MARK KLIMEK LECTURES 1 TO
12
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) Mom's spine and baby's spine is parallel... - ANSWER GOOD
2) Presentation - ANSWER Part of the baby that enters the birth canal first (you do
not need to know all the names ROL, RLP, ROA, LOA)
3) Stages of labor and delivery - ANSWER Stage 1: 0-10 centimeters of dilation of
cervix, Stage 2: complete dilation, Stage 3: delivery of baby and placenta, Stage 4:
delivery of placenta until complete recovery.
Stage 1: Labor —> Latent, Active, Transition (LAT...in Latent)
Stage 2: delivery of baby
Stage 3: delivery of placenta
Stage 4: Recovery (2 hours after delivery of placenta)
First Stage of labor:
4) What is the purpose of uterine contractions in the 1st stage? - ANSWER Dilated
and efface the cervix
,5) What is the purpose of uterine contraction's in 2nd stage? - ANSWER Push baby
out
6) What is the purpose of uterine contractions in 3rd stage? - ANSWER Push
placenta out
7) What is the purpose of uterine contractions in the 4th stage? - ANSWER Stop
bleeding
8) When does postpartum begin? - ANSWER 2 hours AFTER delivery
9) #1 priority in the 2nd PHASE of labor? - ANSWER Pain management
10) What is the priority in the 2nd STAGE of labor? - ANSWER Clearing baby's
airway
11) What is the priority in the 3rd phase? - ANSWER Checking dilation, helping mom
with breathing/pain
12) What is priority for the 3rd stage? - ANSWER Expulsion of placenta, check the
cord
13) Phases vs. Stages - ANSWER Are DIFFERENT!!! Remember this
14) Labor Chart (*memorize) - ANSWER Stage 1: (3 phases)
Latent: dilate 0-4 cm, contractions frequency 5-30 mins apart, contraction duration
15-30 secs, mild intensity
Active: dilate 5-7 cm, contraction frequency 3-5 mins, duration 30-60 secs, moderate
intensity
, Transition: dilate 8-10 cm, contraction frequency 2-3 mins, duration 60-90 secs,
strong intensity
15) Only need to memorize ACTIVE PHASE of labor, because then you know the rest of
the chart - ANSWER 5-7cm
3-5 mins
30-60 secs
Anything less intense = Latent
Anything more intense = transition
16) ***Contractions should not be longer than ____ seconds or closer than every _____
minutes. - ANSWER 90, 2
17) Uterine tetany - ANSWER Contractions longer than 90 secs and closer than every
2 mins = BAD
18) ***What would make you STOP oxytocin (pitocin)? - ANSWER Contractions
longer than 90 secs
Closer than every 2 mins
19) Uterine Hyperstimulation - ANSWER contractions longer than 90 seconds or
closer than 2 minutes
20) Contraction frequency - ANSWER beginning of one contraction to the beginning
of the next contraction
21) contraction duration - ANSWER beginning to end of one contraction
22) Contraction intensity - ANSWER strength of contraction
23) Palpate - ANSWER Teach her to palpate with ONE hand over the fundus with the
PADS of the fingers (fingertips)
, 24) Painful back Labor - ANSWER Position, push
25) Painful back Labor (LOP/ROP) (OP...think Oh Pain) —> position (knee-chest)
26) Variable decels = Prolapsed cord - ANSWER Push, Position
Push - push the head off the cord
Position - knee-chest position
27) Complications of Labor (other than painful back/prolapsed cord) - treatment -
ANSWER LION PIT:
Left side
Increase IV
Oxygenate
Notify physician
PIT: stop pitocin
28) If they tell you pitocin is running... - ANSWER STOP PITOCIN FIRST, then
LION
29) PIT - ANSWER In an OB crisis, if Pitocin is running = STOP it
30) Do NOT administer a pain medication to a women in labor if... - ANSWER The
baby is likely to be born when the medication peaks
31) (IV meds peak at 15-30 mins)
32) IV pain meds peak at... - ANSWER 15-30 mins
33) primigravida - ANSWER first pregnancy
12
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) Mom's spine and baby's spine is parallel... - ANSWER GOOD
2) Presentation - ANSWER Part of the baby that enters the birth canal first (you do
not need to know all the names ROL, RLP, ROA, LOA)
3) Stages of labor and delivery - ANSWER Stage 1: 0-10 centimeters of dilation of
cervix, Stage 2: complete dilation, Stage 3: delivery of baby and placenta, Stage 4:
delivery of placenta until complete recovery.
