NM 704 exam 2 Latest Update 2024-2025 Actual
Exam from Credible Sources with 200 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
Analyze the controversy generated by Searle's warning against the use of misoprostol
in pregnant women. - CORRECT ANSWER: Mifeprostone was approved to be used IN
CONJUNCTION with misoprostol for early termination, yet misoprostol was not
approved for same use
Product labeling included a warning that misoprostol is contrindicated because of
aboritfacient properties
Warning changed in 2002 to indicate contraindicated for use as an antiulcer agent in
pregnant women
Analyze the impact of elective induction on rates of induction and on the risk of
Cesarean. - CORRECT ANSWER: Rate of induction has increased greatly and it is well
accepted that the increase is primarily due to elective induction
Considerable evidence showing that risk of cesarean is substantially increased with
induction, most research finding at least double
Broadly summarize the contemporary research on labor duration. How do they differ
from Friedman's findings. - CORRECT ANSWER: *Average labor lasts significantly
longer than Friedman's studies
*Upper limits for active phase are about 2x as long as Friedman's
*Mean length of active labor is over 2x as long
*Finding of no progress of over 2 hours is not uncommon
*CSL suggests that dx of active phase protraction or labor arrest not be made until after
6 cm dilitation
,Define active management of labor. - CORRECT ANSWER: Strict criteria for the
diagnosis of labor and aggressive response to myometrial dysfunction ineffective in
promoting cervical dilation, according to a preset partogram criteria based on a 12 hour
limit from admission to delivery.
Define arrest of decent as defined by Friedman. - CORRECT ANSWER: *No progress is
being made
No descent in 1 hour
Define prolonged latent phase according to Friedman. - CORRECT ANSWER:
*progress is occuring, but more slowly than normal
For nullparas: longer than 20 hours
For multiparas: longer than 14 hours
Define protracted active phase as defined by Friedman. - CORRECT ANSWER:
*progress is occuring, but more slowly than normal
For nulliparas: dilitation slower than 1.2 cm/hr
For mulitparas: dilitation slower than 1.5 cm/hr
Define protracted descent as defined by Friedman. - CORRECT ANSWER: *progress is
occuring, but more slowly than normal
For nulliparas: descent less than 1 cm/hr
For mulitparas: descent less than 2 cm/hr
Define secondary arrest of dilation as defined by Friedman. - CORRECT ANSWER: *No
progress is being made
No dilation in two hours
Dilation began and then stopped
, Define the stages and phases of labor as defined by Friedman. - CORRECT ANSWER:
First stage: onset of contractions to full dilation
Latent phase: onset of regular contractions
Active phase: When rate of contraction increases
Second stage: Complete dilation to birth of baby
Describe anticipatory guidance related to labor onset and early labor. - CORRECT
ANSWER: *Should begin during prenatal care
*May need to be repeated several times
*Explain characteristics such as unertain beginning, multiple stops and starts, and
unclear delineation of phases and stages
*Discuss rationale for delaying admission
*Discuss wide array of comfort measures and pain releif that can be utilized OOH
*Discuss continuous labor support
Describe methods for diagnosing spontaneous rupture of membranes (SROM). -
CORRECT ANSWER: Fern test: specimen of fluid taken from cervical os, placed on a
slide and viewed under a microscope. Amniotic fluid will make a fern pattern.
