NM 704 exam 2 Latest Update -

NM 704 exam 2 Latest Update - 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

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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

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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

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