NM 704 EXAMINATION TEST 2026 COMPLETE
QUESTIONS AND SOLUTIONS
◉ What phase begins when rate of progress increases? Answer:
Active phase
◉ When can protracted and arrested descent be diagnosed? Answer:
Only during second stage
◉ What is the rate of descent per Friedman of nulliparas? Answer: 1
cm/hr
◉ What is the rate of descent per Friedman of multiparas? Answer:
2cm/hr
◉ What is the rate of dilation per Friedman of nulliparas in the
active stage? Answer: 1.2 cm/hr
◉ What is the rate of dilation per Friedman of multiparas in the
active stage? Answer: 1.5 cm/hr
◉ Per the Friedman criteria, what is progress that is occurring, but
more slowly than normal? Answer: Protraction disorder
,◉ Per the Friedman criteria, what is progress that is no progress?
Answer: Arrest disorder
◉ Per Friedman, what is no dilation in 2 hours? Answer: Arrest of
dilation
◉ Per Friedman, what is no descent in 1 hour? Answer: Arrest of
descent
◉ Is there a difference in arrest disorders based on parity? Answer:
No
◉ The goal of ________ is to facilitate the process of cervical softening,
thinning, and dilating with resultant reduction in the rate of failed
induction and induction to delivery time. Answer: Cervical ripening
◉ A Bishop score of _______ increases probability of vaginal delivery
after labor induction. Answer: 8
◉ What are advantages of the foley catheter to prostaglandins for
induction? Answer: (1) low cost (2) stability at room temperature
(3) reduced risk of uterine tachysystole
, ◉ 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
QUESTIONS AND SOLUTIONS
◉ What phase begins when rate of progress increases? Answer:
Active phase
◉ When can protracted and arrested descent be diagnosed? Answer:
Only during second stage
◉ What is the rate of descent per Friedman of nulliparas? Answer: 1
cm/hr
◉ What is the rate of descent per Friedman of multiparas? Answer:
2cm/hr
◉ What is the rate of dilation per Friedman of nulliparas in the
active stage? Answer: 1.2 cm/hr
◉ What is the rate of dilation per Friedman of multiparas in the
active stage? Answer: 1.5 cm/hr
◉ Per the Friedman criteria, what is progress that is occurring, but
more slowly than normal? Answer: Protraction disorder
,◉ Per the Friedman criteria, what is progress that is no progress?
Answer: Arrest disorder
◉ Per Friedman, what is no dilation in 2 hours? Answer: Arrest of
dilation
◉ Per Friedman, what is no descent in 1 hour? Answer: Arrest of
descent
◉ Is there a difference in arrest disorders based on parity? Answer:
No
◉ The goal of ________ is to facilitate the process of cervical softening,
thinning, and dilating with resultant reduction in the rate of failed
induction and induction to delivery time. Answer: Cervical ripening
◉ A Bishop score of _______ increases probability of vaginal delivery
after labor induction. Answer: 8
◉ What are advantages of the foley catheter to prostaglandins for
induction? Answer: (1) low cost (2) stability at room temperature
(3) reduced risk of uterine tachysystole
, ◉ 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
