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B. LABOR ASSESSMENT
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1. Fetal assessment |
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a. Auscultate fetal heart rate |
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(1) Doppler |
| A
| | B | | C
| | D | |
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(2) Fetoscope |
| A
| | B | | C
| | D | |
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b. Determine fetal position |
| A
| | B | | C
| | D | |
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c. Document FHR patterns |
| A
| | B | | C
| | D | |
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d. Identify normal & treat abnormal
FHR patterns |
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(1) Baseline |
| A
| | B | | C
| | D | |
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(2) Early decelerations |
| A
| | B | | C
| | D | |
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(3) Late decelerations |
| A
| | B | | C
| | D | |
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(4) Prolonged decelerations |
| A
| | B | | C
| | D | |
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(5) Variability |
| A
| | B | | C
| | D | |
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(6) Variable decelerations |
| A
| | B | | C
| | D | |
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2. Maternal assessment |
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a. Deep tendon reflexes
(DTRs) |
| A
| | B | | C
| | D | |
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b. Edema |
| A
| | B | | C
| | D | |
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c. Norms for perinatal vital signs |
| A
| | B | | C
| | D | |
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d. Perform admission risk assessment |
| A
| | B | | C
| | D | |
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e. Presence of clonus |
| A
| | B | | C
| | D | |
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f. Progression of labor |
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(1) Contraction characteristics |
| A
| | B | | C
| | D | |
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(2) Dilation |
| A
| | B | | C
| | D | |
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(3) Effacement |
| A
| | B | | C
| | D | |
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(4) Fetal presentation/position |
| A
| | B | | C
| | D | |
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(5) Station |
| A
| | B | | C
| | D | |
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(6) Status of membranes |
| A
| | B | | C
| | D | |
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(7) Sterile speculum exam |
| A
| | B | | C
| | D | |
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(8) Vaginal exam |
| A
| | B | | C
| | D | |
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g. Rupture of membranes |
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(1) Fern test |
| A
| | B | | C
| | D | |
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(2) Nitrazine |
| A
| | B | | C
| | D | |
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3. Equipment & procedures |
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a. Amnioinfusion (assist or
perform) |
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(1) For meconium |
| A
| | B | | C
| | D | |
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(2) For variable decelerations |
| A
| | B | | C
| | D | |
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b. Artificial rupture of membranes
(assist) |
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(1) Prolapsed cord |
| A
| | B | | C
| | D | |
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(2) Recognize potential
complications |
| A
| | B | | C
| | D | |
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(3) Vasa previa |
| A
| | B | | C
| | D | |
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c. Collect blood/urine specimens |
| A
| | B | | C
| | D | |
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d. Collect vaginal cultures |
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(1) Chlamydia |
| A
| | B | | C
| | D | |
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(2) Fluid |
| A
| | B | | C
| | D | |
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(3) Group B strep |
| A
| | B | | C
| | D | |
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(4) Herpes |
| A
| | B | | C
| | D | |
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e. Document labor status/assessment
& interventions |
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(1) Anticonvulsants |
| A
| | B | | C
| | D | |
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(2) Labor suppressants |
| A
| | B | | C
| | D | |
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f. External fetal monitor
application |
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(1) Doppler |
| A
| | B | | C
| | D | |
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(2) Phono or abdominal, ECG
transducer |
| A
| | B | | C
| | D | |
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(3) Tocotransducer, ultrasound |
| A
| | B | | C
| | D | |
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g. Internal monitoring (assist or
perform insertion) |
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(1) Intrauterine pressure
catheter |
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(a) Fluid filled |
| A
| | B | | C
| | D | |
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(b) Transducer tipped |
| A
| | B | | C
| | D | |
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(2) Spiral electrode |
| A
| | B | | C
| | D | |
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h. Perform Leopold's maneuvers |
| A
| | B | | C
| | D | |
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i. Toxicology studies |
| A
| | B | | C
| | D | |
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4. Medications |
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a. Administer IM/SC |
| A
| | B | | C
| | D | |
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b. Administer IV meds/monitor IV
drips |
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(1) Antibiotics |
| A
| | B | | C
| | D | |
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(2) Antihypertensives |
| A
| | B | | C
| | D | |
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(3) Heparin |
| A
| | B | | C
| | D | |
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(4) Magnesium sulfate |
| A
| | B | | C
| | D | |
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(5) Narcotics |
| A
| | B | | C
| | D | |
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(6) Oxytocin |
| A
| | B | | C
| | D | |
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c. Assist with prostin gel |
| A
| | B | | C
| | D | |
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d. Cervidil insertion |
| A
| | B | | C
| | D | |
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e. Use of Cytotec |
| A
| | B | | C
| | D | |
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f. Use of prostin suppositories |
| A
| | B | | C
| | D | |