NM 704 Exam 3: Questions With A+ Solutions, Expert Verified

NM 704 Exam 3: Questions With A+ Solutions, Expert
Verified

Frequency of B/P, HR, RR in 1st stage Right Ans - - every 1 hr

Frequency of temp if normal & membranes intact Right Ans - - every 2-4
hrs

Frequency of temp if abnormal &/or ROM Right Ans - - every 1-2 hrs

ACOG continuous FHR during labor without complications -- 1st stage
Right Ans - - every 30 min

ACOG continuous FHR during labor without complications -- 2nd stage
Right Ans - - every 15 min

ACOG continuous FHR during labor with complications -- 1st stage Right
Ans - - every 15 min

ACOG continuous FHR during labor with complications -- 2nd stage Right
Ans - - every 5 min

ACOG intermittent FHR during labor without complications Right Ans - - no
recommendations

ACOG intermittent FHR during labor with complications -- 1st stage Right
Ans - - every 15 min

ACOG intermittent FHR during labor with complications -- 2nd stage Right
Ans - - every 5 min

ACNM FHR during active phase Right Ans - - every 15-30 min

ACNM FHR during 2nd stage Right Ans - - every 15 min

ACNM FHR during pushing Right Ans - - every 5 min

AWHONN FHR during active phase Right Ans - - every 15-30 min

, AWHONN FHR during 2nd stage Right Ans - - every 5-15 min

vag exams Right Ans - - previously completed every 2 hrs d/t Friedman's
arrest of labor if no change in 2 hrs
- every 1-2 hrs is NOT justified

vag exams not needed if Right Ans - - observing woman closely for outward
signs of labor

outward signs of labor Right Ans - - changes in behavior
- increase in bloody show
- urge to push

if showing NO outward signs of labor then Right Ans - - vag exams may be
necessary

vag exams & later part of active labor Right Ans - - labor progresses more
quickly during this time so may need more exams

vag exams & intervention Right Ans - - closely linked to if you need to
intervene d/t lack of progrss

Hx of withholding PO intake Right Ans - - thought to be d/t risk of
aspiration in case of intubation or anethesia

mendelson & PO intake Right Ans - - reported that during general
anesthesia there was increased risk of aspiration of stomach contents --> that
could lead to severe lung disease or death

OB anesthesia since mendelson Right Ans - - lots of changes
- women find PO restrictions unpleasant

encouraging PO intake during 1st stage Right Ans - - woman need energy
d/t increased cardiac output & work of resp & uterine muscles

encouraging PO intake during 2nd stage Right Ans - - work of pushing -->
increases demand for energy