Mary L
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questions about iol, dysfunctional labor

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Mary L
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Induction and Dysfunctional labor

Question 1 of 12

1

According to ACOG induction may be induced for the following reasons

Select one or more of the following:

  • logistic reasons, but only after 40 weeks

  • psychosocial indications after 39 weeks

  • medical indications prior to 39 weeks with documented fetal lung maturity

  • severe IUGR regardless of fetal lung maturity

Explanation

Question 2 of 12

1

Absolute contraindications for iol include:

Select one or more of the following:

  • placenta previa

  • transverse fetal lie

  • previous cs

  • multifetal pregnancy

  • breech

Explanation

Question 3 of 12

1

The following can be used to confirm term gestation for IOL

Select one or more of the following:

  • FHTs for 30wks by doppler

  • 34 wks since + pregnancy test

  • US w/CRL at 6-12 weeks

  • US w/CRL at 13-20 wks and confirmed by Hx and PE

  • FHTs for 17 wks w/fetascope

Explanation

Question 4 of 12

1

IOL for suspected fetal macrosomia will reduce the risk of shoulder dystocia but doubles the risk of cesarean delivery

Select one of the following:

  • True
  • False

Explanation

Question 5 of 12

1

The following indications are reasons for cervical ripening with prostaglandins:

Select one or more of the following:

  • Bishop score <5

  • Bishop score >= 5

  • membranes intact

  • no regular contractions

  • ruptured membranes

Explanation

Question 6 of 12

1

Non-pharmacological options for IOL include all the following except

Select one of the following:

  • sex

  • nipple stimulation

  • stripping membranes

  • mechanical dilation

  • amniotomy

  • raspberry leaf tea

Explanation

Question 7 of 12

1

Recommended dosing for oxytocin for iol or augmentation is:

Select one of the following:

  • 1 mu/min, increase by 1-2 q 30min

  • 2 mu/min, increase by 2 q 15 min

  • 4 mu/min, increase by 4 q 30 min

  • 1 mu/min, increase by 2 q 15 min

Explanation

Question 8 of 12

1

Select from the dropdown lists to complete the text.

You cannot diagnose arrest of labor unless your client meets the following criteria: she is dilated to ( 4, 5, 6, 7 ) cm. She ( asking for an epidural, exhausted, ruptured membraned ). She has had ( 4, 5, 6, 7 ) hours of uterine activity or ( 4, 5, 6, 7 ) hours of pitocin administration.

Explanation

Question 9 of 12

1

You may subscribe any of the following for therapeutic rest except

Select one of the following:

  • 50mg diphenhydramine po

  • hydroxyzine pamoate po or IM (vistaril)

  • zolpidem 5 po (ambien)

  • morphine 1-2 mg IM or SQ

Explanation

Question 10 of 12

1

Your 32 yo client with chronic htn is experiencing latent labor, you can recommend the following options except:

Select one of the following:

  • pitocin

  • nipple stimulation

  • blue cohosh

  • accupressure bladder 67

Explanation

Question 11 of 12

1

Select from the dropdown lists to complete the text.

In second stage, arrest of descent means no descent in ( 2, 3, 4, 5 ) hours for a primagravida and ( 1, 2, 3, 4 ) hours in a multigravida. This may be longer with anesthesia or fetal malposition.

Explanation

Question 12 of 12

1

If your patient is having repetitive variables, consider the following:

Select one or more of the following:

  • emergent cesarean delivery

  • amnioinfusion

  • scalp stimulation to assess fetal acid-base status

  • having her walk the halls

Explanation

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