RNC OB Part 3-Labor and Delivery Exam Questions and Answers Latest Update (100% Pass)
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RNC OB Part 3-Labor and Delivery
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RNC OB Part 3-Labor And Delivery
RNC OB Part 3-Labor and Delivery Exam Questions and Answers Latest Update (100% Pass)
Progesterone - Answers At the onset of term labor, ___________ (the hormone that inhibits contractions) levels fall and estrogen levels increase, allowing uterus to contract in response to pituitary gland's relea...
RNC OB Part 3-Labor and Delivery Exam Questions and Answers Latest Update (100% Pass)
Progesterone - Answers At the onset of term labor, ___________ (the hormone that inhibits
contractions) levels fall and estrogen levels increase, allowing uterus to contract in response to pituitary
gland's release of oxytocin
10 - Answers At term, ___________% of cardiac output feeds the uterus, but uterine blood flow
decreases during contractions (50% with 30 mmHg)
30 - Answers Placenta is usually delivered within ___________ minutes of baby
3 - Answers Due to involution, uterus decreases from 1000g weight at term to 100g by week
___________
Arachidonic - Answers Fetal Factor that initiates contractions:
Prostaglandin levels rise when amnion, chorion, and decidua release stored ___________ acid that is
converted to prostaglandin
Contractions - Answers Fetal Factor that initiates contractions:
The placenta ages and this triggers ___________
Cortisol - Answers Fetal Factor that initiates contractions:
The release of fetal _______ from the fetal adrenal glands reduces progesterone formation by the
placenta and raises prostaglandin levels
3 - Answers Fetal Factor that initiates contractions:
The fetus secretes oxytocin equal to an infusion of ______mU/min that helps sustain labor
Prostaglandin - Answers Maternal Factor that initiates contractions:
Stretching of uterine muscle causes a release ________which prepares the uterine muscle tissue to
respond to oxytocin
Estrogen - Answers Maternal Factor that initiates contractions:
Decreased progesterone levels allow _______ to excite the uterine muscle response
Oxytocin - Answers Maternal Factor that initiates contractions:
Cervical pressure stimulates the nerve plexus, resulting in signals to the posterior pituitary gland to
release _______________
Second - Answers Oxytocin release into circulation raises dramatically all throughout labor, peaking
during the _________ stage
, Calcium - Answers Along with prostaglandin, oxytocin keeps muscles from binding ____________. This
raises levels of __________ in the blood causing contractions to begin.
Increase - Answers Myometrial and decidual oxytocin receptors in the uterus _________ in number
towards the end of pregnancy. Myometrial receptors are thought to be important to the initiation of
labor
7 - Answers APGAR scores should be obtained every 5 minutes if 5 minute APGAR is < __________
Presentation - Answers When doing the First Leopold Maneuver, ____________ is determined by
palpating the uterine fundus
Head - Answers When doing the first leopold maneuever:
a large modular mass is the buttocks
a hard round, ballotable mobile mass is the ______________
Back - Answers The second leopolds maneuver involves deep palpation of both sides of maternal
abdomen to determine where fetal ____________ is and whether it is oriented anteriorly, transversely,
or posteriorly
Third - Answers During the ____________ leopolds maneuver, you use thumb and fingers at lower
portion of abdomen and grasp just above symphysis pubis. The presenting part is palpated to see if it is
moveable or engaged
Engagement - Answers During fourth leopolds maneuver, tips of fingers are used to palpate deeply into
pelvic inlet to determine details of __________
First - Answers During the ____________ stage of labor, the woman progresses from 0-10 cm
Second - Answers The ____________ stage of labor involves laboring down and pushing
Placenta - Answers The third stage of labor begins with the birth of the baby and ends just before the
____________ is delivered
1 - Answers The fourth stage of labor begins with delivery of placenta and ends when mother is
stabilized approximately ____________ hour(s) after birth
Primigravida - Answers In the ____________ woman, effacement normally occurs before dilation
30 - Answers The third stage of labor should take no longer than ____________ minutes
2 - Answers ACOG recommends that an OVD be considered for nulliparous women with or without
epidural if there are no signs of fetal descent for ____________ hour(s)
1 - Answers ACOG recommends that an OVD be considered for multiiparous women with an epidural if
there are no signs of fetal descent for 2 hour(s) or for _______ hour(s) without an epidural
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