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MDWF 3030 Final Questions and Correct
Answers the Latest Update
When using an asymmetrical position to try to correct a malposition with unclear fetal
positioning, you ask the birthing parent to raise alternate legs on a chair for two contractions
each. The parent clearly identifies raising their left leg as being far more comfortable. You
should ask them to continue raising that left leg to help turn baby. (T/F)
✓ True
Characteristics of prolonged active labor include:
A) Cervix dilation decreases, baby assends, person starts falling asleep
B) Contractions slow down, person finds no change with labor coping or is finding labor easier,
no change to cervix
C) Cervix contindues to dilate, person sleeping between contractions, birthing parent
expresses exhaustion
✓ B. Contractions slow down, person finds no change with labor coping or is finding labor
easier, no change to cervix
Changes to the temperature of the birthing parent can be a side effect of epidural. (T/F)
✓ T
You are working with a client who is experiencing prolonged labor. The client is well hydrated
and has been taking some nutrition throughout labor. Babies position is uncertain on palpation,
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and you have performed a digital vaginal exam and are *pretty sure* that baby is OA,
station is +1. Your next steps could include?
✓ Use corrective positional techniques as digital exams are not 100% accurate AND
Transfer to hospital in case of fetal distress (?? the only other option that wasn't wrong)
Sterile water injections use the following equipment:
✓ Subcutaneous 0.5ml sterile water injected to site as directed by birthing person
Fetal and fetopelvic factors of prolonged labor
✓ CPD (Large head, malpresentation, fetal malposition (Simkin, pg. 129)
Uterine factors of prolonged labor
✓ Inadequate intensity of ctx, uterine inertia, lactic acidosis, hyponatremia (Simkin, pg.
129)
Cervical factors of prolonged labor
✓ Persistent cervical lip, rigid os (Simkin, pg. 129)
Emotional factors of prolonged labor
✓ Fear, anxiety, tension, anger (Simkin, pg. 129)
Iatrogenic factors of prolonged labor
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✓ Dehydration, overhydration (oral or IV), hyponatremia, restriction of movement, pain
medications, epidural analgesia, inappropriate use of oxytocin (Simkin, pg. 129)
Maternal factors of prolonged labor
✓ Exhaustion, short waist, lumbar lordosis, musculoskeletal problems (Simkin, pg. 129)
Nonpharmacological Pain Management for labor
✓ Doula, rest, position change, sterile water injections, spinning babies, miles circuit, TENS
unit, acupuncture/pressure hydrotherapy walking etc. (our wheelhouse!)
Pharmocologic Pain management for labor
✓ Epidural, spinal, opioids, nitrous oxide, general anesthesia
What is it called when the widest diameter of the presenting part has passed through the
pelvic inlet?
✓ Engagement
What is the relationship of the presenting part to the ischial spines called?
✓ Station
What is a longitudinal lie with a cephalic presentation and full extension called?
✓ Face presentation
What is a longitudinal lie with a cephalic presentation and partial extension called?
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