NM 704 Exam 1 questions and answers
What does is management of intermittent FHR category II? ✔✔(1) position change
(2) hydrations (3) correlation of hypotension (4) hyperstimulation
What should you do in intermittent FHR category II does not resolve? ✔✔Transfer
to EFM for further evaluation
What is considered category II for intermittent FHR? ✔✔(1) irregular rhythm (2)
presence of FHR decreases or decelerations from baseline (3) tachycardia (4)
bradycardia
What is the most common position at engagement? ✔✔LOA
What is it when the posterior parietal bone descends first and the sagittal suture
is closest to the symphysis pubis? ✔✔Posterior asynclitic
What is it when the anterior parietal bone descends first and the sagittal suture is
closest to the sacrum? ✔✔Anterior asynclitic
What fetal presentation has the longest AP diameter? ✔✔Brow
What fetal presentation has the shortest AP diameter? ✔✔Flexion
,What are the 5 bones of the fetal skull? ✔✔(1) 2 parietal (2) 2 frontal (3) 1
occipital
What is BPD? ✔✔Ear to ear
What are examples of cephalic presentation? ✔✔(1) vertex (2) sinciput (3) brow
(4) face
What are examples of breech presentation? ✔✔(1) footing (2) frank
What is the relationship of the long axis of the fetus to the long axis of the
mother? ✔✔Fetal lie
What are 2 parts of the gravid uterus? ✔✔(1) fundus (2) isthmus
What are 3 components of shared decision making? ✔✔(1) incorporating
preferences and values (2) collaboration (3) providing information
To ascertain the fetal position via vaginal exam, the ________ is identified then
used to locate the fontanelle in the anterior portion of the pelvis. ✔✔Sagittal
suture
, Where is the sagittal suture of the fetal head? ✔✔Lies between the parietal bones
How do you determine the attitude of the fetus? ✔✔Identify the cephalic
prominence
How do you determine the station of the fetus? ✔✔Palpate the ischial spines
What are two ways to determine engagement? ✔✔(1) lowest level of the
presenting pat has reached the ischial spines (2) biparietal diameter has reached
the inlet (can't feel with vaginal exam)
Restitution occurs as a result of the: ✔✔untwisting of the neck after birth of the
head
What does flexion of the fetal head during labor result in? ✔✔the presentation of
the smaller diameterWhat are the 3 functions of the bony pelvis? ✔✔(1)
attachment site and support for pelvic organs (2) site of attachment and
articulation to the lower limbs (3) supports the weight of the upper trunk and
distributes to lower extremities
What nerve innervates the perineum? ✔✔Pudenal nerve
What pelvis includes the iliac fossa and the iliac crest, and has little obstetric
significance? ✔✔False pelvis
What does is management of intermittent FHR category II? ✔✔(1) position change
(2) hydrations (3) correlation of hypotension (4) hyperstimulation
What should you do in intermittent FHR category II does not resolve? ✔✔Transfer
to EFM for further evaluation
What is considered category II for intermittent FHR? ✔✔(1) irregular rhythm (2)
presence of FHR decreases or decelerations from baseline (3) tachycardia (4)
bradycardia
What is the most common position at engagement? ✔✔LOA
What is it when the posterior parietal bone descends first and the sagittal suture
is closest to the symphysis pubis? ✔✔Posterior asynclitic
What is it when the anterior parietal bone descends first and the sagittal suture is
closest to the sacrum? ✔✔Anterior asynclitic
What fetal presentation has the longest AP diameter? ✔✔Brow
What fetal presentation has the shortest AP diameter? ✔✔Flexion
,What are the 5 bones of the fetal skull? ✔✔(1) 2 parietal (2) 2 frontal (3) 1
occipital
What is BPD? ✔✔Ear to ear
What are examples of cephalic presentation? ✔✔(1) vertex (2) sinciput (3) brow
(4) face
What are examples of breech presentation? ✔✔(1) footing (2) frank
What is the relationship of the long axis of the fetus to the long axis of the
mother? ✔✔Fetal lie
What are 2 parts of the gravid uterus? ✔✔(1) fundus (2) isthmus
What are 3 components of shared decision making? ✔✔(1) incorporating
preferences and values (2) collaboration (3) providing information
To ascertain the fetal position via vaginal exam, the ________ is identified then
used to locate the fontanelle in the anterior portion of the pelvis. ✔✔Sagittal
suture
, Where is the sagittal suture of the fetal head? ✔✔Lies between the parietal bones
How do you determine the attitude of the fetus? ✔✔Identify the cephalic
prominence
How do you determine the station of the fetus? ✔✔Palpate the ischial spines
What are two ways to determine engagement? ✔✔(1) lowest level of the
presenting pat has reached the ischial spines (2) biparietal diameter has reached
the inlet (can't feel with vaginal exam)
Restitution occurs as a result of the: ✔✔untwisting of the neck after birth of the
head
What does flexion of the fetal head during labor result in? ✔✔the presentation of
the smaller diameterWhat are the 3 functions of the bony pelvis? ✔✔(1)
attachment site and support for pelvic organs (2) site of attachment and
articulation to the lower limbs (3) supports the weight of the upper trunk and
distributes to lower extremities
What nerve innervates the perineum? ✔✔Pudenal nerve
What pelvis includes the iliac fossa and the iliac crest, and has little obstetric
significance? ✔✔False pelvis
