer labor and increase pain in labor
patient can eat and drink as tolerated (clear liquids, light food,
drink fluids low in acid, sugar and salt)
, 4|Page
When should IV access and/or IV fluids - ANSWER--tolerate oral
fluids or no
-necessary for epidural anesthesia and some antibiotics, pain
meds, oxytocin
-saline lock may be beneficial for a birthing person at moderate
or high risk of PPH to allow for rapid use of IV uterotonics
during and after the third stage of labor
Potential hazard to the newborn of giving dextrose containing
intravenous hydration to laboring people - ANSWER-in large
doses IV dextrose can cause fetal lactic acidosis, newborn
jaundice and hypoglycemia
Indications for amniotomy - ANSWER-Labor induction alone or
with oxytocin
Contraindications to amniotomy - ANSWER-presence of HIV
known vasa previa-blood vessels on membrane
history of uterine rupture
