1|Page
NM 704 FINAL EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS||VERIFIED
EXAM!!! (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||NEWEST EXAM!!!!||
What is the cardinal movement that allows the head to be born? -
ANSWER-Extension
The active work of second stage increases the need for this, so
attend to this maternal self-care measure - ANSWER-Hydration &
Nutrition
What do you monitor during second stage, as it can interfere with
fetal descent? - ANSWER-Bladder and urination habits because a
full bladder can displace the uterus and make it harder for the
birthing person to push
A type of pushing that can result indecreased fetal oxygenation -
ANSWER-closed glottis or coached
The time when the largest diameter ofthe fetal head remains on
theperineum in between contractions - ANSWER-Crowning
,2|Page
What is the Second Stage—Traditional (but still widespread),
Biomedical, Anatomical Definition? - ANSWER-complete
dilatation of the cervix and ends with the birth of the baby• Known
as the stage of expulsion
What is the Second Stage—Alternative, physiological Definition? -
ANSWER-Begins with onset of involuntary, expulsive efforts (urge
to push) and ends with the birth of the baby• The stage of
expulsion. The woman follows her body's cues.
What is the evidence behind spontaneous urge to push? -
ANSWER-A diminished labor when reaching complete and before
having an urge to push (AKA latent second stage)
• Better maternal and neonatal outcomes with spontaneous vs.
directed pushing
Current evidence on outcomes for the birthing person and
newborn associated with birth in water. - ANSWER-comparable to
other birth methods
,3|Page
What are some strategies for long term labor? - ANSWER-
Strategies are individualized as there is no evidence on how 2nd
stage should be evaluated
methods to assist: Position changes can be quite effective
Other strategies include resting in the absence of a strong urge to
push, water immersion, and pushing on the toilet.
Digital pressure on the posterior vaginal wall, though not
appropriate to do routinely, can also sometimes be an effective
strategy to promote descent when needed.
When to evaluate progress and suggested adjustments depends
on many factors
An evidence-based technique for perineal management during
birth that decreases or minimizes genital tract trauma is: -
ANSWER-working with the woman to facilitate a gentle, controlled
birth of the baby.
, 4|Page
Prenatal perineal massage in the final weeks of pregnancy has
been shown to reduce the risk of genital tract trauma in which
cohort of birthing women? - ANSWER-Nulliparous
Define the third stage of labor. - ANSWER-The period following
the birth of the newborn to the delivery of the placenta
What are the physiologic tasks of the third stage of labor? -
ANSWER-1.)Placental separation: a result of the abrupt decrease
of uterine cavity size following birth.
2.)Placental expulsion: Occurs by 2 mechanisms (Schultz or
Duncan)
Schultz: (MOST COMMON) Placenta separate centrally and fetal
side exits first. (shiny)
Duncan: Placenta exits marginally and maternal side exits first
(dark)
NM 704 FINAL EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS||VERIFIED
EXAM!!! (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||NEWEST EXAM!!!!||
What is the cardinal movement that allows the head to be born? -
ANSWER-Extension
The active work of second stage increases the need for this, so
attend to this maternal self-care measure - ANSWER-Hydration &
Nutrition
What do you monitor during second stage, as it can interfere with
fetal descent? - ANSWER-Bladder and urination habits because a
full bladder can displace the uterus and make it harder for the
birthing person to push
A type of pushing that can result indecreased fetal oxygenation -
ANSWER-closed glottis or coached
The time when the largest diameter ofthe fetal head remains on
theperineum in between contractions - ANSWER-Crowning
,2|Page
What is the Second Stage—Traditional (but still widespread),
Biomedical, Anatomical Definition? - ANSWER-complete
dilatation of the cervix and ends with the birth of the baby• Known
as the stage of expulsion
What is the Second Stage—Alternative, physiological Definition? -
ANSWER-Begins with onset of involuntary, expulsive efforts (urge
to push) and ends with the birth of the baby• The stage of
expulsion. The woman follows her body's cues.
What is the evidence behind spontaneous urge to push? -
ANSWER-A diminished labor when reaching complete and before
having an urge to push (AKA latent second stage)
• Better maternal and neonatal outcomes with spontaneous vs.
directed pushing
Current evidence on outcomes for the birthing person and
newborn associated with birth in water. - ANSWER-comparable to
other birth methods
,3|Page
What are some strategies for long term labor? - ANSWER-
Strategies are individualized as there is no evidence on how 2nd
stage should be evaluated
methods to assist: Position changes can be quite effective
Other strategies include resting in the absence of a strong urge to
push, water immersion, and pushing on the toilet.
Digital pressure on the posterior vaginal wall, though not
appropriate to do routinely, can also sometimes be an effective
strategy to promote descent when needed.
When to evaluate progress and suggested adjustments depends
on many factors
An evidence-based technique for perineal management during
birth that decreases or minimizes genital tract trauma is: -
ANSWER-working with the woman to facilitate a gentle, controlled
birth of the baby.
, 4|Page
Prenatal perineal massage in the final weeks of pregnancy has
been shown to reduce the risk of genital tract trauma in which
cohort of birthing women? - ANSWER-Nulliparous
Define the third stage of labor. - ANSWER-The period following
the birth of the newborn to the delivery of the placenta
What are the physiologic tasks of the third stage of labor? -
ANSWER-1.)Placental separation: a result of the abrupt decrease
of uterine cavity size following birth.
2.)Placental expulsion: Occurs by 2 mechanisms (Schultz or
Duncan)
Schultz: (MOST COMMON) Placenta separate centrally and fetal
side exits first. (shiny)
Duncan: Placenta exits marginally and maternal side exits first
(dark)
