NM704 EXAM 2 QUESTIONS 100% Verified Questions
& Answers
Q: vaginal cervidil vs oral miso
Answer:
oral miso less likely to have c-sec and works better in obese
Q: actions and physiological effects of prostaglandins
Answer:
ability to cause contraction or relaxation of smooth muscle prostaglandin receptors are always present in myometrial
tissue 1* AE - tachysystole
Q: controversies about cytotec
Answer:
concerns about risk of uterine rupture; warning against off-label use
Q: other methods of labor induction and cervical ripening
Answer:
membrane stripping amniotomy nipple stimulation
Q: analyze the impact of elective induction on rates of inductions and on risk of c-sec discourage elective induction we
have to say that elective induction MAY increase the c-sec rates understand the lack of consensus on defining the onset of
labor
Answer:
the cont remodeling of the connective tissue and the ongoing ctx explain why it can be difficult to precisely define
Q: active phase
Answer:
-accelerated rate of cervical dilation to complete -only noted in retrospect -cervix typically effaced before active labor
Q: -more important to rec when it hasn't started -Friedman: 3-4cm Current: closer to 5-6cm describe anticipatory
guidance related to onset and early labor
Answer:
-discuss latent phase prenatally, encourage women to stay home, reassurance of normalcy -risks with early admission
-outpt relief measures -don't use term false labor
Q: PROM
Answer:
preterm rupture of membranes (before onset of labor) typically deliver 24* later
, Q: arborization test
Answer:
Fern test: sterile swab from posterior vaginal vernix. Under microscope, fern-like pattern seen. Supportive test, not
conclusive unless leaking is visible.
Q: pH test
Answer:
amniotic fluid more alkaline than vaginal. swab from fornix on sterile swab to nitrazine paper
Q: reasons for rec to delay admission until actove labor
Answer:
-less interventions -low resources, aren't enough staff to labor sit -increases HC costs
Q: qualitative research on women's experience of early labor
Answer:
anticipatory guidance - women feel like it's way worse than are led to believe
Q: strategies helpful for coping with early labor
Answer:
good suport system relaxation walking
Q: doing normal things distraction, movie, cards, food, project water immersion application of heat and cold position
changes touch/massage unrestricted movt importance of adequate fluids, calories, and rest in early labor
Answer:
you need the energy to do it. dehydration makes ctx worse and ineffective. it's a marathon.
Q: ketonuria
Answer:
inadequate caloric intake leads to low blood glucose and breakdown of fat for energy. ketones are byproduct of fat
breakdown, and can be seen in bloodstream (ketosis) and urine (ketonuria).
Q: simple ketosis is
Answer:
mild and non-pathologic
Q: severe ketonuria is
Answer:
associated with prolonged labor
Q: does not cause ketonuria
& Answers
Q: vaginal cervidil vs oral miso
Answer:
oral miso less likely to have c-sec and works better in obese
Q: actions and physiological effects of prostaglandins
Answer:
ability to cause contraction or relaxation of smooth muscle prostaglandin receptors are always present in myometrial
tissue 1* AE - tachysystole
Q: controversies about cytotec
Answer:
concerns about risk of uterine rupture; warning against off-label use
Q: other methods of labor induction and cervical ripening
Answer:
membrane stripping amniotomy nipple stimulation
Q: analyze the impact of elective induction on rates of inductions and on risk of c-sec discourage elective induction we
have to say that elective induction MAY increase the c-sec rates understand the lack of consensus on defining the onset of
labor
Answer:
the cont remodeling of the connective tissue and the ongoing ctx explain why it can be difficult to precisely define
Q: active phase
Answer:
-accelerated rate of cervical dilation to complete -only noted in retrospect -cervix typically effaced before active labor
Q: -more important to rec when it hasn't started -Friedman: 3-4cm Current: closer to 5-6cm describe anticipatory
guidance related to onset and early labor
Answer:
-discuss latent phase prenatally, encourage women to stay home, reassurance of normalcy -risks with early admission
-outpt relief measures -don't use term false labor
Q: PROM
Answer:
preterm rupture of membranes (before onset of labor) typically deliver 24* later
, Q: arborization test
Answer:
Fern test: sterile swab from posterior vaginal vernix. Under microscope, fern-like pattern seen. Supportive test, not
conclusive unless leaking is visible.
Q: pH test
Answer:
amniotic fluid more alkaline than vaginal. swab from fornix on sterile swab to nitrazine paper
Q: reasons for rec to delay admission until actove labor
Answer:
-less interventions -low resources, aren't enough staff to labor sit -increases HC costs
Q: qualitative research on women's experience of early labor
Answer:
anticipatory guidance - women feel like it's way worse than are led to believe
Q: strategies helpful for coping with early labor
Answer:
good suport system relaxation walking
Q: doing normal things distraction, movie, cards, food, project water immersion application of heat and cold position
changes touch/massage unrestricted movt importance of adequate fluids, calories, and rest in early labor
Answer:
you need the energy to do it. dehydration makes ctx worse and ineffective. it's a marathon.
Q: ketonuria
Answer:
inadequate caloric intake leads to low blood glucose and breakdown of fat for energy. ketones are byproduct of fat
breakdown, and can be seen in bloodstream (ketosis) and urine (ketonuria).
Q: simple ketosis is
Answer:
mild and non-pathologic
Q: severe ketonuria is
Answer:
associated with prolonged labor
Q: does not cause ketonuria
