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NM704 EXAM 2| | QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED

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NM704 EXAM 2| | QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED

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NM704 EXAM 2| | QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100%
VERIFIED



vaginal cervidil vs oral miso oral miso less likely to have c-sec and works better in obese



actions and physiological effects of prostaglandins ability to cause contraction or relaxation
of smooth muscle

prostaglandin receptors are always present in myometrial tissue

1* AE - tachysystole



controversies about cytotec concerns about risk of uterine rupture; warning against off-label
use



other methods of labor induction and cervical ripening membrane stripping

amniotomy

nipple stimulation



analyze the impact of elective induction on rates of inductions and on risk of c-sec
discourage elective induction

we have to say that elective induction MAY increase the c-sec rates



understand the lack of consensus on defining the onset of labor the cont remodeling of the
connective tissue and the ongoing ctx explain why it can be difficult to precisely define



active phase -accelerated rate of cervical dilation to complete

-only noted in retrospect

-cervix typically effaced before active labor

, -more important to rec when it hasn't started

-Friedman: 3-4cm Current: closer to 5-6cm



describe anticipatory guidance related to onset and early labor -discuss latent phase
prenatally, encourage women to stay home, reassurance of normalcy

-risks with early admission

-outpt relief measures

-don't use term false labor



PROM preterm rupture of membranes (before onset of labor) typically deliver 24* later



arborization test Fern test: sterile swab from posterior vaginal vernix. Under microscope,
fern-like pattern seen. Supportive test, not conclusive unless leaking is visible.



pH test amniotic fluid more alkaline than vaginal. swab from fornix on sterile swab to
nitrazine paper



reasons for rec to delay admission until actove labor -less interventions

-low resources, aren't enough staff to labor sit

-increases HC costs



qualitative research on women's experience of early labor anticipatory guidance - women
feel like it's way worse than are led to believe



strategies helpful for coping with early labor good suport system

relaxation

walking

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