The cervix is fully dilated if the measurement is

8-10 cm is included in what phase?

If the client is hyperventilated, how will you reverse respiratory alkalosis?

second stage of labor is

placental delivery is in what stage

for the first to second hour after placental delivery, you must palpate fundus at least

6 weeks period after birth is term as

If the woman has more than one fetus, dysfunctional labor is likely for the following reasons except

The following are related to a loop of the umbilical cord that slips down in front of the presenting part, but one

if there is cord prolapse,these are what you are going to do, except

Less common tissue obstructions include , but one

defines as the narrowing of the transverse diameter at the lower part of the pelvis to less than 11cm. This is the distance between the ischial tuberosity, measurement that is easy to make during prenatal visits

when does Hypertonic labor dysfunction ussualy occur?

These are the characteristics of hypertonic labor dysfunction

the denominator of the face is

These are the type of malposition in vertex position except

¨Is the rarest presentation

¨It occurs in a multipara or a woman with relaxed abdominal muscles, leads to obstructed labor, can cause

¨Facial edema

occurs when the fetal hips are flexed but the legs are extended and resting on the chest, causing the buttocks to present first

occurs when the thighs of the fetus are tightly flexed on the abdomen, causing the buttocks and flexed feet to present first

A tocolytic, which is a beta adrenergic blocker and most commonly used

why is shoulder dystocia hazardous to the fetus?

If head appears on the perineum, it retracts instead of protruding with each contractions

the posterior shoulder is rotated 180 degrees in a corkscrew manner so that the anterior shoulder is released

prolonged labor means

Prolonged latent phase is

Protracted active phase is

if cpd is present,this emdicine is givent o augment labor

retraction rings or bandls ring usually occurs in

antidote for terbutaline

A condition in which the placenta separates from the endometrium before delivery.

A condition in which the trophoblast cells dig to deep into the decidua (endometrium) attaching to the myometrium of the uterus.

A condition in which a woman develops high blood pressure after 20 weeks of pregnancy.

A condition in which a woman develops high blood pressure after 20 weeks of pregnancy accompanied by seizures.

A condition in which the placenta implants itself at the opening of the cervix.

Occurs when placenta rips from uterine wall causing damage of blood vessels.

Result from irregular development of blood vessels that connect placenta to uterus (blood vessels are narrow) cause the mother’s heart to do more work

Results from partial or complete damage of pituitary gland.Symptoms include lack of pubic hair, reduced breast size, lack milk production.Caused by severe low blood pressure caused by blood loss

The most common abnormal blood test in preeclampsia is:

Side effects of MgSO4 infusion include except

The midwife knows that preeclampsia tends to occur during what time in a pregnancy?

A patient is currently 34 weeks pregnant with her first baby. Which findings below could indicate the development of preeclampsia in this patient that would need to be reported to the physician? Select all that apply:(pick 2 answers)

You're providing an in-service to a group of new labor and midwifery graduating students about the pathophysiology of preeclampsia. Which statement by one of the group participants demonstrates they understood how this condition develops?

These are the the risk factors that increases a woman’s risk for developing preeclampsia, except:

Your patient with preeclampsia is started on Magnesium Sulfate. The midwife knows to have what medication on standby?

A 39 week pregnant patient is in labor. The patient has preeclampsia. The patient is receiving IV Magnesium Sulfate. Which finding below indicates Magnesium Sulfate toxicity and requires you to notify the physician?

A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to experience a tonic-clonic seizure. Which of the following would the midwife AVOID during the seizure?

A 36 year old woman, who is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. Theseare the signs and symptoms that can be present with abruptio placentae except

You're performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician?

A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias?

A midwife is caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy. Which assessment finding is least likely to be associated with disseminated intravascular coagulation?

A midwife is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the midwife expect to note if this condition is present?

Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?

Which of the following is not true about Type II DM?

Which of the following clinical characteristics is associated with Type 1 diabetes (previously referred to as insulin-dependent diabetes mellitus [IDDM])?

