NM 704 Exam 3
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1. What can lowering the lights do to help with the labor Increase melatonin which
process? can increase oxytocin effi-
cacy
2. What are the benefits of continuous labor support? (1) short labors (2) few-
er cesarean births (3) less
need for analgesia (4) re-
duced use of synthetic
oxytocin (5) greater ma-
ternal satisfaction (6) en-
hanced coping skills dur-
ing the experience
3. Should vaginal exams be done if there is no intention No
to intervene?
4. What is the recommendation for low risk women and Q4h
vital sign frequency?
5. What is the reasoning behind taking more frequent Epidurals
maternal vital signs?
6. How often does ACOG recommend fetal heart rate in Every 30 minutes
the first stage of labor for low risk?
7. How often does ACOG recommend fetal heart rate in Every 5-15 minutes
the second stage of labor for low risk women?
8. For a higher risk pregnancy, how often does ACOG Every 15 minutes
recommend fetal heart rate in the first stage?
9. For a higher risk pregnancy, how often does ACOG Every 5 minutes
recommend fetal heart rate in the second stage?
, NM 704 Exam 3
Study online at https://quizlet.com/_69rfnv
10. What are 2 definitions for second stage of labor? (1) complete dilation (2)
urge to push
11. What can lessen the sensation of needing to push? Epidurals
12. What is one way to let women feel more of an urge to Laboring down
push when using an epidural?
13. What are the goals of a hydrotherapy program? (1) maternal and fe-
tal safety (2) sponta-
neous vaginal birth (3)
healthy mother (4) healthy
neonate
14. Is water labor or waterbirth the same thing? No
15. What is laboring in water until the point of crowning? Water labor
16. Does ACOG support the use of water birth during the No
second stage of labor?
17. What can cause genital tract trauma? (1) episiotomy (2) tears
18. Should episiotomies be a routine practice? No
19. What is the least severe tear, it involves the skin 1st degree
around the vaginal opening?
20. What tear involves the muscles between the vagina 2nd degree
and the anus; technically requires stitches?
21. What tear impacts the muscles around the anus; may 3rd degree
require repair in the OR?
22. 4th degree
, NM 704 Exam 3
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What tear is the most sever, reaches the tissue lining
of the rectum?
23. What is a strong predictor of intact perineum? Individual provider
24. Do birth centers or hospitals have lower rates of tears? Birth centers
25. What is pain with sex? Dyspareunia
26. The goal of _______ is to increase elasticity and make it Perineal massage
easier to avoid tears?
27. What can diminish or lead to absent pelvic and rectal Epidural analgesia
sensation, leading to decreased sensation to push?
28. Does a prolonged second stage of labor lead to more No
neonatal problems?
29. How much higher is the maternal BP during the sec- 10 mmHg
ond stage of labor?
30. Routine amniotomy can increase the risk for what? Cesarean
31. Does routine early amniotomy shorten labor? No
32. Does NPO result in an empty stomach? No
33. What is the best diet to suggest during labor? Diet as tolerated
34. A urine dipstick with 3+ ketones indicates what? Inadequate caloric intake
35. What are the benefits of continuous labor support? (1) shorter labors (2) few-
er cesarean births (3) less
need for analgesia and
anesthesia (4) less use
Study online at https://quizlet.com/_69rfnv
1. What can lowering the lights do to help with the labor Increase melatonin which
process? can increase oxytocin effi-
cacy
2. What are the benefits of continuous labor support? (1) short labors (2) few-
er cesarean births (3) less
need for analgesia (4) re-
duced use of synthetic
oxytocin (5) greater ma-
ternal satisfaction (6) en-
hanced coping skills dur-
ing the experience
3. Should vaginal exams be done if there is no intention No
to intervene?
4. What is the recommendation for low risk women and Q4h
vital sign frequency?
5. What is the reasoning behind taking more frequent Epidurals
maternal vital signs?
6. How often does ACOG recommend fetal heart rate in Every 30 minutes
the first stage of labor for low risk?
7. How often does ACOG recommend fetal heart rate in Every 5-15 minutes
the second stage of labor for low risk women?
8. For a higher risk pregnancy, how often does ACOG Every 15 minutes
recommend fetal heart rate in the first stage?
9. For a higher risk pregnancy, how often does ACOG Every 5 minutes
recommend fetal heart rate in the second stage?
, NM 704 Exam 3
Study online at https://quizlet.com/_69rfnv
10. What are 2 definitions for second stage of labor? (1) complete dilation (2)
urge to push
11. What can lessen the sensation of needing to push? Epidurals
12. What is one way to let women feel more of an urge to Laboring down
push when using an epidural?
13. What are the goals of a hydrotherapy program? (1) maternal and fe-
tal safety (2) sponta-
neous vaginal birth (3)
healthy mother (4) healthy
neonate
14. Is water labor or waterbirth the same thing? No
15. What is laboring in water until the point of crowning? Water labor
16. Does ACOG support the use of water birth during the No
second stage of labor?
17. What can cause genital tract trauma? (1) episiotomy (2) tears
18. Should episiotomies be a routine practice? No
19. What is the least severe tear, it involves the skin 1st degree
around the vaginal opening?
20. What tear involves the muscles between the vagina 2nd degree
and the anus; technically requires stitches?
21. What tear impacts the muscles around the anus; may 3rd degree
require repair in the OR?
22. 4th degree
, NM 704 Exam 3
Study online at https://quizlet.com/_69rfnv
What tear is the most sever, reaches the tissue lining
of the rectum?
23. What is a strong predictor of intact perineum? Individual provider
24. Do birth centers or hospitals have lower rates of tears? Birth centers
25. What is pain with sex? Dyspareunia
26. The goal of _______ is to increase elasticity and make it Perineal massage
easier to avoid tears?
27. What can diminish or lead to absent pelvic and rectal Epidural analgesia
sensation, leading to decreased sensation to push?
28. Does a prolonged second stage of labor lead to more No
neonatal problems?
29. How much higher is the maternal BP during the sec- 10 mmHg
ond stage of labor?
30. Routine amniotomy can increase the risk for what? Cesarean
31. Does routine early amniotomy shorten labor? No
32. Does NPO result in an empty stomach? No
33. What is the best diet to suggest during labor? Diet as tolerated
34. A urine dipstick with 3+ ketones indicates what? Inadequate caloric intake
35. What are the benefits of continuous labor support? (1) shorter labors (2) few-
er cesarean births (3) less
need for analgesia and
anesthesia (4) less use
