NARM Labor and Delivery 2

Question 1

What is active management of third stage?

Accepted Answer

Uterotonic medication, controlled cord traction, uterine massage

Answer

Passive waiting

Answer

Immediate cord cutting

Answer

Starting breastfeeding

Question 2

What is postpartum hemorrhage?

Accepted Answer

Blood loss 500ml+ after vaginal delivery within 24 hours

Answer

Any post-delivery bleeding

Answer

Labor bleeding

Answer

First trimester bleeding

Question 3

What warrants emergency transport from home birth?

Accepted Answer

Prolonged labor, fetal distress, hemorrhage, cord prolapse, unresolved shoulder dystocia

Answer

Only mother request

Answer

Never needed

Answer

Only first-time mothers

Question 4

What is a nuchal cord?

Accepted Answer

Umbilical cord around babys neck - managed by reducing over head or clamping/cutting

Answer

Cord infection

Answer

Cord knot

Answer

Short cord

Question 5

What is the Apgar score?

Accepted Answer

1 and 5 minute assessment of appearance, pulse, grimace, activity, respiration

Answer

Pregnancy risk score

Answer

Pain scale

Answer

Genetic screen

Question 6

What is the golden hour after birth?

Accepted Answer

First hour of skin-to-skin promoting bonding, temperature regulation, breastfeeding

Answer

Paperwork completion time

Answer

Monitoring only hour

Answer

Arbitrary timeframe