NM704 exam 2 study guide questions with
verified answers 2025
admission to the hospital in the latent phase of labor may result in - Correct Ans-an
increased rate of intrapartum interventions
according to Friedman, active labor begins when the - Correct Ans-rate of dilation
changes abruptly
you are caring for michelle, G1Po in active labor. At 1600 her cervical exam is
7xm/100%/ 0 station. 2 hours later her VE reveals 8cm/100%/+1. according to
Friedman's criteria, her labor progress is - Correct Ans-protracted
same as above with michelle, but contemporary research says her labor progress is -
Correct Ans-normal 0.5cm/hr
what was the outcome for most women dx with a 2* arrest of dilation in F's research -
Correct Ans-vaginal birth without intervention
researchers have found the following maternal outcomes to be associated with a longer
duration of 2nd stage - Correct Ans-increased c-sec, increased operative vaginal birth,
and increased 3rd and 4th degree lacerations
nicki is G2P1001 in active labor. her cervical exam is 10cm.100%/0 station. she has no
urge to push. According to F, nicki is in: - Correct Ans-2nd stage - Friedman defines 2nd
stage based on cervical dilation alone.
same as above, but nicki begins to bear down with each ctx. and hour later she is
10/100/+2. according to F her labor progress is - Correct Ans-NORMAL, at least 2cm/hr
descent for a multip.
Diagnosis of false labor can only be made - Correct Ans-in retrospect, after ctx stop; it is
impossible to distinguish false labor from latent phase labor while it's occuring.
possible strategies used for coping with latent labor at home include - Correct Ans-cont
with normal activities during the day without overexertion; using distractions such as
shopping, walking, movies, games; resting at night even if unable to sleep
priorities in management of normal latent phase labor include - Correct Ans-
maintenance of nutrition and hydration, focus on rest, and sleep; support strategies to
increase comfort and enhance coping.
It is most appropriate to delay admission to the birth site for labor until a woman is in
active labor because early admission may increase: - Correct Ans-pitocin, c-sec,
epidural
, In a healthy woman with a term pregnancy in false/latent phase labor, the occurrence of
ketonuria is indicative of: - Correct Ans-inadequate nutrition
According to Friedman, prolonged latent phase labor is defined as: - Correct Ans-
greater than 20 hours in a nulliparous woman and more than 14 hours in a multiparous
woman.
Management of prolonged latent phase, when intervention is appropriate, includes
either augmentation of existing contractions or therapeutic rest, and is dependent on the
woman's emotional and physical condition. - Correct Ans-true
According to Friedman, active labor is defined as the point when - Correct Ans-the rate
of cervical dilatation increases sharply
according to F the first stage of labor - Correct Ans-begins with the onset of regular ctx
and ends with complete dilation of the cervix
contemp research shows that many women are not in active labor until - Correct Ans-5-
6cm dilation
first stage- latent phase (freidman) - Correct Ans-nullip <20 hours
multips <14hours
First stage - active phase (F) - Correct Ans-nullips: at least 1.2cm/hr
multips: at least 1.5cm/hr
second stage (F) - Correct Ans-nullips: 1cm/hr descent
multips: 2cm/hr descent
although descent may begin during the first stage of labor, protracted and arrested
descent can only be diagnosed - Correct Ans-in the second stage
length of labors; contemp research - Correct Ans-shows that labors are about TWICE
as long as what F proposed
contemp research proposed a rate of at least - Correct Ans-0.5cm/hr in the absence of
other problems as an alternative for normal progress
Zhang found the slowest yet normal dilation - Correct Ans-0.5-0.7/0.5-1.3cm/hr
(null/mult)
the consortium on safe labor data suggest - Correct Ans-protraction and arrest should
not be diagnosed before 6cm dilation
verified answers 2025
admission to the hospital in the latent phase of labor may result in - Correct Ans-an
increased rate of intrapartum interventions
according to Friedman, active labor begins when the - Correct Ans-rate of dilation
changes abruptly
you are caring for michelle, G1Po in active labor. At 1600 her cervical exam is
7xm/100%/ 0 station. 2 hours later her VE reveals 8cm/100%/+1. according to
Friedman's criteria, her labor progress is - Correct Ans-protracted
same as above with michelle, but contemporary research says her labor progress is -
Correct Ans-normal 0.5cm/hr
what was the outcome for most women dx with a 2* arrest of dilation in F's research -
Correct Ans-vaginal birth without intervention
researchers have found the following maternal outcomes to be associated with a longer
duration of 2nd stage - Correct Ans-increased c-sec, increased operative vaginal birth,
and increased 3rd and 4th degree lacerations
nicki is G2P1001 in active labor. her cervical exam is 10cm.100%/0 station. she has no
urge to push. According to F, nicki is in: - Correct Ans-2nd stage - Friedman defines 2nd
stage based on cervical dilation alone.
same as above, but nicki begins to bear down with each ctx. and hour later she is
10/100/+2. according to F her labor progress is - Correct Ans-NORMAL, at least 2cm/hr
descent for a multip.
Diagnosis of false labor can only be made - Correct Ans-in retrospect, after ctx stop; it is
impossible to distinguish false labor from latent phase labor while it's occuring.
possible strategies used for coping with latent labor at home include - Correct Ans-cont
with normal activities during the day without overexertion; using distractions such as
shopping, walking, movies, games; resting at night even if unable to sleep
priorities in management of normal latent phase labor include - Correct Ans-
maintenance of nutrition and hydration, focus on rest, and sleep; support strategies to
increase comfort and enhance coping.
It is most appropriate to delay admission to the birth site for labor until a woman is in
active labor because early admission may increase: - Correct Ans-pitocin, c-sec,
epidural
, In a healthy woman with a term pregnancy in false/latent phase labor, the occurrence of
ketonuria is indicative of: - Correct Ans-inadequate nutrition
According to Friedman, prolonged latent phase labor is defined as: - Correct Ans-
greater than 20 hours in a nulliparous woman and more than 14 hours in a multiparous
woman.
Management of prolonged latent phase, when intervention is appropriate, includes
either augmentation of existing contractions or therapeutic rest, and is dependent on the
woman's emotional and physical condition. - Correct Ans-true
According to Friedman, active labor is defined as the point when - Correct Ans-the rate
of cervical dilatation increases sharply
according to F the first stage of labor - Correct Ans-begins with the onset of regular ctx
and ends with complete dilation of the cervix
contemp research shows that many women are not in active labor until - Correct Ans-5-
6cm dilation
first stage- latent phase (freidman) - Correct Ans-nullip <20 hours
multips <14hours
First stage - active phase (F) - Correct Ans-nullips: at least 1.2cm/hr
multips: at least 1.5cm/hr
second stage (F) - Correct Ans-nullips: 1cm/hr descent
multips: 2cm/hr descent
although descent may begin during the first stage of labor, protracted and arrested
descent can only be diagnosed - Correct Ans-in the second stage
length of labors; contemp research - Correct Ans-shows that labors are about TWICE
as long as what F proposed
contemp research proposed a rate of at least - Correct Ans-0.5cm/hr in the absence of
other problems as an alternative for normal progress
Zhang found the slowest yet normal dilation - Correct Ans-0.5-0.7/0.5-1.3cm/hr
(null/mult)
the consortium on safe labor data suggest - Correct Ans-protraction and arrest should
not be diagnosed before 6cm dilation
