RNC-OB PRACTICE QUESTION

Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After one hour, tachysystole develops but the fetal heart rate pattern is normal. Appropriate management is to: - Answer-remove the insert Nifedipine acts as a tocolytic agent by interfering with: - Answer-availability of calcium The progression of labor is based on: - Answer-individual factors and clinical conditions Universal alphafetoprotein sceening should be offered to all women because: - Answer-there is little risk or complications from the testing A nurse observed a new mother breastfeeding her infant and hears "smacking sounds" as the infant feeds. The nurse should recognize this might indicate a problem with: - Answer-Latch on the breast A woman with type-1 diabetes at 32 weeks gestation has diabetic ketoacidosis. Before administration of IV potassium, it is important to assure adequate: - Answer-urine output Increased bloody show In a woman in labor is representative of: - Answer-rapid cervical dilation According to NICHD terminology, accelerations and decelerations are based on their relationship to" - Answer-fetal heart rate baseline Hindmilk promotes infant weight gain because of its: - Answer-high fat content The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief strategy in labor of: - Answer-imagery After administration of an epidural, a woman experienced respiratory depression. This is likely due to: - Answer-sympathetic blockade A main disadvantage of fentanyl use for pain relief in labor is: - Answer-short duration of action The most common umbilical cord complication of monoamniotic twin gestation is: - Answerentanglement A potential complication from a vacuum extraction delivery is: - Answer-depression skull fracture A shorter labor duration is seen with what type of maternal positioning: - Answer-upright A breastfeeding mother notes that small amounts of milk drool from her infant's mouth after breastfeeding. This is an indication of what: - Answer-a need to evaluate proper latch-on