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NM 704 FINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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What is expectant management of 3rd stage labor? (use SDM) - CORRECT ANSWER -Expectant management of third stage in the context of a physiological labor and birth is a more recent topic of research. There is a growing body of research whose findings support expectant management of third stage labor when first and second stages of labor have been spontaneous and without complication or intervention. This population of birthing people also has no prenatal or intrapartum risk factors for PPH.The AMTSL research did not look at this population.
The current body of evidence has shown the following outcomes for expectant management of third stage in birthing people at low risk of PPH who experience a normal labor and birth, as
defined above:
No increase in blood loss compared with AMTSL in a general population
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No increased risk of PPH compared with AMTSL in a general population
When labor and birth are normal in a healthy and well person, expectant management of third stage results in comparable bleeding outcomes as when AMTSL is implemented with a general population of birthing people at mixed risk for excessive bleeding.
What is ACTIVE management of 3rd stage labor? (use SDM) - CORRECT ANSWER -Three Components of AMTSL according
to the ICM/FIGO Joint Statement (2004) are:
Administration of a uterotonic medication within one minute of the birth of the baby, after ruling out multiple gestation.
Oxytocin is the preferred medication.
Controlled cord traction to assist with placental expulsion.Uterine massage immediately after placental expulsion, and then as needed
What are the medications used during uncomplicated 3rd and 4th stage of labor? - CORRECT ANSWER -Typically pitocin is 2 / 3
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used in active management of 3rd stage and for increased bleeding Methergen can be used in increased bleeding in the 4th stage if pitocin has already been administered and pt is not hypertensive (2nd line med). Used with massage Methergen produces a sustained strong contraction to stop the bleeding Hemabate and Transnexamic acid are used in hemmorhage
What is the evaluation of the birthing person in the 4th stage? - CORRECT ANSWER -Varneys pgs 1437-1440 and appendix 34a (1471-1472)
Basics: VS
Brain: psych/emotional response
Breastfeeding
Belly: Fundus and Uterus
Bladder: full?
Bleeding: minimal bright red lochia with walnut sized clots are
normal (larger than a orange is abnormal)
Bottom: evaluate perineum and hemorrhoids
Perineal Lacerations - CORRECT ANSWER -(First degree)- involves the superficial vaginal mucosa, disruption of perineal skins/eputhelium
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