NM 706 Exam 5
What is postterm? - answer42 0/7
What is late-term? - answer41 0/7 weeks
What is term? - answer37-40 6/7
What point in the pregnancy do IOL outweigh the risks of c/s from IOL? -
answerTechnically after 40 weeks, but increased risk of stillbirth is 42-42 6/7
What are additional risks associated with late-term pregnancies? - answer(1) meconium
(2) oligohydramnios (3) nonreassuring FHR (4) fetal macrosomia (5) stillbirth
What scale helps determine how receptive a cervix would be to an induction of labor? -
answerBishop score
What score is considered ripe for nulliparous? - answer7
What score is considered ripe for multiparous? - answer5
What is something you can offer at 41 weeks to help increase chance of spontaneous
labor? - answerStrip membranes
What is it when you separate lower uterine segment from the membranes? -
answerStripping membranes
When do you initiate fetal surveillance? - answer41 weeks
When do you consider doing an induction with a normal progressing pregnancy? -
answer41 weeks with SDM (2) definitely at 42 0/7 weeks
What are problems with postterm pregnancy? - answer(1) fetal intolerance to labor (2)
meconium staining (3) MAS (4) postmaturity syndrome (5) more NICU admissions (6)
risk for c-section
What is most common side effect with cervidil? - answer(1) uterine tachysystole (2)
FHR changes
How is prepidil used? - answerGel into endocervix
How long can cervidil be left in place? - answer12 hours
, What are common side effects with prepidil? - answer(1) uterine tachysystole (2) FHR
changes
What is the risk of Cytotec? - answer(1) uterine tachysytole (2) uterine rupture (3)
meconium stained fluid (4) diarrhea (5) shivering
What is the risk with oxytocin? - answer(1) uterine hyperstimulation (2) water
intoxication
What are signs of water intoxication? - answer(1) lethargy (2) n/v (3) decreased DTRs
Oxytocin infusion has a half-life of what? - answer10-12 minutes
How long does it take for oxytocin to reach a steady state in the serum? - answer40
minutes
Where are oxytocin receptors the highest? - answerFundus
Does oxytocin have effect on cervix? - answerNot really
What is released during membrane stripping? - answerProstaglandins
What route of Cytotec reduces risk of tachysystole? - answeroral
What is increasing order of effectiveness for IOL, cervical ripening? - answer(1) low
dose oxytocin (2) high dose oxytocin (3) prepidil & cervidil (4) Cytotec
What is contraindicated for a woman with a uterine scar? - answerProstaglandins
How do cervical ripening mechanical agents work? - answer(1) stimulate the release of
prostaglandins (2) mechanically dilate and soften the cervix (3) minimal effacement
What assessment is important prior to induction? - answer(1) FHR (2) check
membranes (3) cervical exam (4) bishop score (5) check uterine activity (6) leopold's
position (7) GBS status (8) EFW (9) Vital signs
What are options for IOL for a bishop score of 4? - answer(1) Cytotec (2) pitocin (3)
cervidil (4) foley
Do you consult, collaborate, or refer for a patient needing IOL at 41 3/7 weeks with
oligo? - answerConsult
What does baby's station need to be before breaking membranes for IOL? - answer-1 or
0
What is postterm? - answer42 0/7
What is late-term? - answer41 0/7 weeks
What is term? - answer37-40 6/7
What point in the pregnancy do IOL outweigh the risks of c/s from IOL? -
answerTechnically after 40 weeks, but increased risk of stillbirth is 42-42 6/7
What are additional risks associated with late-term pregnancies? - answer(1) meconium
(2) oligohydramnios (3) nonreassuring FHR (4) fetal macrosomia (5) stillbirth
What scale helps determine how receptive a cervix would be to an induction of labor? -
answerBishop score
What score is considered ripe for nulliparous? - answer7
What score is considered ripe for multiparous? - answer5
What is something you can offer at 41 weeks to help increase chance of spontaneous
labor? - answerStrip membranes
What is it when you separate lower uterine segment from the membranes? -
answerStripping membranes
When do you initiate fetal surveillance? - answer41 weeks
When do you consider doing an induction with a normal progressing pregnancy? -
answer41 weeks with SDM (2) definitely at 42 0/7 weeks
What are problems with postterm pregnancy? - answer(1) fetal intolerance to labor (2)
meconium staining (3) MAS (4) postmaturity syndrome (5) more NICU admissions (6)
risk for c-section
What is most common side effect with cervidil? - answer(1) uterine tachysystole (2)
FHR changes
How is prepidil used? - answerGel into endocervix
How long can cervidil be left in place? - answer12 hours
, What are common side effects with prepidil? - answer(1) uterine tachysystole (2) FHR
changes
What is the risk of Cytotec? - answer(1) uterine tachysytole (2) uterine rupture (3)
meconium stained fluid (4) diarrhea (5) shivering
What is the risk with oxytocin? - answer(1) uterine hyperstimulation (2) water
intoxication
What are signs of water intoxication? - answer(1) lethargy (2) n/v (3) decreased DTRs
Oxytocin infusion has a half-life of what? - answer10-12 minutes
How long does it take for oxytocin to reach a steady state in the serum? - answer40
minutes
Where are oxytocin receptors the highest? - answerFundus
Does oxytocin have effect on cervix? - answerNot really
What is released during membrane stripping? - answerProstaglandins
What route of Cytotec reduces risk of tachysystole? - answeroral
What is increasing order of effectiveness for IOL, cervical ripening? - answer(1) low
dose oxytocin (2) high dose oxytocin (3) prepidil & cervidil (4) Cytotec
What is contraindicated for a woman with a uterine scar? - answerProstaglandins
How do cervical ripening mechanical agents work? - answer(1) stimulate the release of
prostaglandins (2) mechanically dilate and soften the cervix (3) minimal effacement
What assessment is important prior to induction? - answer(1) FHR (2) check
membranes (3) cervical exam (4) bishop score (5) check uterine activity (6) leopold's
position (7) GBS status (8) EFW (9) Vital signs
What are options for IOL for a bishop score of 4? - answer(1) Cytotec (2) pitocin (3)
cervidil (4) foley
Do you consult, collaborate, or refer for a patient needing IOL at 41 3/7 weeks with
oligo? - answerConsult
What does baby's station need to be before breaking membranes for IOL? - answer-1 or
0