Stage 1: Labor —> Latent, Active, Transition (LAT...in Latent)
Stage 2: delivery of baby
Stage 3: delivery of placenta
Stage 4: Recovery (2 hours after delivery of placenta)
First Stage of labor:
4) What is the purpose of uterine contractions in the 1st stage? - ANSWER Dilated
and efface the cervix
,5) What is the purpose of uterine contraction's in 2nd stage? - ANSWER Push baby
out
6) What is the purpose of uterine contractions in 3rd stage? - ANSWER Push
placenta out
7) What is the purpose of uterine contractions in the 4th stage? - ANSWER Stop
bleeding
8) When does postpartum begin? - ANSWER 2 hours AFTER delivery
9) #1 priority in the 2nd PHASE of labor? - ANSWER Pain management
10) What is the priority in the 2nd STAGE of labor? - ANSWER Clearing baby's
airway
11) What is the priority in the 3rd phase? - ANSWER Checking dilation, helping mom
with breathing/pain
12) What is priority for the 3rd stage? - ANSWER Expulsion of placenta, check the
cord
13) Phases vs. Stages - ANSWER Are DIFFERENT!!! Remember this
14) Labor Chart (*memorize) - ANSWER Stage 1: (3 phases)
Latent: dilate 0-4 cm, contractions frequency 5-30 mins apart, contraction duration
15-30 secs, mild intensity
Active: dilate 5-7 cm, contraction frequency 3-5 mins, duration 30-60 secs, moderate
intensity
, Transition: dilate 8-10 cm, contraction frequency 2-3 mins, duration 60-90 secs,
strong intensity
15) Only need to memorize ACTIVE PHASE of labor, because then you know the rest of
the chart - ANSWER 5-7cm
3-5 mins
30-60 secs
Anything less intense = Latent
Anything more intense = transition
16) ***Contractions should not be longer than ____ seconds or closer than every _____
minutes. - ANSWER 90, 2
17) Uterine tetany - ANSWER Contractions longer than 90 secs and closer than every
2 mins = BAD
18) ***What would make you STOP oxytocin (pitocin)? - ANSWER Contractions
longer than 90 secs
Closer than every 2 mins
19) Uterine Hyperstimulation - ANSWER contractions longer than 90 seconds or
closer than 2 minutes
20) Contraction frequency - ANSWER beginning of one contraction to the beginning
of the next contraction
21) contraction duration - ANSWER beginning to end of one contraction
22) Contraction intensity - ANSWER strength of contraction
23) Palpate - ANSWER Teach her to palpate with ONE hand over the fundus with the
PADS of the fingers (fingertips)
, 24) Painful back Labor - ANSWER Position, push
25) Painful back Labor (LOP/ROP) (OP...think Oh Pain) —> position (knee-chest)
26) Variable decels = Prolapsed cord - ANSWER Push, Position
Push - push the head off the cord
Position - knee-chest position
27) Complications of Labor (other than painful back/prolapsed cord) - treatment -
ANSWER LION PIT:
Left side
Increase IV
Oxygenate
Notify physician
PIT: stop pitocin
28) If they tell you pitocin is running... - ANSWER STOP PITOCIN FIRST, then
LION
29) PIT - ANSWER In an OB crisis, if Pitocin is running = STOP it
30) Do NOT administer a pain medication to a women in labor if... - ANSWER The
baby is likely to be born when the medication peaks
31) (IV meds peak at 15-30 mins)
32) IV pain meds peak at... - ANSWER 15-30 mins
33) primigravida - ANSWER first pregnancy
