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NM 704 Exam 3 – 120 Questions, Obstetric Labor Management, Fetal Monitoring, Postpartum Care

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This document provides a comprehensive collection of approximately 120 exam-style questions and verified answers for NM 704, focusing on essential concepts in labor, delivery, and postpartum care. It extensively covers key topics including stages of labor, fetal heart rate monitoring, epidural effects, oxytocin use, perineal trauma, hydrotherapy, maternal positioning, and management of postpartum hemorrhage. The content is detailed, structured, and clinically relevant, making it ideal for both exam preparation and practical application in obstetric and midwifery settings. It aligns with evidence-based clinical guidelines and reflects core concepts found in Varney’s Midwifery, particularly in areas such as maternal assessment, labor progression, and intervention decision-making. This resource is suitable for students enrolled in Nurse Midwifery programs, Advanced Practice Registered Nurse (APRN) tracks, Women’s Health Nurse Practitioner (WHNP) programs, and obstetric nursing courses. It is also beneficial for medical students, physician assistant students, and healthcare professionals preparing for certification exams or clinical practice in labor and delivery environments. Keywords: labor stages, fetal monitoring, oxytocin, epidural analgesia, perineal tears, hydrotherapy, labor positions, postpartum hemorrhage, placental delivery, AMTSL, Ferguson reflex, maternal assessment, obstetric nursing, midwifery exam prep

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NM 704
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NM 704

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NM 704 Exam 3 Comprehensive
Questions and Verified Answers
(Detailed & Elaborated) ACTUAL
EXAM 2026 TEST!!

What can lowering the lights do to help with the labor process? - 🧠

ANSWER ✔✔Increase melatonin which can increase oxytocin efficacy


What are the benefits of continuous labor support? - 🧠 ANSWER ✔✔(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? - 🧠

ANSWER ✔✔No


What is the recommendation for low risk women and vital sign frequency? -

🧠 ANSWER ✔✔Q4h


What is the reasoning behind taking more frequent maternal vital signs? - 🧠

ANSWER ✔✔Epidurals


How often does ACOG recommend fetal heart rate in the first stage of labor

for low risk? - 🧠 ANSWER ✔✔Every 30 minutes


How often does ACOG recommend fetal heart rate in the second stage of

labor for low risk women? - 🧠 ANSWER ✔✔Every 5-15 minutes


For a higher risk pregnancy, how often does ACOG recommend fetal heart

rate in the first stage? - 🧠 ANSWER ✔✔Every 15 minutes


For a higher risk pregnancy, how often does ACOG recommend fetal heart

rate in the second stage? - 🧠 ANSWER ✔✔Every 5 minutes


What are 2 definitions for second stage of labor? - 🧠 ANSWER ✔✔(1)

complete dilation (2) urge to push

, What can lessen the sensation of needing to push? - 🧠 ANSWER

✔✔Epidurals


What is one way to let women feel more of an urge to push when using an

epidural? - 🧠 ANSWER ✔✔Laboring down


What are the goals of a hydrotherapy program? - 🧠 ANSWER ✔✔(1)

maternal and fetal safety (2) spontaneous vaginal birth (3) healthy mother

(4) healthy neonate


Is water labor or waterbirth the same thing? - 🧠 ANSWER ✔✔No


What is laboring in water until the point of crowning? - 🧠 ANSWER

✔✔Water labor


Does ACOG support the use of water birth during the second stage of

labor? - 🧠 ANSWER ✔✔No


What can cause genital tract trauma? - 🧠 ANSWER ✔✔(1) episiotomy (2)

tears


Should episiotomies be a routine practice? - 🧠 ANSWER ✔✔No


What is the least severe tear, it involves the skin around the vaginal

opening? - 🧠 ANSWER ✔✔1st degree

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