NM704 exam 2024| Questions Solved 100%
CORRECT/ Verified Answers
although descent may begin during the first stage of labor, protracted and arrested descent can
only be diagnosed - ✔✔in the second stage
length of labors; contemp research - ✔✔shows that labors are about TWICE as long as what
F proposed
contemp research proposed a rate of at least - ✔✔0.5cm/hr in the absence of other
problems as an alternative for normal progress
Zhang found the slowest yet normal dilation - ✔✔0.5-0.7/0.5-1.3cm/hr (null/mult)
the consortium on safe labor data suggest - ✔✔protraction and arrest should not be
diagnosed before 6cm dilation
ACOG/SMFM the term labor arrest is used in reference - ✔✔to when a C-sec should be
considered
Friedman vs contemp research for rate of progress in active labor - ✔✔F: 1.2/1.5 cm/hr
(n/m)
CR: 0.5cm/hr OR
0.5-0.7/0.5-1.3 cm/hour (n/m)
Longer labors and complications? - ✔✔NOT associated with an increase of complications
, ACOG/SMFM consensus document for labor augmentation - ✔✔when the first stage of labor
is protracted or arrested, oxytocin is commonly recommended
ACOG/SMFM on labor dystocia - ✔✔allowing at least 4 hours with adequate labor or a min
of 6 hours of pitocin if adequate labor could not be achieved is safe and results in fewer c-secs.
Cervical dilation of at least 6cm, ROM and n cervical change in 4 hours with adequate uterine
activity or at least 6 hours of pit. It clearly states that slow but progressive labor should not be
an indication for a c-sec.
what do prostaglandins do - ✔✔cause contraction or relaxation of smooth muscle, this
includes smooth mm other than that of the cervix or uterus
prostaglandins can be used to induce labor at any gestational age - ✔✔true
Misoprostol (cytotec) - ✔✔PGE1, used for pre-induction cervical ripening, and 1st/2nd
trimester abortions
Dinoprostone (Cervidil or Prepidil) - ✔✔PGE2, used for pre-induction cervical ripening and
1st/2nd trimester abortions
Carboprost (Hemobate) - ✔✔PGF2 used for control of pp hemorrhage and 1st/2nd trimester
abortion
Oral misoprostol resulted in fewer - ✔✔cesarean births than vaginal cervidil with no
differenes in neg outcomes for baby.
miso is contraindicated in women - ✔✔with uterine scarring
CORRECT/ Verified Answers
although descent may begin during the first stage of labor, protracted and arrested descent can
only be diagnosed - ✔✔in the second stage
length of labors; contemp research - ✔✔shows that labors are about TWICE as long as what
F proposed
contemp research proposed a rate of at least - ✔✔0.5cm/hr in the absence of other
problems as an alternative for normal progress
Zhang found the slowest yet normal dilation - ✔✔0.5-0.7/0.5-1.3cm/hr (null/mult)
the consortium on safe labor data suggest - ✔✔protraction and arrest should not be
diagnosed before 6cm dilation
ACOG/SMFM the term labor arrest is used in reference - ✔✔to when a C-sec should be
considered
Friedman vs contemp research for rate of progress in active labor - ✔✔F: 1.2/1.5 cm/hr
(n/m)
CR: 0.5cm/hr OR
0.5-0.7/0.5-1.3 cm/hour (n/m)
Longer labors and complications? - ✔✔NOT associated with an increase of complications
, ACOG/SMFM consensus document for labor augmentation - ✔✔when the first stage of labor
is protracted or arrested, oxytocin is commonly recommended
ACOG/SMFM on labor dystocia - ✔✔allowing at least 4 hours with adequate labor or a min
of 6 hours of pitocin if adequate labor could not be achieved is safe and results in fewer c-secs.
Cervical dilation of at least 6cm, ROM and n cervical change in 4 hours with adequate uterine
activity or at least 6 hours of pit. It clearly states that slow but progressive labor should not be
an indication for a c-sec.
what do prostaglandins do - ✔✔cause contraction or relaxation of smooth muscle, this
includes smooth mm other than that of the cervix or uterus
prostaglandins can be used to induce labor at any gestational age - ✔✔true
Misoprostol (cytotec) - ✔✔PGE1, used for pre-induction cervical ripening, and 1st/2nd
trimester abortions
Dinoprostone (Cervidil or Prepidil) - ✔✔PGE2, used for pre-induction cervical ripening and
1st/2nd trimester abortions
Carboprost (Hemobate) - ✔✔PGF2 used for control of pp hemorrhage and 1st/2nd trimester
abortion
Oral misoprostol resulted in fewer - ✔✔cesarean births than vaginal cervidil with no
differenes in neg outcomes for baby.
miso is contraindicated in women - ✔✔with uterine scarring
