Exam (elaborations)
NM 704 EXAM 2 QUESTIONS AND ANSWERS 2024
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NM 704 EXAM 2 QUESTIONS AND ANSWERS 2024
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NM 704 EXAM 2What are indications for an induction of labor? - ANSWERS-(1) gHTN (2)
preeclampsia/eclampsia (3) IUGR (4) cholestasis (5) DM (6) fetal demise (7) intra-
amniotic infection (8) intra-amniotic infection (9) oligo (10) nonreassuring fetal
status
When can an elective induction be scheduled? - ANSWERS-Before 39 weeks
What are some reasons for an elective induction? - ANSWERS-(1) maternal or
provider convenience (2) history of fast labors (3) relief of physiologic pregnancy
discomforts (4) avoidance of certain calendar dates or holidays (5) patient
satisfaction
What are some issues with the antidiuretic effect of oxytocin? - ANSWERS-(1)
fluid restriction (2) pulmonary edema
What are some problems with giving oxytocin as a bolus? - ANSWERS-(1)
hypotension (2) tachycardia (3) transient myocardial ischemia
What is the most common side effect of oxytocin? - ANSWERS-Tachysystole
What should you do with oxytocin if there are any signs of fetal compromise? -
ANSWERS-Discontinue
,When can you start oxytocin after fetal well-being is established? - ANSWERS-15-
30 minutes
What does oxytocin increase the risk for? - ANSWERS-(1) PPH (2) uterine rupture
If a woman is in stable condition and is not yet in active labor, what can you do? -
ANSWERS-Shut it off to correct downregulation
What are high doses of oxytocin associated with? - ANSWERS-(1) tachysystole (2)
shorter interval of labor
When does oxytocin reach a steady state in the plasma? - ANSWERS-30-40
minutes after initiation
What helps soften the cervix in preparation for childbirth? - ANSWERS-
Prostaglandins
What begins with onset of regular contractions? - ANSWERS-Latent phase
What phase begins when rate of progress increases? - ANSWERS-Active phase
When can protracted and arrested descent be diagnosed? - ANSWERS-Only
during second stage
, What is the rate of descent per Friedman of nulliparas? - ANSWERS-1 cm/hr
What is the rate of descent per Friedman of multiparas? - ANSWERS-2cm/hr
What is the rate of dilation per Friedman of nulliparas in the active stage? -
ANSWERS-1.2 cm/hr
What is the rate of dilation per Friedman of multiparas in the active stage? -
ANSWERS-1.5 cm/hr
Per the Friedman criteria, what is progress that is occurring, but more slowly than
normal? - ANSWERS-Protraction disorder
Per the Friedman criteria, what is progress that is no progress? - ANSWERS-Arrest
disorder
Per Friedman, what is no dilation in 2 hours? - ANSWERS-Arrest of dilation
Per Friedman, what is no descent in 1 hour? - ANSWERS-Arrest of descent
Is there a difference in arrest disorders based on parity? - ANSWERS-No
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