NM 704 Exam 3 Summer 2025-2026 with
Complete Solutions
a laceration involving the vaginal mucsa, posterior fourchette, perineal skin and perineal
muscles is of what degree? - ANSWER-Second
a nullipara at 40 weeks is in active labor. her urine dipstick shows 3+ ketones. this
indicates - ANSWER-inadequate caloric intake
a nullipara at 40 weeks is in active labor. she is 7cm/100%/0 station. a urine dipstick
shows 3+ ketones. What question is relevant - ANSWER-can she tolerate oral intake?
a nulliparous woman at 40 weeks is in labor. at 3pm she is 6cm/100%/-1 station. at 7pm
she is 7cm/100/-1. she is not experiencing any back pain. the anterior fontanel is
palpated in the right anterior portion of the pelvis. what is correct? - ANSWER-
prolonged labor and vaginal exam findings suggest a posterior position
according to the current ICM/FIGO AMTSL guidelines, uterine massage is - ANSWER-
the third step of the recommended three steps of AMTSL, after the placenta is expelled
ACOG on oral intake - ANSWER-no solid foods, modest amounts of CL with an
uncomplicated labor,
active management of the third stage of labor (AMTSL), according to the current
ICM/FIGO joint statement (2003) includes - ANSWER-administration of oxytocin right
after the baby is born, controlled cord traction, and uterine massage after the placenta is
expelled.
adverse outcomes of amniotomy - ANSWER-umbilical cord compression with decels
cord prolapse
discomfort
increased risk of infection
vasa previa
allowing a woman to assume the position of her choice during labor is - ANSWER-safe
and increases satisfaction and probably comfort
amniotomy RISKS - ANSWER-increase risk of cesarean
AMTSL has been shown to - ANSWER-reduce risk of PPH, result in less overall blood
loss, and result in less anemia
, an evidence-based technique for perineal management during birth that decreases or
minimizes genital tract trauma is - ANSWER-working with the woman to facilitate a
gentle, controlled birth of the baby
antepartum perineal massage decreases - ANSWER-risk of tearing
arrested labor contemporary definition - ANSWER-4 hours of no progress
battledore (marginal) - ANSWER-cord is inserted at or within 1.5 cm of the edge of the
placenta
before diagnosing arrest of labor in the second stage, if the maternal and fetal
conditions permit, allow for the following - ANSWER-at least 2 hours of pushing in
multiparous
at least 3 hours of pushing in nulliparous
longer durations may be appropriate on an individual basis
benefits of delayed pushing when epidurals are used - ANSWER-reduces instrumental
deliveries, conserves energy, once pushing - her efforts are more effective and efficient
bilobe and multi-lobe - ANSWER-a placenta with 2+ lobes
birth in water - ANSWER-high levels of maternal satisfaction
increase likelihood of intact perineum
decreased episiotomy an perineal lacs
reduced pph
no diff on maternal and nn infection rates or m/m
by delaying pushing until a woman has an urge to push when she is complete but does
not yet have an urge to push, ie allowing her to labor down, what are the benefits to
maternal outcomes - ANSWER-less maternal fatigue, fewer operative vaginal deliveries,
less genital tract trauma
Central separation - ANSWER-Shiny Schultz (center ascends first and membranes
follow - inverted - shiny side first - less bleeding)
CI to methergine - ANSWER-hypertension
circumvallate palcenta - ANSWER-the membranes appear to arise not from the edge of
the placenta, but a short distance inward toward the umbilical cord
clinical signs of placental separation include - ANSWER-a change in the shape of the
uterus, trickle or gush of blood, lengthening of the cord, and a rise in the fundus
closely observing the woman for outward signs of labor progress such as: - ANSWER-
changes in behavior, increase in bloody show, or an urge to push can be very helpful in
Complete Solutions
a laceration involving the vaginal mucsa, posterior fourchette, perineal skin and perineal
muscles is of what degree? - ANSWER-Second
a nullipara at 40 weeks is in active labor. her urine dipstick shows 3+ ketones. this
indicates - ANSWER-inadequate caloric intake
a nullipara at 40 weeks is in active labor. she is 7cm/100%/0 station. a urine dipstick
shows 3+ ketones. What question is relevant - ANSWER-can she tolerate oral intake?
a nulliparous woman at 40 weeks is in labor. at 3pm she is 6cm/100%/-1 station. at 7pm
she is 7cm/100/-1. she is not experiencing any back pain. the anterior fontanel is
palpated in the right anterior portion of the pelvis. what is correct? - ANSWER-
prolonged labor and vaginal exam findings suggest a posterior position
according to the current ICM/FIGO AMTSL guidelines, uterine massage is - ANSWER-
the third step of the recommended three steps of AMTSL, after the placenta is expelled
ACOG on oral intake - ANSWER-no solid foods, modest amounts of CL with an
uncomplicated labor,
active management of the third stage of labor (AMTSL), according to the current
ICM/FIGO joint statement (2003) includes - ANSWER-administration of oxytocin right
after the baby is born, controlled cord traction, and uterine massage after the placenta is
expelled.
adverse outcomes of amniotomy - ANSWER-umbilical cord compression with decels
cord prolapse
discomfort
increased risk of infection
vasa previa
allowing a woman to assume the position of her choice during labor is - ANSWER-safe
and increases satisfaction and probably comfort
amniotomy RISKS - ANSWER-increase risk of cesarean
AMTSL has been shown to - ANSWER-reduce risk of PPH, result in less overall blood
loss, and result in less anemia
, an evidence-based technique for perineal management during birth that decreases or
minimizes genital tract trauma is - ANSWER-working with the woman to facilitate a
gentle, controlled birth of the baby
antepartum perineal massage decreases - ANSWER-risk of tearing
arrested labor contemporary definition - ANSWER-4 hours of no progress
battledore (marginal) - ANSWER-cord is inserted at or within 1.5 cm of the edge of the
placenta
before diagnosing arrest of labor in the second stage, if the maternal and fetal
conditions permit, allow for the following - ANSWER-at least 2 hours of pushing in
multiparous
at least 3 hours of pushing in nulliparous
longer durations may be appropriate on an individual basis
benefits of delayed pushing when epidurals are used - ANSWER-reduces instrumental
deliveries, conserves energy, once pushing - her efforts are more effective and efficient
bilobe and multi-lobe - ANSWER-a placenta with 2+ lobes
birth in water - ANSWER-high levels of maternal satisfaction
increase likelihood of intact perineum
decreased episiotomy an perineal lacs
reduced pph
no diff on maternal and nn infection rates or m/m
by delaying pushing until a woman has an urge to push when she is complete but does
not yet have an urge to push, ie allowing her to labor down, what are the benefits to
maternal outcomes - ANSWER-less maternal fatigue, fewer operative vaginal deliveries,
less genital tract trauma
Central separation - ANSWER-Shiny Schultz (center ascends first and membranes
follow - inverted - shiny side first - less bleeding)
CI to methergine - ANSWER-hypertension
circumvallate palcenta - ANSWER-the membranes appear to arise not from the edge of
the placenta, but a short distance inward toward the umbilical cord
clinical signs of placental separation include - ANSWER-a change in the shape of the
uterus, trickle or gush of blood, lengthening of the cord, and a rise in the fundus
closely observing the woman for outward signs of labor progress such as: - ANSWER-
changes in behavior, increase in bloody show, or an urge to push can be very helpful in
