NM 704 Exam 3 questions and answers
What is the primary focus of routine management techniques during the 3rd stage
of labor? ✔✔Prevent postpartum hemorrhage
How long does the 3rd stage of labor usually last? ✔✔Between 5-30 minutes
What are the 2 sequential phases of the physiology of 3rd stage of labor? ✔✔(1)
placenta separation (2) placenta expulsion
What is central separation of the placenta? ✔✔Shultz
What is the peripheral separation of the placenta? ✔✔Duncan
How does the uterus change during placental separation? ✔✔Discoid to globular
What are the stages of placental expulsion? ✔✔(1) begins with placental descent
into lower uterine segment (2) then placenta descends into vaginal vault (3)
placental finally emerges
What is the first hour following the expulsion of the placenta, critical or
physiological and emotional/psychological adaptation following birth? ✔✔4th
stage of labor
,What is important to evaluate in the fourth stage of labor? ✔✔(1) VS (2) fundus
(3) bleeding (4) bladder (5) perineum (6) oral intake (7) comfort measures
What in the literature refers to what is essentially failed expectant management,
and has the worst outcomes of the 3 groups? ✔✔Mixed management
What occurs among 0.5% to 1% of neonates. Two-vessel cords are associated with
GI, GU, and CV abnormalities? ✔✔Two-vessel cord
What is associated with more the 75 cm, associated with knots and fetal
entanglement, as well as increased amniotic fluid and fetal activity? ✔✔Long cord
What is less than 32 cm, associated with disorders that limit fetal movement, such
as neuromuscular disorders, fetal limb dysfunction, and Downs syndrome. are
associated with fetal heart rate abnormalities in labor as a result of traction on
cord with fetal descent. ✔✔Short cord
When physiological first and second stages of labor occur, physiologic third stage
of labor result in what? ✔✔Comparable total blood loss and rates of PPH as
AMSTL
Is hospital-based research generalized to other birth settings? ✔✔No
, What are risk factors for PPH? ✔✔(1) history of PPH (2) abnormalities of uterine
anatomy, placenta, coagulation (3) over distended uterus (4) grand multiparity (5)
AP or IP hemorrhage (6) anemia (7) obstetric and anesthesia interventions (8)
uterine muscle exhaustion (9) intra-amniotic infection (10) hyptonic uterus due to
medication
What do you use when making a decision for postpartum hemorrhage?
✔✔Shared-decision making
If given oxytocin after the placenta is out, is it AMTSL? ✔✔No (prophylactically
during 4th stage)
What are signs of systemic toxicity of lidocaine? ✔✔(1) light-headedness (2)
dizziness (3) tinnitus (4) abnormal taste (5) facial tingling (6) circumoral numbness
(7) confusion
What are severe signs of systemic toxicity of lidocaine? ✔✔(1) loss of
consciousness (2) bradycardia (3) cardiac arrest (4) seizures
Active management of labor according to ICM/FIGO includes what? ✔✔(1)
administration of oxytocin after the baby is born (2) controlled cord traction (3)
uterine massage after the placenta is expelled
Controlled cord traction is an _________ maneuver. ✔✔AMTSL
What is the primary focus of routine management techniques during the 3rd stage
of labor? ✔✔Prevent postpartum hemorrhage
How long does the 3rd stage of labor usually last? ✔✔Between 5-30 minutes
What are the 2 sequential phases of the physiology of 3rd stage of labor? ✔✔(1)
placenta separation (2) placenta expulsion
What is central separation of the placenta? ✔✔Shultz
What is the peripheral separation of the placenta? ✔✔Duncan
How does the uterus change during placental separation? ✔✔Discoid to globular
What are the stages of placental expulsion? ✔✔(1) begins with placental descent
into lower uterine segment (2) then placenta descends into vaginal vault (3)
placental finally emerges
What is the first hour following the expulsion of the placenta, critical or
physiological and emotional/psychological adaptation following birth? ✔✔4th
stage of labor
,What is important to evaluate in the fourth stage of labor? ✔✔(1) VS (2) fundus
(3) bleeding (4) bladder (5) perineum (6) oral intake (7) comfort measures
What in the literature refers to what is essentially failed expectant management,
and has the worst outcomes of the 3 groups? ✔✔Mixed management
What occurs among 0.5% to 1% of neonates. Two-vessel cords are associated with
GI, GU, and CV abnormalities? ✔✔Two-vessel cord
What is associated with more the 75 cm, associated with knots and fetal
entanglement, as well as increased amniotic fluid and fetal activity? ✔✔Long cord
What is less than 32 cm, associated with disorders that limit fetal movement, such
as neuromuscular disorders, fetal limb dysfunction, and Downs syndrome. are
associated with fetal heart rate abnormalities in labor as a result of traction on
cord with fetal descent. ✔✔Short cord
When physiological first and second stages of labor occur, physiologic third stage
of labor result in what? ✔✔Comparable total blood loss and rates of PPH as
AMSTL
Is hospital-based research generalized to other birth settings? ✔✔No
, What are risk factors for PPH? ✔✔(1) history of PPH (2) abnormalities of uterine
anatomy, placenta, coagulation (3) over distended uterus (4) grand multiparity (5)
AP or IP hemorrhage (6) anemia (7) obstetric and anesthesia interventions (8)
uterine muscle exhaustion (9) intra-amniotic infection (10) hyptonic uterus due to
medication
What do you use when making a decision for postpartum hemorrhage?
✔✔Shared-decision making
If given oxytocin after the placenta is out, is it AMTSL? ✔✔No (prophylactically
during 4th stage)
What are signs of systemic toxicity of lidocaine? ✔✔(1) light-headedness (2)
dizziness (3) tinnitus (4) abnormal taste (5) facial tingling (6) circumoral numbness
(7) confusion
What are severe signs of systemic toxicity of lidocaine? ✔✔(1) loss of
consciousness (2) bradycardia (3) cardiac arrest (4) seizures
Active management of labor according to ICM/FIGO includes what? ✔✔(1)
administration of oxytocin after the baby is born (2) controlled cord traction (3)
uterine massage after the placenta is expelled
Controlled cord traction is an _________ maneuver. ✔✔AMTSL
