NM 704 Exam 3 Questions With Complete Solutions
A mother has an intrapartum fever following an epidural
placement, what is the reasoning behind this? Correct Answers
May block some thermoregulation to decrease heat
A temperature increase of what may be normal during labor as
there is an increase in metabolism? Correct Answers 1-2
degrees Farenheit
A urine dipstick with 3+ ketones indicates what? Correct
Answers Inadequate caloric intake
According to Varney's, how often should you assess BP during
second stage of labor? Correct Answers Q15min
Active management of labor according to ICM/FIGO includes
what? Correct Answers (1) administration of oxytocin after the
baby is born (2) controlled cord traction (3) uterine massage
after the placenta is expelled
Are IV fluids appropriate with normal labor and birth care for
women with no risks? No Correct Answers
Aside from vaginal exams, what can help determine the
progression of labor? Correct Answers (1) behavior (2)
contraction pattern (3) s/s of transition into 2nd stage (4) change
of location of back pain (5) change in location of maximum
intensity of FHT
,Controlled cord traction is an _________ maneuver. Correct
Answers AMTSL
Delaying pushing until the woman feels an urge to push can
result in what positive outcomes? Correct Answers (1) less
maternal fatigue (2) fewer operative vaginal deliveries (3) less
genital tract trauma
Do birth centers or hospitals have lower rates of tears? Correct
Answers Birth centers
Does a prolonged second stage of labor lead to more neonatal
problems? Correct Answers No
Does ACOG support the use of water birth during the second
stage of labor? Correct Answers No
Does NPO result in an empty stomach? Correct Answers No
Does routine early amniotomy shorten labor? Correct Answers
No
For a higher risk pregnancy, how often does ACOG recommend
fetal heart rate in the first stage? Correct Answers Every 15
minutes
For a higher risk pregnancy, how often does ACOG recommend
fetal heart rate in the second stage? Correct Answers Every 5
minutes
, For a higher risk pregnancy, how often should you monitor FHR
during the first stage? Correct Answers Every 15 minutes
For a higher risk pregnancy, how often should you monitor FHR
during the second stage? Correct Answers Every 5 minutes
For low risk pregnancy, how often should you monitor FHR
during first stage? Correct Answers Every 30 minutes
For low risk pregnancy, how often should you monitor FHR
during the second stage? Correct Answers Every 5-15 minutes
Given a women large amount of fluid containing dextrose is
associated with what neonatal adverse effects? Correct Answers
(1) fetal lactic acidosis (2) newborn jaundice (3) hypoglycemia
Had daily prenatal massage in the final weeks of pregnancy been
shown to reduce the risk of genital tract trauma? Correct
Answers Yes
How does the epidural block pain? Correct Answers
Medication in epidural space helps to block the impulses in the
sensory and motor nerves in contact with the drug
How does the uterus change during placental separation?
Correct Answers Discoid to globular
How long does the 3rd stage of labor usually last? Correct
Answers Between 5-30 minutes
A mother has an intrapartum fever following an epidural
placement, what is the reasoning behind this? Correct Answers
May block some thermoregulation to decrease heat
A temperature increase of what may be normal during labor as
there is an increase in metabolism? Correct Answers 1-2
degrees Farenheit
A urine dipstick with 3+ ketones indicates what? Correct
Answers Inadequate caloric intake
According to Varney's, how often should you assess BP during
second stage of labor? Correct Answers Q15min
Active management of labor according to ICM/FIGO includes
what? Correct Answers (1) administration of oxytocin after the
baby is born (2) controlled cord traction (3) uterine massage
after the placenta is expelled
Are IV fluids appropriate with normal labor and birth care for
women with no risks? No Correct Answers
Aside from vaginal exams, what can help determine the
progression of labor? Correct Answers (1) behavior (2)
contraction pattern (3) s/s of transition into 2nd stage (4) change
of location of back pain (5) change in location of maximum
intensity of FHT
,Controlled cord traction is an _________ maneuver. Correct
Answers AMTSL
Delaying pushing until the woman feels an urge to push can
result in what positive outcomes? Correct Answers (1) less
maternal fatigue (2) fewer operative vaginal deliveries (3) less
genital tract trauma
Do birth centers or hospitals have lower rates of tears? Correct
Answers Birth centers
Does a prolonged second stage of labor lead to more neonatal
problems? Correct Answers No
Does ACOG support the use of water birth during the second
stage of labor? Correct Answers No
Does NPO result in an empty stomach? Correct Answers No
Does routine early amniotomy shorten labor? Correct Answers
No
For a higher risk pregnancy, how often does ACOG recommend
fetal heart rate in the first stage? Correct Answers Every 15
minutes
For a higher risk pregnancy, how often does ACOG recommend
fetal heart rate in the second stage? Correct Answers Every 5
minutes
, For a higher risk pregnancy, how often should you monitor FHR
during the first stage? Correct Answers Every 15 minutes
For a higher risk pregnancy, how often should you monitor FHR
during the second stage? Correct Answers Every 5 minutes
For low risk pregnancy, how often should you monitor FHR
during first stage? Correct Answers Every 30 minutes
For low risk pregnancy, how often should you monitor FHR
during the second stage? Correct Answers Every 5-15 minutes
Given a women large amount of fluid containing dextrose is
associated with what neonatal adverse effects? Correct Answers
(1) fetal lactic acidosis (2) newborn jaundice (3) hypoglycemia
Had daily prenatal massage in the final weeks of pregnancy been
shown to reduce the risk of genital tract trauma? Correct
Answers Yes
How does the epidural block pain? Correct Answers
Medication in epidural space helps to block the impulses in the
sensory and motor nerves in contact with the drug
How does the uterus change during placental separation?
Correct Answers Discoid to globular
How long does the 3rd stage of labor usually last? Correct
Answers Between 5-30 minutes
