2026
Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gesta on. A er one
hour, tachysystole develops but the fetal heart rate pa#ern is normal. Appropriate management
is to:
remove the insert
Nifedipine acts as a tocoly c agent by interfering with:
availability of calcium
The progression of labor is based on:
individual factors and clinical condi ons
Universal alphafetoprotein sceening should be offered to all women because:
there is li#le risk or complica ons from the tes ng
A nurse observed a new mother breas)eeding her infant and hears "smacking sounds" as the
infant feeds. The nurse should recognize this might indicate a problem with:
Latch on the breast
A woman with type-1 diabetes at 32 weeks gesta on has diabe c ketoacidosis. Before
administra on of IV potassium, it is important to assure adequate:
urine output
Increased bloody show In a woman in labor is representa ve of:
rapid cervical dila on
According to NICHD terminology, accelera ons and decelera ons are based on their
rela onship to"
fetal heart rate baseline
Hindmilk promotes infant weight gain because of its:
high fat content
, The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief strategy
in labor of:
imagery
A er administra on of an epidural, a woman experienced respiratory depression. This is likely
due to:
sympathe c blockade
A main disadvantage of fentanyl use for pain relief in labor is:
short dura on of ac on
The most common umbilical cord complica on of monoamnio c twin gesta on is:
entanglement
A poten al complica on from a vacuum extrac on delivery is:
depression skull fracture
A shorter labor dura on is seen with what type of maternal posi oning:
upright
A breas)eeding mother notes that small amounts of milk drool from her infant's mouth a er
breas)eeding. This is an indica on of what:
a need to evaluate proper latch-on
When administering oxytocin, it is important to understand that 40 minutes a er
administra on:
a steady state plasma concentra on will be reached
In the hypothermin neonate, heat produc on is accomplished by thermogenesis secondary to:
brown fat metabolism
Women are most likely to experience trauma leading to injury in pregnancy from:
in mate partner violence
A contraindica on to neuraxial anesthesia during labor is:
coagula on disorder