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NM 704 Exam 3 Module 8 (2025) comprehensive
questions and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025 TEST!!
Active management of the third stage of labour - (ANSWER)consists of
interventions designed to facilitate the delivery of the placenta by increasing
uterine contractions and to prevent PPH by
averting uterine atony.
Within one minute of the delivery of the baby, - (ANSWER)palpate the abdomen
to rule out the presence of an additional baby or babies and give oxytocin 10 units
intramuscularly (IM).
The usual components of Active management of the third stage of labor include: -
(ANSWER)• administration of uterotonic agents
• controlled cord traction
• uterine massage after delivery of the placenta, as appropriate
Oxytocin is preferred over other uterotonic drugs because - (ANSWER)• it is
effective 2 to 3 minutes after injection
• has minimal side effects
• can be used in all women.
3rd stage of labor is definition - (ANSWER)the period following the birth of the
newborn through the expulsion of the placenta.
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maximum safe Lidocaine dosages - (ANSWER)• 4.5 mg/kg, up to 300 mg
Lidocaine w/o epinephrine
• 7 mg/kg, up to 500 mg Lidocaine w/ epinephrine
the signs of placental separation. - (ANSWER)• A small gush of blood
• Lengthening of the umbilical cord
• Rise of the uterus into the abdomen
• The uterus becomes firm and rounded
Three Components of AMTSL according to the ICM/FIGO Joint Statement (2003)
are: - (ANSWER)• Administration of a uterotonic medication within one minute of
the birth of the baby, after ruling out multiple gestation. Oxytocin is the preferred
medication.
• Controlled cord traction to assist with placental expulsion.
• Uterine massage immediately after placental expulsion, and then as needed.
evidence regarding comparable outcomes with active management versus
expectant of the third stage.
AMTSL has CLEARLY demonstrated the following when AMTSL is used compared
with when expectant management is used to manage third stage of labor: -
(ANSWER)• A reduced risk of postpartum hemorrhage
• Less overall blood loss
• Less anemia
• Less need for therapeutic uterotonics
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Expectant/Physiologic management of third stage labor -
(ANSWER)noninterventionist approach that involves watchful waiting as third
stage unfolds spontaneously.
includes no routine uterotonic administration, delayed cord-clamping, and
gentle—if any—cord traction.
The placenta is then expelled spontaneously, sometimes with help from gravity,
nipple stimulation, or maternal effort
No uterine massage
The midwife watches for signs of placental separation
physiologic tasks of the third stage: - (ANSWER)Placental separation
Placental expulsion
Control of bleeding at the placental site
Placental separation - (ANSWER)the result of an abrupt decrease in size of the
uterine cavity during and following the birth of the neonate.
As the uterus contracts, the placental implantation surface area decreases
without a corresponding change in the placental size.
This sudden disproportion between the area of implantation and placental size
causes the placenta to buckle and separate from the decidua.
Placental expulsion - (ANSWER)placenta passes through cervix into vaginal vault
and is expelled. It occurs by one of two mechanisms: Shultz or Duncan.
NM 704 Exam 3 Module 8 (2025) comprehensive
questions and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025 TEST!!
Active management of the third stage of labour - (ANSWER)consists of
interventions designed to facilitate the delivery of the placenta by increasing
uterine contractions and to prevent PPH by
averting uterine atony.
Within one minute of the delivery of the baby, - (ANSWER)palpate the abdomen
to rule out the presence of an additional baby or babies and give oxytocin 10 units
intramuscularly (IM).
The usual components of Active management of the third stage of labor include: -
(ANSWER)• administration of uterotonic agents
• controlled cord traction
• uterine massage after delivery of the placenta, as appropriate
Oxytocin is preferred over other uterotonic drugs because - (ANSWER)• it is
effective 2 to 3 minutes after injection
• has minimal side effects
• can be used in all women.
3rd stage of labor is definition - (ANSWER)the period following the birth of the
newborn through the expulsion of the placenta.
,2|Page
maximum safe Lidocaine dosages - (ANSWER)• 4.5 mg/kg, up to 300 mg
Lidocaine w/o epinephrine
• 7 mg/kg, up to 500 mg Lidocaine w/ epinephrine
the signs of placental separation. - (ANSWER)• A small gush of blood
• Lengthening of the umbilical cord
• Rise of the uterus into the abdomen
• The uterus becomes firm and rounded
Three Components of AMTSL according to the ICM/FIGO Joint Statement (2003)
are: - (ANSWER)• Administration of a uterotonic medication within one minute of
the birth of the baby, after ruling out multiple gestation. Oxytocin is the preferred
medication.
• Controlled cord traction to assist with placental expulsion.
• Uterine massage immediately after placental expulsion, and then as needed.
evidence regarding comparable outcomes with active management versus
expectant of the third stage.
AMTSL has CLEARLY demonstrated the following when AMTSL is used compared
with when expectant management is used to manage third stage of labor: -
(ANSWER)• A reduced risk of postpartum hemorrhage
• Less overall blood loss
• Less anemia
• Less need for therapeutic uterotonics
, 3|Page
Expectant/Physiologic management of third stage labor -
(ANSWER)noninterventionist approach that involves watchful waiting as third
stage unfolds spontaneously.
includes no routine uterotonic administration, delayed cord-clamping, and
gentle—if any—cord traction.
The placenta is then expelled spontaneously, sometimes with help from gravity,
nipple stimulation, or maternal effort
No uterine massage
The midwife watches for signs of placental separation
physiologic tasks of the third stage: - (ANSWER)Placental separation
Placental expulsion
Control of bleeding at the placental site
Placental separation - (ANSWER)the result of an abrupt decrease in size of the
uterine cavity during and following the birth of the neonate.
As the uterus contracts, the placental implantation surface area decreases
without a corresponding change in the placental size.
This sudden disproportion between the area of implantation and placental size
causes the placenta to buckle and separate from the decidua.
Placental expulsion - (ANSWER)placenta passes through cervix into vaginal vault
and is expelled. It occurs by one of two mechanisms: Shultz or Duncan.
