NM 704 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
What can lowering the lights do to help with the labor process?
Increase melatonin which can increase oxytocin efficacy
What are the benefits of continuous labor support?
(1) short labors (2) fewer cesarean births (3) less need for analgesia (4) reduced use of
synthetic oxytocin (5) greater maternal satisfaction (6) enhanced coping skills during the
experience
Should vaginal exams be done if there is no intention to intervene?
No
What is the recommendation for low risk women and vital sign frequency?
Q4h
What is the reasoning behind taking more frequent maternal vital signs?
Epidurals
How often does ACOG recommend fetal heart rate in the first stage of labor for
low risk?
Every 30 minutes
How often does ACOG recommend fetal heart rate in the second stage of labor
for low risk women?
Every 5-15 minutes
,For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in
the first stage?
Every 15 minutes
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in
the second stage?
Every 5 minutes
What are 2 definitions for second stage of labor?
(1) complete dilation (2) urge to push
What can lessen the sensation of needing to push?
Epidurals
What is one way to let women feel more of an urge to push when using an
epidural?
Laboring down
What are the goals of a hydrotherapy program?
(1) maternal and fetal safety (2) spontaneous vaginal birth (3) healthy mother (4)
healthy neonate
Is water labor or waterbirth the same thing?
No
What is laboring in water until the point of crowning?
Water labor
Does ACOG support the use of water birth during the second stage of labor?
No
What can cause genital tract trauma?
, (1) episiotomy (2) tears
Should episiotomies be a routine practice?
No
What is the least severe tear, it involves the skin around the vaginal opening?
1st degree
What tear involves the muscles between the vagina and the anus; technically
requires stitches?
2nd degree
What tear impacts the muscles around the anus; may require repair in the OR?
3rd degree
What tear is the most sever, reaches the tissue lining of the rectum?
4th degree
What is a strong predictor of intact perineum?
Individual provider
Do birth centers or hospitals have lower rates of tears?
Birth centers
What is pain with sex? Dyspareunia
The goal of _______ is to increase elasticity and make it easier to avoid tears?
Perineal massage
What can diminish or lead to absent pelvic and rectal sensation, leading to
decreased sensation to push?
Epidural analgesia
Does a prolonged second stage of labor lead to more neonatal problems?
SOLUTIONS VERIFIED
What can lowering the lights do to help with the labor process?
Increase melatonin which can increase oxytocin efficacy
What are the benefits of continuous labor support?
(1) short labors (2) fewer cesarean births (3) less need for analgesia (4) reduced use of
synthetic oxytocin (5) greater maternal satisfaction (6) enhanced coping skills during the
experience
Should vaginal exams be done if there is no intention to intervene?
No
What is the recommendation for low risk women and vital sign frequency?
Q4h
What is the reasoning behind taking more frequent maternal vital signs?
Epidurals
How often does ACOG recommend fetal heart rate in the first stage of labor for
low risk?
Every 30 minutes
How often does ACOG recommend fetal heart rate in the second stage of labor
for low risk women?
Every 5-15 minutes
,For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in
the first stage?
Every 15 minutes
For a higher risk pregnancy, how often does ACOG recommend fetal heart rate in
the second stage?
Every 5 minutes
What are 2 definitions for second stage of labor?
(1) complete dilation (2) urge to push
What can lessen the sensation of needing to push?
Epidurals
What is one way to let women feel more of an urge to push when using an
epidural?
Laboring down
What are the goals of a hydrotherapy program?
(1) maternal and fetal safety (2) spontaneous vaginal birth (3) healthy mother (4)
healthy neonate
Is water labor or waterbirth the same thing?
No
What is laboring in water until the point of crowning?
Water labor
Does ACOG support the use of water birth during the second stage of labor?
No
What can cause genital tract trauma?
, (1) episiotomy (2) tears
Should episiotomies be a routine practice?
No
What is the least severe tear, it involves the skin around the vaginal opening?
1st degree
What tear involves the muscles between the vagina and the anus; technically
requires stitches?
2nd degree
What tear impacts the muscles around the anus; may require repair in the OR?
3rd degree
What tear is the most sever, reaches the tissue lining of the rectum?
4th degree
What is a strong predictor of intact perineum?
Individual provider
Do birth centers or hospitals have lower rates of tears?
Birth centers
What is pain with sex? Dyspareunia
The goal of _______ is to increase elasticity and make it easier to avoid tears?
Perineal massage
What can diminish or lead to absent pelvic and rectal sensation, leading to
decreased sensation to push?
Epidural analgesia
Does a prolonged second stage of labor lead to more neonatal problems?
