ALARM Exam Review Questions With Complete Solutions
Active mgmt 3rd stage meds + doses Correct Answers
OXYTOCIN
-10U IM after anterior shoulder
-5-10U IV over 1-2mins
-20-40U IV in 1L NS @ 100cc/hr
CARBETOCIN
-100mcg IM with delivery of placenta (or IV over 1min for CS)
MISOPROSTOL
-200mcg PO or 400mcg SL/PR
Adequate Contractions Correct Answers -Moderate-strong
-last 60 secs
-IUPC 50-60mmHg
-4-5 Contractions/10min
Angidote to MgSO4 overdose Correct Answers -10% Calcium
gluconate 10mL over 3mins
-stop MAG
-resp support
Antibiotics for BV Correct Answers -clindamycin 300mg po
BID x 7d
-or metronidazole
Antibiotics for GBS Correct Answers -Pen G 5million units IV
then 2.5million units q4h until delivery
-cefazolin 2gIV then 1g q8h
, -clindamycin 900mg IV q8h until delivery
-vancomycin 1g IV q12h
Assessment of Dystocia? Correct Answers POWERS -
contraction quality (60secs, mod to strong, 4-5/10mins)
*augment labor (oxytocin)
PASSENGER - fetal size/fetal position
PASSAGE - pelvic structure, soft tissue factors
PSYCHE - pain/anxiety
Carbetocin dose Correct Answers 100mcg IM/IV over 1min
components of EFM Correct Answers BASELINE FHR (110-
160 over 10mins)
VARIABILITY (absent/minimal <5/moderate 6-25bpm/marked
>25bpm)
ACCELERATIONS (happen after contraction/stimulation.
Abrupt increase in FHR above baseline. >15bpm for 15secs
from onset to return)
-Prolonged = btw 2-10mins
-Baseline change if >10mins
DECELERATIONS
1) Early = head compression
Active mgmt 3rd stage meds + doses Correct Answers
OXYTOCIN
-10U IM after anterior shoulder
-5-10U IV over 1-2mins
-20-40U IV in 1L NS @ 100cc/hr
CARBETOCIN
-100mcg IM with delivery of placenta (or IV over 1min for CS)
MISOPROSTOL
-200mcg PO or 400mcg SL/PR
Adequate Contractions Correct Answers -Moderate-strong
-last 60 secs
-IUPC 50-60mmHg
-4-5 Contractions/10min
Angidote to MgSO4 overdose Correct Answers -10% Calcium
gluconate 10mL over 3mins
-stop MAG
-resp support
Antibiotics for BV Correct Answers -clindamycin 300mg po
BID x 7d
-or metronidazole
Antibiotics for GBS Correct Answers -Pen G 5million units IV
then 2.5million units q4h until delivery
-cefazolin 2gIV then 1g q8h
, -clindamycin 900mg IV q8h until delivery
-vancomycin 1g IV q12h
Assessment of Dystocia? Correct Answers POWERS -
contraction quality (60secs, mod to strong, 4-5/10mins)
*augment labor (oxytocin)
PASSENGER - fetal size/fetal position
PASSAGE - pelvic structure, soft tissue factors
PSYCHE - pain/anxiety
Carbetocin dose Correct Answers 100mcg IM/IV over 1min
components of EFM Correct Answers BASELINE FHR (110-
160 over 10mins)
VARIABILITY (absent/minimal <5/moderate 6-25bpm/marked
>25bpm)
ACCELERATIONS (happen after contraction/stimulation.
Abrupt increase in FHR above baseline. >15bpm for 15secs
from onset to return)
-Prolonged = btw 2-10mins
-Baseline change if >10mins
DECELERATIONS
1) Early = head compression
