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NM 704 FINAL EXAM LATEST 2026/2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| |JUST OUT!!!
An evidence-based technique for perineal management
during birth that decreases or minimizes genital tract
trauma is: - ANSWER-working with the woman to facilitate
a gentle, controlled birth of the baby.
Prenatal perineal massage in the final weeks of pregnancy
has been shown to reduce the risk of genital tract trauma
in which cohort of birthing women? - ANSWER-
Nulliparous
Define the third stage of labor. - ANSWER-The period
following the birth of the newborn to the delivery of the
placenta
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What are the physiologic tasks of the third stage of labor?
- ANSWER-1.)Placental separation: a result of the abrupt
decrease of uterine cavity size following birth.
2.)Placental expulsion: Occurs by 2 mechanisms (Schultz
or Duncan)
Schultz: (MOST COMMON) Placenta separate centrally
and fetal side exits first. (shiny)
Duncan: Placenta exits marginally and maternal side exits
first (dark)
What is expectant management of the third stage of labor?
- ANSWER-Expectant (or physiologic) management of
third stage labor is an approach to third stage that entails:
1. watchful waiting and observation,
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2. attention to the normal and spontaneous physiological
process of third stage
3. support for the birthing person throughout the process.
It is important to note that this is a non-pharmacological
approach to third stage and it requires no intervention on
the part of the midwife. That said, the midwife is vigilant in
approaching third stage when using expectant
management.
What is the fourth stage of labor? - ANSWER-The first PP
hour after delivery
What are the physiologic tasks of the fourth stage of
labor? - ANSWER-parent-infant bonding
What are the components and understand the findings of
a birthing person's evaluation during the fourth stage of
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labor? - ANSWER-VS, Bleeding and Uterus - check every
5-15min
Bladder - check immediately after 3rd stage and 30 min
after (may need catheterization if they had an epidural)
Perineum - Inspect for bruising, laceration or early
hematoma immediately after 3rd stage
Know the actions, indications, side effects of and
contraindications for the following medications as used
during uncomplicated third and fourth stages of labor:
Oxytocin (Pitocin®)
Methylergonomine maleate (Methergine®) or ergonovine
maleate (Ergotrate®). - ANSWER-Methergine causes
sustained uterine contraction while oxytocin causes
rhythmic uterine contractions.
Oxytocin is FIRST LINE therapy for PPH (S/E:
Cramp/Hyponatremia)
NM 704 FINAL EXAM LATEST 2026/2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| |JUST OUT!!!
An evidence-based technique for perineal management
during birth that decreases or minimizes genital tract
trauma is: - ANSWER-working with the woman to facilitate
a gentle, controlled birth of the baby.
Prenatal perineal massage in the final weeks of pregnancy
has been shown to reduce the risk of genital tract trauma
in which cohort of birthing women? - ANSWER-
Nulliparous
Define the third stage of labor. - ANSWER-The period
following the birth of the newborn to the delivery of the
placenta
,2|Page
What are the physiologic tasks of the third stage of labor?
- ANSWER-1.)Placental separation: a result of the abrupt
decrease of uterine cavity size following birth.
2.)Placental expulsion: Occurs by 2 mechanisms (Schultz
or Duncan)
Schultz: (MOST COMMON) Placenta separate centrally
and fetal side exits first. (shiny)
Duncan: Placenta exits marginally and maternal side exits
first (dark)
What is expectant management of the third stage of labor?
- ANSWER-Expectant (or physiologic) management of
third stage labor is an approach to third stage that entails:
1. watchful waiting and observation,
,3|Page
2. attention to the normal and spontaneous physiological
process of third stage
3. support for the birthing person throughout the process.
It is important to note that this is a non-pharmacological
approach to third stage and it requires no intervention on
the part of the midwife. That said, the midwife is vigilant in
approaching third stage when using expectant
management.
What is the fourth stage of labor? - ANSWER-The first PP
hour after delivery
What are the physiologic tasks of the fourth stage of
labor? - ANSWER-parent-infant bonding
What are the components and understand the findings of
a birthing person's evaluation during the fourth stage of
, 4|Page
labor? - ANSWER-VS, Bleeding and Uterus - check every
5-15min
Bladder - check immediately after 3rd stage and 30 min
after (may need catheterization if they had an epidural)
Perineum - Inspect for bruising, laceration or early
hematoma immediately after 3rd stage
Know the actions, indications, side effects of and
contraindications for the following medications as used
during uncomplicated third and fourth stages of labor:
Oxytocin (Pitocin®)
Methylergonomine maleate (Methergine®) or ergonovine
maleate (Ergotrate®). - ANSWER-Methergine causes
sustained uterine contraction while oxytocin causes
rhythmic uterine contractions.
Oxytocin is FIRST LINE therapy for PPH (S/E:
Cramp/Hyponatremia)
