NM 704 Exam 3 Graded A+ (Verified)
A temperature increase of what may be normal during labor as there is an increase in
metabolism? - ANSWER-1-2 degrees Farenheit
A urine dipstick with 3+ ketones indicates what? - ANSWER-Inadequate caloric intake
According to Varney's, how often should you assess BP during second stage of labor? -
ANSWER-Q15min
Active management of labor according to ICM/FIGO includes what? - ANSWER-(1)
administration of oxytocin after the baby is born (2) controlled cord traction (3) uterine
massage after the placenta is expelled
Are IV fluids appropriate with normal labor and birth care for women with no risks? No -
ANSWER-
Aside from vaginal exams, what can help determine the progression of labor? -
ANSWER-(1) behavior (2) contraction pattern (3) s/s of transition into 2nd stage (4)
change of location of back pain (5) change in location of maximum intensity of FHT
Controlled cord traction is an _________ maneuver. - ANSWER-AMTSL
Delaying pushing until the woman feels an urge to push can result in what positive
outcomes? - ANSWER-(1) less maternal fatigue (2) fewer operative vaginal deliveries
(3) less genital tract trauma
Do birth centers or hospitals have lower rates of tears? - ANSWER-Birth centers
Does a prolonged second stage of labor lead to more neonatal problems? - ANSWER-
No
Does ACOG support the use of water birth during the second stage of labor? -
ANSWER-No
Does NPO result in an empty stomach? - ANSWER-No
Does routine early amniotomy shorten labor? - ANSWER-No
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in the
first stage? - ANSWER-Every 15 minutes
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in the
second stage? - ANSWER-Every 5 minutes
, For a higher risk pregnancy, how often should you monitor FHR during the first stage? -
ANSWER-Every 15 minutes
For a higher risk pregnancy, how often should you monitor FHR during the second
stage? - ANSWER-Every 5 minutes
For low risk pregnancy, how often should you monitor FHR during first stage? -
ANSWER-Every 30 minutes
For low risk pregnancy, how often should you monitor FHR during the second stage? -
ANSWER-Every 5-15 minutes
Given a women large amount of fluid containing dextrose is associated with what
neonatal adverse effects? - ANSWER-(1) fetal lactic acidosis (2) newborn jaundice (3)
hypoglycemia
Had daily prenatal massage in the final weeks of pregnancy been shown to reduce the
risk of genital tract trauma? - ANSWER-Yes
How does the epidural block pain? - ANSWER-Medication in epidural space helps to
block the impulses in the sensory and motor nerves in contact with the drug
How does the uterus change during placental separation? - ANSWER-Discoid to
globular
How long does the 3rd stage of labor usually last? - ANSWER-Between 5-30 minutes
How much higher is the maternal BP during the second stage of labor? - ANSWER-10
mmHg
How often does ACOG recommend fetal heart rate in the first stage of labor for low
risk? - ANSWER-Every 30 minutes
How often does ACOG recommend fetal heart rate in the second stage of labor for low
risk women? - ANSWER-Every 5-15 minutes
How often does Varney's recommend taking maternal BP, HR, and RR during 1st stage
of labor? - ANSWER-Every hour
How often does Varney's recommend taking maternal temperature during labor? -
ANSWER-2-4 hours (unless membranes rupture then 1-2 hours)
How often should you assess fetal heart rate during second stage of labor? - ANSWER-
5-15 min
A temperature increase of what may be normal during labor as there is an increase in
metabolism? - ANSWER-1-2 degrees Farenheit
A urine dipstick with 3+ ketones indicates what? - ANSWER-Inadequate caloric intake
According to Varney's, how often should you assess BP during second stage of labor? -
ANSWER-Q15min
Active management of labor according to ICM/FIGO includes what? - ANSWER-(1)
administration of oxytocin after the baby is born (2) controlled cord traction (3) uterine
massage after the placenta is expelled
Are IV fluids appropriate with normal labor and birth care for women with no risks? No -
ANSWER-
Aside from vaginal exams, what can help determine the progression of labor? -
ANSWER-(1) behavior (2) contraction pattern (3) s/s of transition into 2nd stage (4)
change of location of back pain (5) change in location of maximum intensity of FHT
Controlled cord traction is an _________ maneuver. - ANSWER-AMTSL
Delaying pushing until the woman feels an urge to push can result in what positive
outcomes? - ANSWER-(1) less maternal fatigue (2) fewer operative vaginal deliveries
(3) less genital tract trauma
Do birth centers or hospitals have lower rates of tears? - ANSWER-Birth centers
Does a prolonged second stage of labor lead to more neonatal problems? - ANSWER-
No
Does ACOG support the use of water birth during the second stage of labor? -
ANSWER-No
Does NPO result in an empty stomach? - ANSWER-No
Does routine early amniotomy shorten labor? - ANSWER-No
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in the
first stage? - ANSWER-Every 15 minutes
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in the
second stage? - ANSWER-Every 5 minutes
, For a higher risk pregnancy, how often should you monitor FHR during the first stage? -
ANSWER-Every 15 minutes
For a higher risk pregnancy, how often should you monitor FHR during the second
stage? - ANSWER-Every 5 minutes
For low risk pregnancy, how often should you monitor FHR during first stage? -
ANSWER-Every 30 minutes
For low risk pregnancy, how often should you monitor FHR during the second stage? -
ANSWER-Every 5-15 minutes
Given a women large amount of fluid containing dextrose is associated with what
neonatal adverse effects? - ANSWER-(1) fetal lactic acidosis (2) newborn jaundice (3)
hypoglycemia
Had daily prenatal massage in the final weeks of pregnancy been shown to reduce the
risk of genital tract trauma? - ANSWER-Yes
How does the epidural block pain? - ANSWER-Medication in epidural space helps to
block the impulses in the sensory and motor nerves in contact with the drug
How does the uterus change during placental separation? - ANSWER-Discoid to
globular
How long does the 3rd stage of labor usually last? - ANSWER-Between 5-30 minutes
How much higher is the maternal BP during the second stage of labor? - ANSWER-10
mmHg
How often does ACOG recommend fetal heart rate in the first stage of labor for low
risk? - ANSWER-Every 30 minutes
How often does ACOG recommend fetal heart rate in the second stage of labor for low
risk women? - ANSWER-Every 5-15 minutes
How often does Varney's recommend taking maternal BP, HR, and RR during 1st stage
of labor? - ANSWER-Every hour
How often does Varney's recommend taking maternal temperature during labor? -
ANSWER-2-4 hours (unless membranes rupture then 1-2 hours)
How often should you assess fetal heart rate during second stage of labor? - ANSWER-
5-15 min
