5290385
Question 1
Question
According to ACOG induction may be induced for the following reasons
Answer
-
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
Question 2
Question
Absolute contraindications for iol include:
Answer
-
placenta previa
-
transverse fetal lie
-
previous cs
-
multifetal pregnancy
-
breech
Question 3
Question
The following can be used to confirm term gestation for IOL
Answer
-
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
Question 4
Question
IOL for suspected fetal macrosomia will reduce the risk of shoulder dystocia but doubles the risk of cesarean delivery
Answer
- True
- False
Question 5
Question
The following indications are reasons for cervical ripening with prostaglandins:
Answer
-
Bishop score <5
-
Bishop score >= 5
-
membranes intact
-
no regular contractions
-
ruptured membranes
Question 6
Question
Non-pharmacological options for IOL include all the following except
Answer
-
sex
-
nipple stimulation
-
stripping membranes
-
mechanical dilation
-
amniotomy
-
raspberry leaf tea
Question 7
Question
Recommended dosing for oxytocin for iol or augmentation is:
Answer
-
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
Question 8
Question
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.
Answer
-
4
-
5
-
6
-
7
-
asking for an epidural
-
exhausted
-
ruptured membraned
-
4
-
5
-
6
-
7
-
4
-
5
-
6
-
7
Question 9
Question
You may subscribe any of the following for therapeutic rest except
Answer
-
50mg diphenhydramine po
-
hydroxyzine pamoate po or IM (vistaril)
-
zolpidem 5 po (ambien)
-
morphine 1-2 mg IM or SQ
Question 10
Question
Your 32 yo client with chronic htn is experiencing latent labor, you can recommend the following options except:
Answer
-
pitocin
-
nipple stimulation
-
blue cohosh
-
accupressure bladder 67
Question 11
Question
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.
Answer
-
2
-
3
-
4
-
5
-
1
-
2
-
3
-
4
Question 12
Question
If your patient is having repetitive variables, consider the following:
Answer
-
emergent cesarean delivery
-
amnioinfusion
-
scalp stimulation to assess fetal acid-base status
-
having her walk the halls
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