NM704 (6) EXAM| QUESTIONS WITH 100% CORRECT ANSWERS| LATEST
UPDATE 100% VERIFIED
when ferning, avoid touching the os and collecting cervical mucous
ferning - use a microscope at _____ power 10x
sensitivity and specificity of ferning test for non laboring women
for laboring women 51.4%
70.8%
98%
88.2%
ferning - the crystalization is caused by high sodium chloride and protein concentration in
amniotic fluid
the fern test may be best used as ______________ supportive test rather tan conclusive
normal vaginal ph 4.5
normal ph of amniotic fluid 7.5
touch the nitrazine paper with fluid collected from the posterior fornix with a sterile swab
or from the tip of a sterile spec
,sensitivity and specificity of nitrazine 87%
81%
nitrazine - false positive results can occur in the presence of semen
blood
infections
or other alkaline substances
nitrazine - false negative may be caused by minimal amounts of amniotic fluid,
not enough to change the pH
pooling at the posteriof fornix is a ________ sign of ROM helpful, not diagnostic
US oligohydramnios is confirmation of oligohydramnios
not ROM
assessing the woman's ability to control the leakage with ____ helps differentiate ROM
control leakage with tightening pelvic floor muscles
differentiate ROM from urinary incontinence
ROM - after ___________ hours, many diagnostic observations become unreliable because lack
of fluid 6-12 hours
mec stained fluid increases the risk for chorioamnionitis
,evaluating for ROM and no fluid at the os- have the woman cough or preform valsalva
maneuver
gentle fundal pressure
manipulate presenting part manually
recline for 30 - 60 min and then repeat sterile spec
SROM - when collecting fluid with a swab - 10-15 sec at posterior fornix
avoid touching cervix
Nitrazine - a pH of ___________ or higher is suggestive of amniotic fluid 6.5
ferning - false negative results may occur if examine slide before completely dry
give it 10 min
at 32-34 weeks ROM assess fetal lung maturity by 5-10cc syringe and IV catheter with the
needle removed
ROM - obtain GBS culture if unknown
OR
more than 5 weeks since resulted
examine a wet mount slide for yeast
BV
trichomoniasis
, two types of pain somatic
visceral
fast lightly myelnated _________
slower unmyelinated ____________ A fibers
C fibers
gate control theory stimulation of A delta fibers via (whatever) gets impulses to the dorsal
horn quickly, where they effectively closes the "gate" that blocks impulses from the slower C
fibers.
the uterus does not ___ with high catecholamine levels contract well
nullips feel more pain in
multips feel more pain in early labor
active labor
the perception of pain by any woman is dynamic with physical, psych, and behavioral
components. neuromatrix theory
women with a polymorphism of CYP2D6 may not be able to metabolize codeine
active once metabolized - metabolite is morphine
baby may be able to metabolize though
women are more likely to have severe labor pain if they have severe dysmenorrhea
UPDATE 100% VERIFIED
when ferning, avoid touching the os and collecting cervical mucous
ferning - use a microscope at _____ power 10x
sensitivity and specificity of ferning test for non laboring women
for laboring women 51.4%
70.8%
98%
88.2%
ferning - the crystalization is caused by high sodium chloride and protein concentration in
amniotic fluid
the fern test may be best used as ______________ supportive test rather tan conclusive
normal vaginal ph 4.5
normal ph of amniotic fluid 7.5
touch the nitrazine paper with fluid collected from the posterior fornix with a sterile swab
or from the tip of a sterile spec
,sensitivity and specificity of nitrazine 87%
81%
nitrazine - false positive results can occur in the presence of semen
blood
infections
or other alkaline substances
nitrazine - false negative may be caused by minimal amounts of amniotic fluid,
not enough to change the pH
pooling at the posteriof fornix is a ________ sign of ROM helpful, not diagnostic
US oligohydramnios is confirmation of oligohydramnios
not ROM
assessing the woman's ability to control the leakage with ____ helps differentiate ROM
control leakage with tightening pelvic floor muscles
differentiate ROM from urinary incontinence
ROM - after ___________ hours, many diagnostic observations become unreliable because lack
of fluid 6-12 hours
mec stained fluid increases the risk for chorioamnionitis
,evaluating for ROM and no fluid at the os- have the woman cough or preform valsalva
maneuver
gentle fundal pressure
manipulate presenting part manually
recline for 30 - 60 min and then repeat sterile spec
SROM - when collecting fluid with a swab - 10-15 sec at posterior fornix
avoid touching cervix
Nitrazine - a pH of ___________ or higher is suggestive of amniotic fluid 6.5
ferning - false negative results may occur if examine slide before completely dry
give it 10 min
at 32-34 weeks ROM assess fetal lung maturity by 5-10cc syringe and IV catheter with the
needle removed
ROM - obtain GBS culture if unknown
OR
more than 5 weeks since resulted
examine a wet mount slide for yeast
BV
trichomoniasis
, two types of pain somatic
visceral
fast lightly myelnated _________
slower unmyelinated ____________ A fibers
C fibers
gate control theory stimulation of A delta fibers via (whatever) gets impulses to the dorsal
horn quickly, where they effectively closes the "gate" that blocks impulses from the slower C
fibers.
the uterus does not ___ with high catecholamine levels contract well
nullips feel more pain in
multips feel more pain in early labor
active labor
the perception of pain by any woman is dynamic with physical, psych, and behavioral
components. neuromatrix theory
women with a polymorphism of CYP2D6 may not be able to metabolize codeine
active once metabolized - metabolite is morphine
baby may be able to metabolize though
women are more likely to have severe labor pain if they have severe dysmenorrhea
