5290385
Pregunta 1
Pregunta
According to ACOG induction may be induced for the following reasons
Respuesta
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logistic reasons, but only after 40 weeks
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psychosocial indications after 39 weeks
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medical indications prior to 39 weeks with documented fetal lung maturity
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severe IUGR regardless of fetal lung maturity
Pregunta 2
Pregunta
Absolute contraindications for iol include:
Respuesta
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placenta previa
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transverse fetal lie
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previous cs
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multifetal pregnancy
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breech
Pregunta 3
Pregunta
The following can be used to confirm term gestation for IOL
Respuesta
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FHTs for 30wks by doppler
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34 wks since + pregnancy test
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US w/CRL at 6-12 weeks
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US w/CRL at 13-20 wks and confirmed by Hx and PE
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FHTs for 17 wks w/fetascope
Pregunta 4
Pregunta
IOL for suspected fetal macrosomia will reduce the risk of shoulder dystocia but doubles the risk of cesarean delivery
Respuesta
- True
- False
Pregunta 5
Pregunta
The following indications are reasons for cervical ripening with prostaglandins:
Respuesta
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Bishop score <5
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Bishop score >= 5
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membranes intact
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no regular contractions
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ruptured membranes
Pregunta 6
Pregunta
Non-pharmacological options for IOL include all the following except
Respuesta
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sex
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nipple stimulation
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stripping membranes
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mechanical dilation
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amniotomy
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raspberry leaf tea
Pregunta 7
Pregunta
Recommended dosing for oxytocin for iol or augmentation is:
Respuesta
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1 mu/min, increase by 1-2 q 30min
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2 mu/min, increase by 2 q 15 min
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4 mu/min, increase by 4 q 30 min
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1 mu/min, increase by 2 q 15 min
Pregunta 8
Pregunta
You cannot diagnose arrest of labor unless your client meets the following criteria: she is dilated to [blank_start]___[blank_end] cm. She [blank_start]ruptured[blank_end]. She has had [blank_start]___[blank_end] hours of uterine activity or [blank_start]___[blank_end] hours of pitocin administration.
Respuesta
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4
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5
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6
-
7
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asking for an epidural
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exhausted
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ruptured membraned
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4
-
5
-
6
-
7
-
4
-
5
-
6
-
7
Pregunta 9
Pregunta
You may subscribe any of the following for therapeutic rest except
Respuesta
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50mg diphenhydramine po
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hydroxyzine pamoate po or IM (vistaril)
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zolpidem 5 po (ambien)
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morphine 1-2 mg IM or SQ
Pregunta 10
Pregunta
Your 32 yo client with chronic htn is experiencing latent labor, you can recommend the following options except:
Respuesta
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pitocin
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nipple stimulation
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blue cohosh
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accupressure bladder 67
Pregunta 11
Pregunta
In second stage, arrest of descent means no descent in [blank_start]3[blank_end] hours for a primagravida and [blank_start]2[blank_end] hours in a multigravida. This may be longer with anesthesia or fetal malposition.
Respuesta
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2
-
3
-
4
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5
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1
-
2
-
3
-
4
Pregunta 12
Pregunta
If your patient is having repetitive variables, consider the following:
Respuesta
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emergent cesarean delivery
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amnioinfusion
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scalp stimulation to assess fetal acid-base status
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having her walk the halls
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