NM 704 EXAM SCRIPT 2026 QUESTIONS
ANSWERED 100% CORRECT
◉ When is a steady state of oxytocin achieved in plasma? Answer: 40
minutes
◉ According to ACOG, stripping membranes increases the change of
labor starting when? Answer: Within 48 hours
◉ When amniotomy is used alone for labor induction, what are the
outcomes? Answer: Unpredictable
◉ What are maternal or fetal conditions that may be indications for
induction of labor? Answer: (1) abruptio placentae (2)
chorioamnionitis (3) fetal demise (4) gestational htn (5)
preeclampsia/eclampsia (6) PPROM (7) postterm pregnancy (8)
maternal medical conditions (9) fetal compromise
◉ What are some contraindication for labor induction? Answer: (1)
vasa previa or complete placenta previa (2) transverse fetal lie (3)
umbilical cord prolapse (4) previous classical cesarean delivery (5)
active genital herpes infection (6) previous myomectomy entering
the endometrial cavity
,◉ Does misoprostol or dinoprostone have greater risk for uterine
tachysystole? Answer: Misoprostol
◉ What is the risk of using misoprostol in women with prior
cesarean? Answer: Uterine rupture
◉ What other increase is associated with use of misoprostol?
Answer: Meconium-stained amniotic fluid
◉ When using PGE2, what patient populations should caution be
exercised with? Answer: (1) glaucoma (2) severe hepatic
dysfunction (3) severe renal dysfunction
◉ What are the potential risk with an amniotomy? Answer: (1)
prolapse of umbilical cord (2) chorioamnionitis (3) significant
umbilical cord compression (4) rupture of vasa previa
◉ What are the risks of stripping amniotic membranes? Answer: (1)
undiagnosed placenta previa or low lying placenta (2) accidental
amniotomy
◉ Before 7cm of dilation, is it not uncommon for nulliparous women
to not have cervical change for how long? Answer: 2 hours
, ◉ ____________ from clinicians would convey a positive attitude about
the process of labor, and this may potentially enhance maternal
confidence and reduce overall stress. Answer: Greater patience
◉ Evidence supports what for all women in the first stage of labor?
Answer: (1) continuous support (2) flexible parameters for defining
labor progress (3) intermittent auscultation of the fetal heart (4)
promotion of upright positions and activities (5) nonpharmacologic
methods of pain relief
◉ What is the synthetic PGE1 analog used for pre-induction cervical
ripening, and first and second trimester abortions? Answer:
Misoprostol
◉ What is the PGE2 analog used for pre-induction cervical ripening
and first or second trimester abortions? Answer: Dinoprostone
◉ What is the PGF2 used for control of postpartum hemorrhage and
first or second trimester abortion? Answer: Carboprost
◉ What makes it hard to draw conclusions about the effectiveness of
prostaglandings? Answer: (1) type (2) form of administration (3)
route of administration (4) dosage
ANSWERED 100% CORRECT
◉ When is a steady state of oxytocin achieved in plasma? Answer: 40
minutes
◉ According to ACOG, stripping membranes increases the change of
labor starting when? Answer: Within 48 hours
◉ When amniotomy is used alone for labor induction, what are the
outcomes? Answer: Unpredictable
◉ What are maternal or fetal conditions that may be indications for
induction of labor? Answer: (1) abruptio placentae (2)
chorioamnionitis (3) fetal demise (4) gestational htn (5)
preeclampsia/eclampsia (6) PPROM (7) postterm pregnancy (8)
maternal medical conditions (9) fetal compromise
◉ What are some contraindication for labor induction? Answer: (1)
vasa previa or complete placenta previa (2) transverse fetal lie (3)
umbilical cord prolapse (4) previous classical cesarean delivery (5)
active genital herpes infection (6) previous myomectomy entering
the endometrial cavity
,◉ Does misoprostol or dinoprostone have greater risk for uterine
tachysystole? Answer: Misoprostol
◉ What is the risk of using misoprostol in women with prior
cesarean? Answer: Uterine rupture
◉ What other increase is associated with use of misoprostol?
Answer: Meconium-stained amniotic fluid
◉ When using PGE2, what patient populations should caution be
exercised with? Answer: (1) glaucoma (2) severe hepatic
dysfunction (3) severe renal dysfunction
◉ What are the potential risk with an amniotomy? Answer: (1)
prolapse of umbilical cord (2) chorioamnionitis (3) significant
umbilical cord compression (4) rupture of vasa previa
◉ What are the risks of stripping amniotic membranes? Answer: (1)
undiagnosed placenta previa or low lying placenta (2) accidental
amniotomy
◉ Before 7cm of dilation, is it not uncommon for nulliparous women
to not have cervical change for how long? Answer: 2 hours
, ◉ ____________ from clinicians would convey a positive attitude about
the process of labor, and this may potentially enhance maternal
confidence and reduce overall stress. Answer: Greater patience
◉ Evidence supports what for all women in the first stage of labor?
Answer: (1) continuous support (2) flexible parameters for defining
labor progress (3) intermittent auscultation of the fetal heart (4)
promotion of upright positions and activities (5) nonpharmacologic
methods of pain relief
◉ What is the synthetic PGE1 analog used for pre-induction cervical
ripening, and first and second trimester abortions? Answer:
Misoprostol
◉ What is the PGE2 analog used for pre-induction cervical ripening
and first or second trimester abortions? Answer: Dinoprostone
◉ What is the PGF2 used for control of postpartum hemorrhage and
first or second trimester abortion? Answer: Carboprost
◉ What makes it hard to draw conclusions about the effectiveness of
prostaglandings? Answer: (1) type (2) form of administration (3)
route of administration (4) dosage
