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
A patient in active labor has a Category II fetal heart rate tracing. What is the midwife's priority action?
Answer: Apply intrauterine resuscitation measures and continue monitoring
Category II tracings are indeterminate and require intrauterine resuscitation (repositioning, IV fluids, oxygen) and close ongoing evaluation.
Which Bishop score indicates a favorable cervix for labor induction?
Answer: Score ≥8
A Bishop score of ≥8 indicates a favorable cervix and predicts successful labor induction similar to spontaneous labor outcomes.
Which fetal heart rate pattern is most reassuring during active labor?
Answer: Early decelerations with moderate variability
Early decelerations are benign, caused by fetal head compression during contractions, and are reassuring when accompanied by moderate variability.
A laboring patient at 7 cm dilation suddenly reports a severe, tearing abdominal pain with cessation of contractions and fetal bradycardia. What is the most likely diagnosis?
Answer: Uterine rupture
Uterine rupture presents with sudden severe abdominal pain, cessation of contractions, fetal bradycardia, and often a loss of fetal station.
What is the recommended maximum dose of oxytocin for labor augmentation according to standard low-dose protocols?
Answer: 20 mU/min
Standard low-dose oxytocin protocols typically cap at 20 mU/min to minimize the risk of uterine tachysystole and fetal distress.
Cord prolapse is identified in a patient at 9 cm dilation. What is the immediate management priority?
Answer: Prepare for emergency cesarean and elevate the presenting part off the cord
Cord prolapse requires immediate relief of cord compression by manually elevating the presenting part while preparing for emergency delivery.
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