NM704 EXAM 3 2025 | ALL QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |
GRADED A+ | LATEST EXAM | JUST RELEASED
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No. Onset of labor is a always a diagnosis that is made
Is there a consensus on retrospectively. There is no standard definition or
what defines the onset of criteria of what that means exactly. Eventually it will
labor? become clear whether or not a woman is in labor, but
in the moment it is hard to discern.
1. Painful contractions at least every 5 minutes lasting
at least 40 seconds and cervix mostly or completely
effaced
What are some of the 2. Beginning of regular contractions that are are
ways onset of labor could perceived by the woman
be defined? 3. Regular contractions with cervical change
4. When a woman says she is in labor (e.g., bloody
show, sleep and emotional changes, strengthening
contractions, GI symptoms, sleep changes, etc.)
The point in time where cervical dilation begins to
How did Friedman define change rapidly. He suggested that this usually occurs
onset of active labor? around 3-4cm. According to Friedman, labor can be
divided into distinct phases.
Current research demonstrates that many women may
How does current
not be in active labor until closer to 6cm. It suggests
research conflict with
more a continuous paradigm of changes rather than
Friedman's definition?
distinct phases.
, The way labor is depicted in contemporary media
does not generally include early labor, which is
perhaps why so many women and their families are
Describe anticipatory surprised by it. Detailed education on this preparatory
guidance in relation to phase of labor is very important for that reason. The
labor onset/ early labor: benefits of delaying admission until active labor
should be discussed when doing this teaching, but
not all women are able to manage early labor at
home.
What assessments can be 1. History and chart review
done to evaluate a woman 2. Physical Exam
for possible onset of 3. Pelvic Exam
labor?
What four methods can be 1. Observation of fluid coming from cervical os
used to diagnose 2. Arborization test ("fern test")
spontaneous rupture of 3. pH test (nitrazine test)
membranes? 4. Rapid immunoassays
More than one of these tests should be used in
combination to make the most accurate diagnosis.
Visualization of fluid coming out of the cervical os can
be the most definitive if it is obvious. Blood, semen,
vaginal infection etc can alter both the pH test and
What are the pros and
the ferning test and cause false positive results. Data
cons of these methods?
on the sensitivity/specificity of the Radioimmunoassay
tests is inconclusive. They are designed to detect the
specific biomarkers contained in amniotic fluid. These
should not be relied upon exclusively to determine
membrane status.
It may change the management of her care (i.e. does
Why is it important to
she need to deliver promptly, did her membranes
know for sure if a woman's
rupture preterm, what is her GBS status)
membranes have
•False positive may lead to unnecessary intervention
ruptured?
•False negative may increase risk of complications
CORRECT ANSWERS (VERIFIED ANSWERS) |
GRADED A+ | LATEST EXAM | JUST RELEASED
Save
No. Onset of labor is a always a diagnosis that is made
Is there a consensus on retrospectively. There is no standard definition or
what defines the onset of criteria of what that means exactly. Eventually it will
labor? become clear whether or not a woman is in labor, but
in the moment it is hard to discern.
1. Painful contractions at least every 5 minutes lasting
at least 40 seconds and cervix mostly or completely
effaced
What are some of the 2. Beginning of regular contractions that are are
ways onset of labor could perceived by the woman
be defined? 3. Regular contractions with cervical change
4. When a woman says she is in labor (e.g., bloody
show, sleep and emotional changes, strengthening
contractions, GI symptoms, sleep changes, etc.)
The point in time where cervical dilation begins to
How did Friedman define change rapidly. He suggested that this usually occurs
onset of active labor? around 3-4cm. According to Friedman, labor can be
divided into distinct phases.
Current research demonstrates that many women may
How does current
not be in active labor until closer to 6cm. It suggests
research conflict with
more a continuous paradigm of changes rather than
Friedman's definition?
distinct phases.
, The way labor is depicted in contemporary media
does not generally include early labor, which is
perhaps why so many women and their families are
Describe anticipatory surprised by it. Detailed education on this preparatory
guidance in relation to phase of labor is very important for that reason. The
labor onset/ early labor: benefits of delaying admission until active labor
should be discussed when doing this teaching, but
not all women are able to manage early labor at
home.
What assessments can be 1. History and chart review
done to evaluate a woman 2. Physical Exam
for possible onset of 3. Pelvic Exam
labor?
What four methods can be 1. Observation of fluid coming from cervical os
used to diagnose 2. Arborization test ("fern test")
spontaneous rupture of 3. pH test (nitrazine test)
membranes? 4. Rapid immunoassays
More than one of these tests should be used in
combination to make the most accurate diagnosis.
Visualization of fluid coming out of the cervical os can
be the most definitive if it is obvious. Blood, semen,
vaginal infection etc can alter both the pH test and
What are the pros and
the ferning test and cause false positive results. Data
cons of these methods?
on the sensitivity/specificity of the Radioimmunoassay
tests is inconclusive. They are designed to detect the
specific biomarkers contained in amniotic fluid. These
should not be relied upon exclusively to determine
membrane status.
It may change the management of her care (i.e. does
Why is it important to
she need to deliver promptly, did her membranes
know for sure if a woman's
rupture preterm, what is her GBS status)
membranes have
•False positive may lead to unnecessary intervention
ruptured?
•False negative may increase risk of complications
