Intrapartum Management & Labor Support Flashcards
6 cards from real Certified Midwife Exam Prep practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Intrapartum Management & Labor Support flashcards as text
Which non-pharmacological comfort measure has the strongest evidence for reducing labor pain and improving satisfaction?
Answer: Continuous labor support by a doula or midwife
Continuous labor support is the intervention with the strongest evidence base, shown to reduce cesarean rates, labor duration, and pain medication use.
A patient is 41 weeks gestation with intact membranes and Bishop score of 4. Which cervical ripening agent is most commonly used?
Answer: Dinoprostone (PGE2) gel
Dinoprostone (PGE2) gel or insert is a commonly used pharmacological cervical ripening agent for unfavorable cervices prior to oxytocin induction.
How is the second stage of labor defined?
Answer: Complete cervical dilation to delivery of the fetus
The second stage of labor begins at complete cervical dilation (10 cm) and ends with delivery of the fetus.
Which maternal position change is recommended first when late decelerations are noted on the fetal monitor?
Answer: Left lateral decubitus (left side-lying)
Left lateral positioning relieves aortocaval compression, improves uteroplacental blood flow, and is the first-line positional intervention for late decelerations.
A patient requests epidural analgesia at 5 cm dilation. Which assessment must be completed before epidural placement?
Answer: IV access confirmation and hydration bolus
IV access and a fluid bolus are required before epidural placement to reduce the risk of hypotension from sympathetic blockade.
Which sign indicates placental separation during the third stage of labor?
Answer: Lengthening of the umbilical cord and a gush of blood
Placental separation is indicated by sudden cord lengthening, a gush of blood, and the uterus becoming globular and firmer.
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