NM 704 Exam 2: Questions With Insightful Solutions
What begins with onset of regular contractions? Right Ans - Latent phase
What phase begins when rate of progress increases? Right Ans - Active
phase
When can protracted and arrested descent be diagnosed? Right Ans - Only
during second stage
What is the rate of descent per Friedman of nulliparas? Right Ans - 1 cm/hr
What is the rate of descent per Friedman of multiparas? Right Ans -
2cm/hr
What is the rate of dilation per Friedman of nulliparas in the active stage?
Right Ans - 1.2 cm/hr
What is the rate of dilation per Friedman of multiparas in the active stage?
Right Ans - 1.5 cm/hr
Per the Friedman criteria, what is progress that is occurring, but more slowly
than normal? Right Ans - Protraction disorder
Per the Friedman criteria, what is progress that is no progress? Right Ans -
Arrest disorder
Per Friedman, what is no dilation in 2 hours? Right Ans - Arrest of dilation
Per Friedman, what is no descent in 1 hour? Right Ans - Arrest of descent
Is there a difference in arrest disorders based on parity? Right Ans - No
The goal of ________ is to facilitate the process of cervical softening, thinning,
and dilating with resultant reduction in the rate of failed induction and
induction to delivery time. Right Ans - Cervical ripening
A Bishop score of _______ increases probability of vaginal delivery after labor
induction. Right Ans - 8
, What are advantages of the foley catheter to prostaglandins for induction?
Right Ans - (1) low cost (2) stability at room temperature (3) reduced risk of
uterine tachysystole
When is a steady state of oxytocin achieved in plasma? Right Ans - 40
minutes
According to ACOG, stripping membranes increases the change of labor
starting when? Right Ans - Within 48 hours
When amniotomy is used alone for labor induction, what are the outcomes?
Right Ans - Unpredictable
What are maternal or fetal conditions that may be indications for induction of
labor? Right Ans - (1) abruptio placentae (2) chorioamnionitis (3) fetal
demise (4) gestational htn (5) preeclampsia/eclampsia (6) PPROM (7)
postterm pregnancy (8) maternal medical conditions (9) fetal compromise
What are some contraindication for labor induction? Right Ans - (1) vasa
previa or complete placenta previa (2) transverse fetal lie (3) umbilical cord
prolapse (4) previous classical cesarean delivery (5) active genital herpes
infection (6) previous myomectomy entering the endometrial cavity
Does misoprostol or dinoprostone have greater risk for uterine tachysystole?
Right Ans - Misoprostol
What is the risk of using misoprostol in women with prior cesarean? Right
Ans - Uterine rupture
What other increase is associated with use of misoprostol? Right Ans -
Meconium-stained amniotic fluid
When using PGE2, what patient populations should caution be exercised with?
Right Ans - (1) glaucoma (2) severe hepatic dysfunction (3) severe renal
dysfunction
What begins with onset of regular contractions? Right Ans - Latent phase
What phase begins when rate of progress increases? Right Ans - Active
phase
When can protracted and arrested descent be diagnosed? Right Ans - Only
during second stage
What is the rate of descent per Friedman of nulliparas? Right Ans - 1 cm/hr
What is the rate of descent per Friedman of multiparas? Right Ans -
2cm/hr
What is the rate of dilation per Friedman of nulliparas in the active stage?
Right Ans - 1.2 cm/hr
What is the rate of dilation per Friedman of multiparas in the active stage?
Right Ans - 1.5 cm/hr
Per the Friedman criteria, what is progress that is occurring, but more slowly
than normal? Right Ans - Protraction disorder
Per the Friedman criteria, what is progress that is no progress? Right Ans -
Arrest disorder
Per Friedman, what is no dilation in 2 hours? Right Ans - Arrest of dilation
Per Friedman, what is no descent in 1 hour? Right Ans - Arrest of descent
Is there a difference in arrest disorders based on parity? Right Ans - No
The goal of ________ is to facilitate the process of cervical softening, thinning,
and dilating with resultant reduction in the rate of failed induction and
induction to delivery time. Right Ans - Cervical ripening
A Bishop score of _______ increases probability of vaginal delivery after labor
induction. Right Ans - 8
, What are advantages of the foley catheter to prostaglandins for induction?
Right Ans - (1) low cost (2) stability at room temperature (3) reduced risk of
uterine tachysystole
When is a steady state of oxytocin achieved in plasma? Right Ans - 40
minutes
According to ACOG, stripping membranes increases the change of labor
starting when? Right Ans - Within 48 hours
When amniotomy is used alone for labor induction, what are the outcomes?
Right Ans - Unpredictable
What are maternal or fetal conditions that may be indications for induction of
labor? Right Ans - (1) abruptio placentae (2) chorioamnionitis (3) fetal
demise (4) gestational htn (5) preeclampsia/eclampsia (6) PPROM (7)
postterm pregnancy (8) maternal medical conditions (9) fetal compromise
What are some contraindication for labor induction? Right Ans - (1) vasa
previa or complete placenta previa (2) transverse fetal lie (3) umbilical cord
prolapse (4) previous classical cesarean delivery (5) active genital herpes
infection (6) previous myomectomy entering the endometrial cavity
Does misoprostol or dinoprostone have greater risk for uterine tachysystole?
Right Ans - Misoprostol
What is the risk of using misoprostol in women with prior cesarean? Right
Ans - Uterine rupture
What other increase is associated with use of misoprostol? Right Ans -
Meconium-stained amniotic fluid
When using PGE2, what patient populations should caution be exercised with?
Right Ans - (1) glaucoma (2) severe hepatic dysfunction (3) severe renal
dysfunction