Nitrazine test: limited range pH paper is used to detect rise in pH of vaginal discharge,
amniotic fluid is neutral to alkaline (7-7.5)
U/S
Presence of fetal fibronectin or PAMG-1
Discuss classification, indications, and maternal/fetal/neonatal side effects of Ambien -
CORRECT ANSWER: Class: sedative/hypnotic, not benzo
Indication: therapeutic rest
Side effects:
Discuss classification, indications, and maternal/fetal/neonatal side effects of Benedryl -
CORRECT ANSWER: Class: antihistamine/hypnotic
Indications: need for rest
Exam from Credible Sources with 200 Questions
and Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
Analyze the controversy generated by Searle's warning against the use of misoprostol
in pregnant women. - CORRECT ANSWER: Mifeprostone was approved to be used IN
CONJUNCTION with misoprostol for early termination, yet misoprostol was not
approved for same use
Product labeling included a warning that misoprostol is contrindicated because of
aboritfacient properties
Warning changed in 2002 to indicate contraindicated for use as an antiulcer agent in
pregnant women
Analyze the impact of elective induction on rates of induction and on the risk of
Cesarean. - CORRECT ANSWER: Rate of induction has increased greatly and it is well
accepted that the increase is primarily due to elective induction
Considerable evidence showing that risk of cesarean is substantially increased with
induction, most research finding at least double
Broadly summarize the contemporary research on labor duration. How do they differ
from Friedman's findings. - CORRECT ANSWER: *Average labor lasts significantly
longer than Friedman's studies
*Upper limits for active phase are about 2x as long as Friedman's
*Mean length of active labor is over 2x as long
*Finding of no progress of over 2 hours is not uncommon
*CSL suggests that dx of active phase protraction or labor arrest not be made until after
6 cm dilitation
,Define active management of labor. - CORRECT ANSWER: Strict criteria for the
diagnosis of labor and aggressive response to myometrial dysfunction ineffective in
promoting cervical dilation, according to a preset partogram criteria based on a 12 hour
limit from admission to delivery.
Define arrest of decent as defined by Friedman. - CORRECT ANSWER: *No progress is
being made
No descent in 1 hour
Define prolonged latent phase according to Friedman. - CORRECT ANSWER:
*progress is occuring, but more slowly than normal
For nullparas: longer than 20 hours
For multiparas: longer than 14 hours
Define protracted active phase as defined by Friedman. - CORRECT ANSWER:
*progress is occuring, but more slowly than normal
For nulliparas: dilitation slower than 1.2 cm/hr
For mulitparas: dilitation slower than 1.5 cm/hr
Define protracted descent as defined by Friedman. - CORRECT ANSWER: *progress is
occuring, but more slowly than normal
For nulliparas: descent less than 1 cm/hr
For mulitparas: descent less than 2 cm/hr
Define secondary arrest of dilation as defined by Friedman. - CORRECT ANSWER: *No
progress is being made
No dilation in two hours
Dilation began and then stopped
, Define the stages and phases of labor as defined by Friedman. - CORRECT ANSWER:
First stage: onset of contractions to full dilation
Latent phase: onset of regular contractions
Active phase: When rate of contraction increases
Second stage: Complete dilation to birth of baby
Describe anticipatory guidance related to labor onset and early labor. - CORRECT
ANSWER: *Should begin during prenatal care
*May need to be repeated several times
*Explain characteristics such as unertain beginning, multiple stops and starts, and
unclear delineation of phases and stages
*Discuss rationale for delaying admission
*Discuss wide array of comfort measures and pain releif that can be utilized OOH
*Discuss continuous labor support
Describe methods for diagnosing spontaneous rupture of membranes (SROM). -
CORRECT ANSWER: Fern test: specimen of fluid taken from cervical os, placed on a
slide and viewed under a microscope. Amniotic fluid will make a fern pattern.
Nitrazine test: limited range pH paper is used to detect rise in pH of vaginal discharge,
amniotic fluid is neutral to alkaline (7-7.5)
U/S
Presence of fetal fibronectin or PAMG-1
Discuss classification, indications, and maternal/fetal/neonatal side effects of Ambien -
CORRECT ANSWER: Class: sedative/hypnotic, not benzo
Indication: therapeutic rest
Side effects:
Discuss classification, indications, and maternal/fetal/neonatal side effects of Benedryl -
CORRECT ANSWER: Class: antihistamine/hypnotic
Indications: need for rest
