2025 NM 704 EXAM 3 LATEST
UPDATED 100 QUESTIONS WITH
CORRECT VERIFIED ANSWERS
(EXPERT SOLVED)
1. When does active labor begin?: Active labor beings when the rate of
cervical dilation sharply increases
2. What does contemporary research believe to be the rate of dilation
when active labor beings?: 5-6 cm dilation
3. Describe anticipatory guidance you would give to one in labor onset
and early labor: -guidance during the prenatal period can help pregnant persons
prepare for the onset of labor
-give specific instructions on when and how to contact the provider for SDM
when labor starts
-this emphasizes that labor onset is a gradual process and difficult to distinguish -
consider all factors in decision making (support persons, coping status, comfort
level leaving the birth site, transportation, weather, how far they live, will they
get rest at home)
-explain lack of labor rooms and/or staff to accommodate people not needing
medical care during early labor
-address diet, rest, coping strategies, benefits of continuous labor support during
early labor
,4. What are the components of the history and chart review you would
evaluate for a person presenting in possible onset of labor?: -Uterine
contractions (onset, when, frequency, length, strength, interrupts activity, sleep,
where are they felt, coping strategies, any other pains)
-Vaginal fluids (spotting, bleeding, leaking fluid)
-Fetal status (movement, is it the same or has it changed)
-Fatigue (recent sleep activity, rest and activity)
-Hydration (eating and drinking normally, recent food and drink intake, appetite,
N/V, voiding at a normal amount, urine light/dark or concentrated)
-Environment/Transportation/Support (time of day, how far away do they live,
access to transportation, is home quiet for rest)
-Coping (affect, how do they sound, stop talking with contractions, sound
anxious/relaxed/energetic/exhausted, general appearance, coping in the
providers/patients view, what have they been doing)
-Other: signs of UTI (stimulate contractions), recent sexual intercourse or digital
vaginal exam (spotting/bleeding),
5. What are the components of a Physical Exam for a person presenting for
onset of labor?: -Head to Toe exam
-Maternal vital signs
-FHR assessment
-Urine dip for proteins or ketones
-Leopold's maneuver
-Abdominal Palpation
6. What are the components of a Pelvic Exam for a person presenting for
onset of labor?: -Digital Vaginal exam for cervical dilation, effacement,
position and consistency
, -Fetal Station
-If possibility of ROM deferre digital exam and use a speculum to assess for
pooling of fluid or to obtain laboratory specimens
-Performing serial cervical exams with cervical changes noted is a more accurate
indication of labor
7. What are the components of preforming a speculum exam to diagnose
SROM?: -Fluid leaking from the cervical os (cough or Valsalva maneuver, sit up
for 30 minutes and reevaluate)
-Color (clear, straw or cloudy, white creamy flecks of vernix)
-Smell (has a distinct musty odor, foul-smelling indicates infection) -
Bleeding
-observe vaginal walls for discharge
-not visible cervical dilation, length and effacement or a bulging bag
8. Describe the arborization (fern) test: -dried fluid will give "ferning"
appearance under the microscope
-collect fluid from posterior cervix
-let dry for 10 minutes and then look
-fern pattern is caused by crystallization due to high sodium chloride and protein
concentrations in amniotic fluid
-ferning is not affected by meconium presence, small amounts of blood or pH
changes
9. What can cause false positives in the Arborization test?: cervical mucus
fingerprints
significant amount of blood
semen
-these can all show fern-like patterns
UPDATED 100 QUESTIONS WITH
CORRECT VERIFIED ANSWERS
(EXPERT SOLVED)
1. When does active labor begin?: Active labor beings when the rate of
cervical dilation sharply increases
2. What does contemporary research believe to be the rate of dilation
when active labor beings?: 5-6 cm dilation
3. Describe anticipatory guidance you would give to one in labor onset
and early labor: -guidance during the prenatal period can help pregnant persons
prepare for the onset of labor
-give specific instructions on when and how to contact the provider for SDM
when labor starts
-this emphasizes that labor onset is a gradual process and difficult to distinguish -
consider all factors in decision making (support persons, coping status, comfort
level leaving the birth site, transportation, weather, how far they live, will they
get rest at home)
-explain lack of labor rooms and/or staff to accommodate people not needing
medical care during early labor
-address diet, rest, coping strategies, benefits of continuous labor support during
early labor
,4. What are the components of the history and chart review you would
evaluate for a person presenting in possible onset of labor?: -Uterine
contractions (onset, when, frequency, length, strength, interrupts activity, sleep,
where are they felt, coping strategies, any other pains)
-Vaginal fluids (spotting, bleeding, leaking fluid)
-Fetal status (movement, is it the same or has it changed)
-Fatigue (recent sleep activity, rest and activity)
-Hydration (eating and drinking normally, recent food and drink intake, appetite,
N/V, voiding at a normal amount, urine light/dark or concentrated)
-Environment/Transportation/Support (time of day, how far away do they live,
access to transportation, is home quiet for rest)
-Coping (affect, how do they sound, stop talking with contractions, sound
anxious/relaxed/energetic/exhausted, general appearance, coping in the
providers/patients view, what have they been doing)
-Other: signs of UTI (stimulate contractions), recent sexual intercourse or digital
vaginal exam (spotting/bleeding),
5. What are the components of a Physical Exam for a person presenting for
onset of labor?: -Head to Toe exam
-Maternal vital signs
-FHR assessment
-Urine dip for proteins or ketones
-Leopold's maneuver
-Abdominal Palpation
6. What are the components of a Pelvic Exam for a person presenting for
onset of labor?: -Digital Vaginal exam for cervical dilation, effacement,
position and consistency
, -Fetal Station
-If possibility of ROM deferre digital exam and use a speculum to assess for
pooling of fluid or to obtain laboratory specimens
-Performing serial cervical exams with cervical changes noted is a more accurate
indication of labor
7. What are the components of preforming a speculum exam to diagnose
SROM?: -Fluid leaking from the cervical os (cough or Valsalva maneuver, sit up
for 30 minutes and reevaluate)
-Color (clear, straw or cloudy, white creamy flecks of vernix)
-Smell (has a distinct musty odor, foul-smelling indicates infection) -
Bleeding
-observe vaginal walls for discharge
-not visible cervical dilation, length and effacement or a bulging bag
8. Describe the arborization (fern) test: -dried fluid will give "ferning"
appearance under the microscope
-collect fluid from posterior cervix
-let dry for 10 minutes and then look
-fern pattern is caused by crystallization due to high sodium chloride and protein
concentrations in amniotic fluid
-ferning is not affected by meconium presence, small amounts of blood or pH
changes
9. What can cause false positives in the Arborization test?: cervical mucus
fingerprints
significant amount of blood
semen
-these can all show fern-like patterns