Clients with diabetes mellitus require frequent vision assessment. Midwife should instruct the client about which of the following eye problems most likely to be associated with diabetes mellitus?

two days after ceasarian section, patient with a diabetes mellitus has complained of nausea and isn't able to eat solid foods. Midwife enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient's symptoms?

Midwife enters a patient's room and sees the patient breathing rapidly with a fruity breath smell. This is known as...

Formerly called juvenile-onset ; characterized by the presence of autoantibodies that destroy the insulin producer beta cells of the pancreas leading to absence of insulin production.

formerly called gestational diabetes; onset during pregnancy; reversal after the termination of pregnancy. Develops during pregnancy and spontaneously resolves after delivery. Results from inadequate insulin response to carbohydrate or from excessive resistance to insulin.

Midwife is educating her pregnant patient, who has been recently diagnosed with GDM or gestational diabetes mellitus, about the various signs of hyperglycemia. These are thee following signs of hyperglycemia that the midwife would discuss with her patient except

An excessive amount of glucose in the maternal blood that is transported to the fetus through the placenta causes:

When do most patients tend to develop gestational diabetes during pregnancy?

The underlying causes of maternal deaths are delays in critical actions except

As a midwife, you want to know the past illnesses/reproductive history of the client.Your request for VDRL.This test will determine if the client has

Proven to be a potent teratogen to unborn children because of the high proportion of rapidly growing cells present.

Fetuses cannot remove the breakdown products of alcohol from their body and the large build-up can lead to vitamin deficiency.What vitamin deficiency ?

A woman with this category of heart disease can complete pregnancy by maintaining almost complete bed rest

A woman with this category of heart disease are poor candidates for pregnancy because they are in cardiac failure even at rest and when they are not pregnant; and they are usually advised to avoid pregnancy

Adolescents younger than age 15 are at risk of the following except

Smoking during pregnancy results in which of the following outcome

Higher levels of HCG are found in all the following except

A "sickle cell crisis" means a sudden onset of pain throughout the body.

A client comes into your clinic and you have inspected and observed that that the umbilicus has a bluish tinge referred to as Cullen's sign which is due to the blood that is slowly seeping into the peritoneal cavity.If you assess this one, what possible pregnancy disease she may be experiencing

You assess your client who is in her 12th week AOG. if you suspected her with ectopic pregnancy ,how should your client describe her pain since blood accumulates in the abdominal cavity and irritates the phrenic nerve in the diaphragm??

Restriction of activities and cervical cerclage are the treatments for

It is the most frequent cause of bleeding in early pregnancy

This is described as an "Hour glass sign” – highly vascularized, bleeding and enlarged cervix, tight internal os and dilated external os.Thin walled cervix.Painless vaginal bleeding.Seldom goes beyond 20 weeks gestation.This means patient is having

A 21-year old client, 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?

A client is being admitted to the antepartum unit for hypovolemia secondary to hyperemesis gravidarum. Which of the following factors predisposes a client to the development of this?

Which of the following symptoms occurs with a hydatidiform mole?

Bleeding and cramping occur with the cervix closed and membranes intact.

Some of the products are expelled, but the placenta remains attached. Heavy bleeding and cramping doesn’t subside until entire placenta is removed

Refers to the loss of the products of conception that cannot be prevented

Is an unusually deep attachment of the placenta to the uterine myometrium.§The placenta will not loosen and deliver.Attempts to remove it manually may lead to extreme hemorrhage

The fetal side of the placenta is covered to some extent with chorion.The umbilical cord enters the placenta at the usual midpoint and large vessel spread out from there

§The umbilical vessels of a velamentous cord insertion cross the cervical os, so they would deliver before the fetus

§The vessel may tear with cervical dilatation

Passive dependence is over and the woman begins to initiate action.She prefers to do things and make decisions on her own.Wants to be in control, strong desire to be independent

1 to 3 days time of reflection, after delivery

§Woman is largely passive and assume a dependent role

§She prefers having a nurse do things for her and make decisions for her rather than do things herself.Sleep hunger,May have little interest in caring for her child

antidote to warfarin