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POEP MODULE 3 EXAM REVIEW QUESTIONS WITH 100% CORRECT ANSWERS

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POEP MODULE 3 EXAM REVIEW QUESTIONS WITH 100% CORRECT ANSWERS

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POEP MODULE 3 EXAM REVIEW
QUESTIONS WITH 100% CORRECT
ANSWERS
How long to allow pushing for nulliparous - Answer- Min 3hr, up to 4. As long as
progressing

How long to allow pushing for multiparous - Answer- Minimum 2hr, up to 3 (we do 4
though?) as long as progressing

What to encourage during pushing - Answer- Don't hold breath
dont push legs back on abdomen
dont push prior to complete dilation
push for 6-8 seconds x3-4 times

Third stage of labor - Answer- Begins at birth of fetus and ends with delivery of
placenta.

When to anticipate delivery of placenta - Answer- 6-30 mins after delivery

How prevent PPH - Answer- Oxytocin, massage fundus, gentle umbilical cord traction

How long should you give oxytocin after delivery - Answer- Minimum 4hr.

4th stage of labor - Answer- Begins after delivery of placenta, ends 2hr ish after /until
stable.

Opioids in labor - Answer- Morphine (dose dependent respiratory depression)

Synthetic opioids in labor - Answer- Fentanyl and remifentanil (shorter DUA, less N/V,
crosses placenta fast but metabolized fast as well)

Opioid agonist antagonists in labor - Answer- Butorphanol (stadol) and nalbuphine
(Nubain) - less resp. Depression than morphine

How long should you try to give pain meds prior to delivery - Answer- 1-4 hr to prevent
respiratory depression

Morphine onset and duration - Answer- IM:
Onset - 30 mins
duration- 1-4 hr

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