NM704 Exam - Questions And Accurate Answers (Pass!)
When added to lidocaine, epinephrine ____________. Right Ans - slows
absorption
The maximum dose of Lidocaine WITH epinephrine is ___________ than the
maximum dose of Lidocaine WITHOUT epinephrine Right Ans - higher
Maximum safe dosage of Lidocaine WITHOUT Epinephrine Right Ans - 4.5
mg/kg, up to 300 mg
Maximum safe dosage of Lidocaine WITH Epinephrine Right Ans - 7 mg/kg,
up to 500 mg
Black box warning for Methergine Right Ans - avoid breastfeeding for the
first 12 hours of newborn's life
Inadvertent neonatal exposure to Methergine can cause... Right Ans -
respiratory depression
convulsions
cyanosis
oliguria
Due to the potential for accidental neonatal exposure, Methergine injection
should be ______________________. Right Ans - stored separately from
medications intended for neonatal administration like Vitamin K and Hep B
vaccine.
Milk secreted during ____________________ should be discarded Right Ans -
during treatment with Methergine and at least 12 hours after administration
A single postpartum dose of Methergine will probably ______________ milk
supply. Right Ans - not have a significant effect on
Hemabate Black Box Warning Right Ans - Carboprost tromethamine, like
other potent oxytocic agents, should be used only with strict adherence to
recommended dosages. HEMABATE should be used by medically trained
personnel in a hospital which can provide immediate intensive care and acute
surgical facilities
, The existing research is _______________ on any aspect of AMTSL Right Ans -
far from definitive
The Three Components of AMTSL according to the ICM/FIGO Joint Statement
(2003) Right Ans - 1. Administration of a uterotonic medication within one
minute of the birth of the baby, after ruling out multiple gestation. Oxytocin is
the preferred medication.
2. Controlled cord traction to assist with placental expulsion.
3. Uterine massage immediately after placental expulsion, and then as needed.
Research has CLEARLY demonstrated these outcomes when AMTSL is used
compared with expectant management of the 3rd stage Right Ans - 1. A
reduced risk of postpartum hemorrhage
2. Less overall blood loss
3. Less anemia
4. Less need for therapeutic uterotonics
Expectant management of third stage labor is also referred to as
__________________. Right Ans - physiological management of third stage
signs of placental separation Right Ans - -a small gush of blood
-lengthening of the umbilical cord
-a rise in the fundus
-a change in the shape of the uterus
The placenta is either expelled spontaneously or with help from... Right
Ans - gravity, nipple stimulation, or maternal effort
Bristol 3rd Stage Trial: Maternal Outcomes Right Ans - resulted in lower
incidence of postpartum hemorrhage (PPH), a shorter third stage of labor, and
less need for therapeutic oxytocics
Bristol 3rd Stage Trial: Neonatal Outcomes Right Ans - babies in the
expectant management group weighed an average of 85g more than their
AMTSL counterparts and had a higher mean packed cell volume
When added to lidocaine, epinephrine ____________. Right Ans - slows
absorption
The maximum dose of Lidocaine WITH epinephrine is ___________ than the
maximum dose of Lidocaine WITHOUT epinephrine Right Ans - higher
Maximum safe dosage of Lidocaine WITHOUT Epinephrine Right Ans - 4.5
mg/kg, up to 300 mg
Maximum safe dosage of Lidocaine WITH Epinephrine Right Ans - 7 mg/kg,
up to 500 mg
Black box warning for Methergine Right Ans - avoid breastfeeding for the
first 12 hours of newborn's life
Inadvertent neonatal exposure to Methergine can cause... Right Ans -
respiratory depression
convulsions
cyanosis
oliguria
Due to the potential for accidental neonatal exposure, Methergine injection
should be ______________________. Right Ans - stored separately from
medications intended for neonatal administration like Vitamin K and Hep B
vaccine.
Milk secreted during ____________________ should be discarded Right Ans -
during treatment with Methergine and at least 12 hours after administration
A single postpartum dose of Methergine will probably ______________ milk
supply. Right Ans - not have a significant effect on
Hemabate Black Box Warning Right Ans - Carboprost tromethamine, like
other potent oxytocic agents, should be used only with strict adherence to
recommended dosages. HEMABATE should be used by medically trained
personnel in a hospital which can provide immediate intensive care and acute
surgical facilities
, The existing research is _______________ on any aspect of AMTSL Right Ans -
far from definitive
The Three Components of AMTSL according to the ICM/FIGO Joint Statement
(2003) Right Ans - 1. Administration of a uterotonic medication within one
minute of the birth of the baby, after ruling out multiple gestation. Oxytocin is
the preferred medication.
2. Controlled cord traction to assist with placental expulsion.
3. Uterine massage immediately after placental expulsion, and then as needed.
Research has CLEARLY demonstrated these outcomes when AMTSL is used
compared with expectant management of the 3rd stage Right Ans - 1. A
reduced risk of postpartum hemorrhage
2. Less overall blood loss
3. Less anemia
4. Less need for therapeutic uterotonics
Expectant management of third stage labor is also referred to as
__________________. Right Ans - physiological management of third stage
signs of placental separation Right Ans - -a small gush of blood
-lengthening of the umbilical cord
-a rise in the fundus
-a change in the shape of the uterus
The placenta is either expelled spontaneously or with help from... Right
Ans - gravity, nipple stimulation, or maternal effort
Bristol 3rd Stage Trial: Maternal Outcomes Right Ans - resulted in lower
incidence of postpartum hemorrhage (PPH), a shorter third stage of labor, and
less need for therapeutic oxytocics
Bristol 3rd Stage Trial: Neonatal Outcomes Right Ans - babies in the
expectant management group weighed an average of 85g more than their
AMTSL counterparts and had a higher mean packed cell volume
