NM704 Exam 3 - All Questions Answered With Expert
Insights
You admit a multip @ 39 wks in active labor is 4cm/90%/0 station. she asks
you to break her water. you should explain that routine amniotomy Right
Ans - - may increase risk of c/s
39 yo primip @ 41 wks in active labor has an unremarkable medical, surgical,
ob & prenatal hx. she is 7cm/100%/0 station & has had no meds. she has
progressed 3cms in the past 3 hrs. what is her best plan for PO intake Right
Ans - - diet as tolerated
Primip @ 40 wks in active labor has a UA that shows 3+ ketones. this indicates
Right Ans - - inadequate caloric intake
primip @ 40 wks in active labor is 7cm/100%/0 station. her UA shows 3+
ketones. What question is relevant Right Ans - - can she tolerate PO intake?
What is assoc with a reduced c/s rate Right Ans - - cont one-to-one labor
support
You admit a multip @ 40 wks in active labor. her temp is 101.9 this is most
likely cxed by: Right Ans - - infectious process
What med has the longest half-life & because of this the risk of resp
depression in the newborn for the longest time period: Right Ans - -
Demerol
s/e of epidural analgesia include Right Ans - - fever
- hypotension
- postdural puncture HA
- pruritus
- transient FHR decels
Use of epidural anesthesia is assoc with Right Ans - - increased rate of
operative vag births
, H2O immersion during labor is assoc with Right Ans - - dereased epidural
use
primip woman @ 40 wks in labor @ 3 pm --> she is 6cm/100%/-1 station. @
7pm --> she is 7cm/100/-1. she has no back pain. the anterior fontanel is
palpated in the right anterior portion of the pelvis Right Ans - - prolonged
labor & vag exam findings = posterior position of baby
Giving a woman in labor large amounts of IV fluids with dextrose is assoc with
Right Ans - - newborn jaundice & hypoglycemia
The traditional, biomedical definition of 2nd stage labor is Right Ans - -
time from complete dilation of cervix to birth of baby
The alternative or physiological definition of 2nd stage labor is Right Ans -
- time beginning with involuntary, expulsive efforts to birth of baby
Ferguson Reflex results in a surge of oxytocin --> that enhances contraction
strength & pushing effectiveness in 2nd stage labor (T/F) Right Ans - true
nearly all women feel the urge to push @ about the same time that their cervix
reaches complete dilation (T/F) Right Ans - false
by delaying pushing until a woman has an urge to push when she is complete
but does not yet have an urge to push --> ie allowing her to labor down -->
what are the benefits to maternal outcomes Right Ans - - less maternal
fatigue
- fewer operative vag deliveries
- less genital tract trauma
an evidence-based technique for perineal management during birth that
decreases or minimizes genital tract trauma is Right Ans - - working with
woman to facilitate a gentle, controlled birth of baby
daily prenatal perineal massage in the final wks of pregnancy has been shown
to reduce the risk of genital tract trauma (T/F) Right Ans - - true
AMTSL, according to the current ICM/FIGO joint statement (2003) includes
Right Ans - - administration of oxytocin right after baby is born
Insights
You admit a multip @ 39 wks in active labor is 4cm/90%/0 station. she asks
you to break her water. you should explain that routine amniotomy Right
Ans - - may increase risk of c/s
39 yo primip @ 41 wks in active labor has an unremarkable medical, surgical,
ob & prenatal hx. she is 7cm/100%/0 station & has had no meds. she has
progressed 3cms in the past 3 hrs. what is her best plan for PO intake Right
Ans - - diet as tolerated
Primip @ 40 wks in active labor has a UA that shows 3+ ketones. this indicates
Right Ans - - inadequate caloric intake
primip @ 40 wks in active labor is 7cm/100%/0 station. her UA shows 3+
ketones. What question is relevant Right Ans - - can she tolerate PO intake?
What is assoc with a reduced c/s rate Right Ans - - cont one-to-one labor
support
You admit a multip @ 40 wks in active labor. her temp is 101.9 this is most
likely cxed by: Right Ans - - infectious process
What med has the longest half-life & because of this the risk of resp
depression in the newborn for the longest time period: Right Ans - -
Demerol
s/e of epidural analgesia include Right Ans - - fever
- hypotension
- postdural puncture HA
- pruritus
- transient FHR decels
Use of epidural anesthesia is assoc with Right Ans - - increased rate of
operative vag births
, H2O immersion during labor is assoc with Right Ans - - dereased epidural
use
primip woman @ 40 wks in labor @ 3 pm --> she is 6cm/100%/-1 station. @
7pm --> she is 7cm/100/-1. she has no back pain. the anterior fontanel is
palpated in the right anterior portion of the pelvis Right Ans - - prolonged
labor & vag exam findings = posterior position of baby
Giving a woman in labor large amounts of IV fluids with dextrose is assoc with
Right Ans - - newborn jaundice & hypoglycemia
The traditional, biomedical definition of 2nd stage labor is Right Ans - -
time from complete dilation of cervix to birth of baby
The alternative or physiological definition of 2nd stage labor is Right Ans -
- time beginning with involuntary, expulsive efforts to birth of baby
Ferguson Reflex results in a surge of oxytocin --> that enhances contraction
strength & pushing effectiveness in 2nd stage labor (T/F) Right Ans - true
nearly all women feel the urge to push @ about the same time that their cervix
reaches complete dilation (T/F) Right Ans - false
by delaying pushing until a woman has an urge to push when she is complete
but does not yet have an urge to push --> ie allowing her to labor down -->
what are the benefits to maternal outcomes Right Ans - - less maternal
fatigue
- fewer operative vag deliveries
- less genital tract trauma
an evidence-based technique for perineal management during birth that
decreases or minimizes genital tract trauma is Right Ans - - working with
woman to facilitate a gentle, controlled birth of baby
daily prenatal perineal massage in the final wks of pregnancy has been shown
to reduce the risk of genital tract trauma (T/F) Right Ans - - true
AMTSL, according to the current ICM/FIGO joint statement (2003) includes
Right Ans - - administration of oxytocin right after baby is born
