1
RNC-OB Test Part 4 Questions and
Correct Answers
what are signs of true labor?
Ans✅✅: -bloody show
-regular ctx
-increase strength & occurrence
-activity increases ctx
-don't stop during sleep
-dilation & effacement
-wrap from lower back to abdomen
what are false labor signs?
Ans✅✅: -start regular & end irregular
-stop with sedation
-activity decreases ctx
-no cervical change
-no bloody show
-braxton hicks
-loss of mucus plug
-pain is in front of abd/pelvic area
does stripping membranes stimulate labor?
Ans✅✅: yes, membrane & wall of cervix is separated causing release of
prostaglandins & POSTERIOR PITUITARY will be stimulated to release
(*oxytocin*)
how long does it usually take for labor to start after a membrane sweep?
Ans✅✅: 24-48 hours
Pretest - Stuvia US
,2
what is the first labor stage?
Ans✅✅: dilation to complete
first stage has the ____
Ans✅✅: phases
what is the latent phase of labor?
Ans✅✅: 0-5.9 cm
nulliparous usually ___ then ____
Ans✅✅: efface, then dilate
multiparous usually ___ then ___
Ans✅✅: dilate, then efface
where is the best place for latent labor?
Ans✅✅: home
what is the cause of labor "pains"?
Ans✅✅: pressure on lower uterine segment/cervical dilation
what is the active phase of labor?
Ans✅✅: 6-7.9 cm
complaint of a persistent backache could mean the fetus is in what position?
Ans✅✅: OP
how is pain usually described in the active phase of labor?
Ans✅✅: decribed with pressure in the bladder/rectum
Pretest - Stuvia US
, 3
true active labor has been more clearly defined as ___ and/or ___
Ans✅✅: 6cm and/or regular painful ctx with cervical CHANGE
what is active phase arrest?
Ans✅✅: 4 hrs of no cervical change with documented adequacy of ctx
(IUPC)/ 6 hrs with no IUPC
what is the transition phase of labor?
Ans✅✅: 8-10cm
what is the 2nd stage of labor?
Ans✅✅: 10cm to birth (pushing)
what is the best way to encourage pt during the 2nd stage of labor?
Ans✅✅: talk about baby
what is open glottis pushing?
Ans✅✅: push with urges, breathe & make noise with pushing efforts 5-8
secs
what are the benefits of laboring down?
Ans✅✅: less pushing time, less maternal exhaustion BUT no change in
C/S rates or assisted delivery rates
NO EFFECT ON FETAL OUTCOMES
what are some pushing guidelines?
Ans✅✅: -refrain from closed glottis method (holding your breath)
-avoid perineal nerve damage (don't push in stirrups)
-natural pushing with pressure
-ferguson reflex: need to push, feel the need to poop around 8-10cm
-*PUSH WITH URGE, FEET FLAT & BREATHE FREQUENTLY*
Pretest - Stuvia US
RNC-OB Test Part 4 Questions and
Correct Answers
what are signs of true labor?
Ans✅✅: -bloody show
-regular ctx
-increase strength & occurrence
-activity increases ctx
-don't stop during sleep
-dilation & effacement
-wrap from lower back to abdomen
what are false labor signs?
Ans✅✅: -start regular & end irregular
-stop with sedation
-activity decreases ctx
-no cervical change
-no bloody show
-braxton hicks
-loss of mucus plug
-pain is in front of abd/pelvic area
does stripping membranes stimulate labor?
Ans✅✅: yes, membrane & wall of cervix is separated causing release of
prostaglandins & POSTERIOR PITUITARY will be stimulated to release
(*oxytocin*)
how long does it usually take for labor to start after a membrane sweep?
Ans✅✅: 24-48 hours
Pretest - Stuvia US
,2
what is the first labor stage?
Ans✅✅: dilation to complete
first stage has the ____
Ans✅✅: phases
what is the latent phase of labor?
Ans✅✅: 0-5.9 cm
nulliparous usually ___ then ____
Ans✅✅: efface, then dilate
multiparous usually ___ then ___
Ans✅✅: dilate, then efface
where is the best place for latent labor?
Ans✅✅: home
what is the cause of labor "pains"?
Ans✅✅: pressure on lower uterine segment/cervical dilation
what is the active phase of labor?
Ans✅✅: 6-7.9 cm
complaint of a persistent backache could mean the fetus is in what position?
Ans✅✅: OP
how is pain usually described in the active phase of labor?
Ans✅✅: decribed with pressure in the bladder/rectum
Pretest - Stuvia US
, 3
true active labor has been more clearly defined as ___ and/or ___
Ans✅✅: 6cm and/or regular painful ctx with cervical CHANGE
what is active phase arrest?
Ans✅✅: 4 hrs of no cervical change with documented adequacy of ctx
(IUPC)/ 6 hrs with no IUPC
what is the transition phase of labor?
Ans✅✅: 8-10cm
what is the 2nd stage of labor?
Ans✅✅: 10cm to birth (pushing)
what is the best way to encourage pt during the 2nd stage of labor?
Ans✅✅: talk about baby
what is open glottis pushing?
Ans✅✅: push with urges, breathe & make noise with pushing efforts 5-8
secs
what are the benefits of laboring down?
Ans✅✅: less pushing time, less maternal exhaustion BUT no change in
C/S rates or assisted delivery rates
NO EFFECT ON FETAL OUTCOMES
what are some pushing guidelines?
Ans✅✅: -refrain from closed glottis method (holding your breath)
-avoid perineal nerve damage (don't push in stirrups)
-natural pushing with pressure
-ferguson reflex: need to push, feel the need to poop around 8-10cm
-*PUSH WITH URGE, FEET FLAT & BREATHE FREQUENTLY*
Pretest - Stuvia US
