NM704 Exam 3 - Questions With Precise Solutions (A+)
You admit a multipara at 39 weeks in active labor. she is 4cm/90%/0 station.
she asks you to break her water. you should explain that routine amniotomy
Right Ans - may increase risk of c-section
A 39 year old nullipara at 41 weeks is in active labor. she has an unremarkable
medical, surgical, ob and prenatal hx. she is 7cm/100%/0 station and has had
no meds. she has progressed 3cms in the past 3 hours. what is her best plan
for oral intake Right Ans - diet as tolerated
A nullipara at 40 weeks is in active labor. her urine dipstick shows 3+ ketones.
this indicates Right Ans - 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 Right Ans - can she
tolerate oral intake?
What is associated with a reduced c-section birth rate Right Ans -
continuous one-to-one labor support
You admit a multipara at 40 weeks in active labor. her temp is 101.9*F. this is
most likely caused by: Right Ans - an infectious process
What med has the longest half-life (and because of this the risk of resp
depression in the newborn for the longest time period): fentanyl, demerol,
morphine, nubain Right Ans - Demerol
Side effects of epidural analgesia include Right Ans - fever and hypotension
(postdural puncture headache, pruritus, and transient fetal heart rate decels)
The use of epidural anesthesia is associated with Right Ans - an increased
rate of operative vaginal births
Water immersion during labor is associated with Right Ans - a dereased in
epidural use
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? Right Ans - prolonged labor and vaginal exam findings suggest a
posterior position
Giving a woman in labor large amounts of IV fluids with dextrose is associated
with Right Ans - newborn jaundice and hypoglycemia
the traditional, biomedical definition of second stage labor is Right Ans -
the time from complete dilation of the cervix to the birth of the baby
the alternative or physiological definition of second stage labor is Right
Ans - the time beginning with involuntary, expulsive efforts to the birth of the
baby
the Ferguson Reflex results in a surge of oxytocin that enhances contraction
strength and pushing effectiveness in second stage labor Right Ans - true
nearly all women feel the urge to push at about the same time that their cervix
reaches complete dilation Right Ans - false
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 Right Ans - less maternal fatigue, fewer
operative vaginal deliveries, less genital tract trauma
an evidence-based technique for perineal management during birth that
decreases or minimizes genital tract trauma is Right Ans - working with
the woman to facilitate a gentle, controlled birth of the baby
daily prenatal perineal massage in the final weeks of pregnancy has been
shown to reduce the risk of genital tract trauma T/F Right Ans - true
active management of the third stage of labor (AMTSL), according to the
current ICM/FIGO joint statement (2003) includes Right Ans -
administration of oxytocin right after the baby is born, controlled cord
traction, and uterine massage after the placenta is expelled.
AMTSL has been shown to Right Ans - reduce risk of PPH, result in less
overall blood loss, and result in less anemia
You admit a multipara at 39 weeks in active labor. she is 4cm/90%/0 station.
she asks you to break her water. you should explain that routine amniotomy
Right Ans - may increase risk of c-section
A 39 year old nullipara at 41 weeks is in active labor. she has an unremarkable
medical, surgical, ob and prenatal hx. she is 7cm/100%/0 station and has had
no meds. she has progressed 3cms in the past 3 hours. what is her best plan
for oral intake Right Ans - diet as tolerated
A nullipara at 40 weeks is in active labor. her urine dipstick shows 3+ ketones.
this indicates Right Ans - 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 Right Ans - can she
tolerate oral intake?
What is associated with a reduced c-section birth rate Right Ans -
continuous one-to-one labor support
You admit a multipara at 40 weeks in active labor. her temp is 101.9*F. this is
most likely caused by: Right Ans - an infectious process
What med has the longest half-life (and because of this the risk of resp
depression in the newborn for the longest time period): fentanyl, demerol,
morphine, nubain Right Ans - Demerol
Side effects of epidural analgesia include Right Ans - fever and hypotension
(postdural puncture headache, pruritus, and transient fetal heart rate decels)
The use of epidural anesthesia is associated with Right Ans - an increased
rate of operative vaginal births
Water immersion during labor is associated with Right Ans - a dereased in
epidural use
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? Right Ans - prolonged labor and vaginal exam findings suggest a
posterior position
Giving a woman in labor large amounts of IV fluids with dextrose is associated
with Right Ans - newborn jaundice and hypoglycemia
the traditional, biomedical definition of second stage labor is Right Ans -
the time from complete dilation of the cervix to the birth of the baby
the alternative or physiological definition of second stage labor is Right
Ans - the time beginning with involuntary, expulsive efforts to the birth of the
baby
the Ferguson Reflex results in a surge of oxytocin that enhances contraction
strength and pushing effectiveness in second stage labor Right Ans - true
nearly all women feel the urge to push at about the same time that their cervix
reaches complete dilation Right Ans - false
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 Right Ans - less maternal fatigue, fewer
operative vaginal deliveries, less genital tract trauma
an evidence-based technique for perineal management during birth that
decreases or minimizes genital tract trauma is Right Ans - working with
the woman to facilitate a gentle, controlled birth of the baby
daily prenatal perineal massage in the final weeks of pregnancy has been
shown to reduce the risk of genital tract trauma T/F Right Ans - true
active management of the third stage of labor (AMTSL), according to the
current ICM/FIGO joint statement (2003) includes Right Ans -
administration of oxytocin right after the baby is born, controlled cord
traction, and uterine massage after the placenta is expelled.
AMTSL has been shown to Right Ans - reduce risk of PPH, result in less
overall blood loss, and result in less anemia
