Module 5 Practice Quesions Flashcards
A 28 y.o. G1P0 at 40 weeks has 12 hours of regular contractions which stop. This is most likely
Normal early labor
Possible strategies used for coping with early labor at home include:
-continuing with normal activities during the day, without overexertion.
-using distractions such as shopping, walking, watching movies, playing games.
-resting at night, even if unable to sleep.
Priorities in management of normal early labor include all of the following EXCEPT:
a) maintenance of nutrition and hydration.
b) focus on rest, and sleep when possible, during normal sleep time.
c) oxytocin augmentation if progress slows to less than 1 cm/hour.
d) support strategies to increase comfort and enhance coping.
c) oxytocin augmentation if progress slows to less than 1 cm/hour.
It is most appropriate to delay admission to the birth site for labor until a person is in active labor because early admission may increase:
-the use of oxytocin.
-the rate of cesarean birth.
-the use of epidural analgesia.
In a healthy person with a term pregnancy in early labor, the occurrence of ketonuria is indicative of:
inadequate nutrition.
[Discussion/rationale: Ketones are a byproduct of fat metabolism. With inadequate nutrition (food intake), the person’s body begins burning fat in order to maintain basic metabolic processes. Ketonuria occurs when the person is not taking in enough calories to meet their body’s needs for energy, such as with prolonged fasting in labor; their liver breaks down fat for energy and ketonuria results (NM618 Module 5 Ketonuria in Labor PowerPoint, 2012; ACNM Clinical Bulletin #10, Providing oral nutrition in labor, 2008).]
According to Friedman, prolonged latent phase labor is defined as:
greater than 20 hours in a nulliparous person and more than 14 hours in a multiparous woman.
According to Friedman, active labor is defined as the point when:
the rate of cervical dilatation increases sharply.
