5/21/25, 8:23 PM NM704 EXAM 3 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED A+ | LATEST EXAM | J…
NM704 EXAM 3 2025 | ALL QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED
A+ | LATEST EXAM | JUST RELEASED
No. Onset of labor is a always a diagnosis that is made
Is there a consensus on
retrospectively. There is no standard definition or
what defines the onset of
criteria of what that means exactly. Eventually it will
labor?
become clear whether or not a woman is in labor, but in
the moment it is hard to discern.
1. Painful contractions at least every 5 minutes lasting at
least 40 seconds and cervix mostly or completely
What are some of the ways effaced
onset of labor could be 2. Beginning of regular contractions that are are perceived by the
woman
defined?
3. Regular contractions with cervical change
4. When a woman says she is in labor (e.g., bloody
show, sleep and emotional changes, strengthening
contractions, GI symptoms, sleep changes, etc.)
The point in time where cervical dilation begins to
How did Friedman define
change rapidly. He suggested that this usually occurs
onset of active labor?
around 3-4cm. According to Friedman, labor can be
divided into distinct phases.
Current research demonstrates that many women may
How does current research
not be in active labor until closer to 6cm. It suggests
conflict with Friedman's
more a continuous paradigm of changes rather than
definition?
distinct phases.
The way labor is depicted in contemporary media does
not generally include early labor, which is perhaps why
Describe anticipatory so many women and their families are surprised by it.
guidance in relation to labor Detailed education on this preparatory phase of labor
onset/ early labor: is very important for that reason. The benefits of
… 1/1
3
, 5/21/25, 8:23 PM NM704 EXAM 3 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED A+ | LATEST EXAM | J…
delaying admission until active labor should be
discussed when doing this teaching, but not all
women are able to manage early labor at home.
1. History and chart review
What assessments can be
2. Physical Exam
done to evaluate a woman
3. Pelvic Exam
for possible onset of
labor?
1. Observation of fluid coming from cervical os
What four methods can be
2. Arborization test ("fern test")
used to diagnose
3. pH test (nitrazine test)
spontaneous rupture of
4. Rapid immunoassays
membranes?
More than one of these tests should be used in
combination to make the most accurate diagnosis.
Visualization of fluid coming out of the cervical os can be
What are the pros and the most definitive if it is obvious. Blood, semen,
cons of these methods? vaginal infection etc can alter both the pH test and
the
ferning test and cause false positive results. Data on
the sensitivity/specificity of the Radioimmunoassay
tests is inconclusive. They are designed to detect the
specific biomarkers contained in amniotic fluid. These
should not be relied upon exclusively to determine
membrane status.
It may change the management of her care (i.e. does
Why is it important to she need to deliver promptly, did her membranes
know for sure if a rupture preterm, what is her GBS status)
woman's membranes • False positive may lead to unnecessary intervention
• False negative may increase risk of complications
have ruptured?
Delaying admission until active labor is associated with fewer
interventions.
Risks of early admission include increased rate of
◦ Cesarean birth
Why is it recommended to
◦ Oxytocin augmentation
delay admission to the
◦ Epidural analgesia
hospital until active labor?
… 2/1
3
NM704 EXAM 3 2025 | ALL QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED
A+ | LATEST EXAM | JUST RELEASED
No. Onset of labor is a always a diagnosis that is made
Is there a consensus on
retrospectively. There is no standard definition or
what defines the onset of
criteria of what that means exactly. Eventually it will
labor?
become clear whether or not a woman is in labor, but in
the moment it is hard to discern.
1. Painful contractions at least every 5 minutes lasting at
least 40 seconds and cervix mostly or completely
What are some of the ways effaced
onset of labor could be 2. Beginning of regular contractions that are are perceived by the
woman
defined?
3. Regular contractions with cervical change
4. When a woman says she is in labor (e.g., bloody
show, sleep and emotional changes, strengthening
contractions, GI symptoms, sleep changes, etc.)
The point in time where cervical dilation begins to
How did Friedman define
change rapidly. He suggested that this usually occurs
onset of active labor?
around 3-4cm. According to Friedman, labor can be
divided into distinct phases.
Current research demonstrates that many women may
How does current research
not be in active labor until closer to 6cm. It suggests
conflict with Friedman's
more a continuous paradigm of changes rather than
definition?
distinct phases.
The way labor is depicted in contemporary media does
not generally include early labor, which is perhaps why
Describe anticipatory so many women and their families are surprised by it.
guidance in relation to labor Detailed education on this preparatory phase of labor
onset/ early labor: is very important for that reason. The benefits of
… 1/1
3
, 5/21/25, 8:23 PM NM704 EXAM 3 2025 | ALL QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | GRADED A+ | LATEST EXAM | J…
delaying admission until active labor should be
discussed when doing this teaching, but not all
women are able to manage early labor at home.
1. History and chart review
What assessments can be
2. Physical Exam
done to evaluate a woman
3. Pelvic Exam
for possible onset of
labor?
1. Observation of fluid coming from cervical os
What four methods can be
2. Arborization test ("fern test")
used to diagnose
3. pH test (nitrazine test)
spontaneous rupture of
4. Rapid immunoassays
membranes?
More than one of these tests should be used in
combination to make the most accurate diagnosis.
Visualization of fluid coming out of the cervical os can be
What are the pros and the most definitive if it is obvious. Blood, semen,
cons of these methods? vaginal infection etc can alter both the pH test and
the
ferning test and cause false positive results. Data on
the sensitivity/specificity of the Radioimmunoassay
tests is inconclusive. They are designed to detect the
specific biomarkers contained in amniotic fluid. These
should not be relied upon exclusively to determine
membrane status.
It may change the management of her care (i.e. does
Why is it important to she need to deliver promptly, did her membranes
know for sure if a rupture preterm, what is her GBS status)
woman's membranes • False positive may lead to unnecessary intervention
• False negative may increase risk of complications
have ruptured?
Delaying admission until active labor is associated with fewer
interventions.
Risks of early admission include increased rate of
◦ Cesarean birth
Why is it recommended to
◦ Oxytocin augmentation
delay admission to the
◦ Epidural analgesia
hospital until active labor?
… 2/1
3
