Based on a review of the available literature including several systematic reviews with varying results, the authors of the Varney second stage chapter conclude the following is a safe and reasonable approach to initiating active pushing in 2nd stage labor:

Which of these interventions is an evidence based practice that supports physiologic labor and birth?

Based on contemporary research related to duration of normal first stage labor, it is reasonable to anticipate that healthy nulliparous women will progress at least _____ cm per hour in first stage active phase labor.

The pelvic inlet (measured by the diagonal conjugate) is considered adequate if it is at least ____ cm in length.

Potential side effects of nitrous oxide in labor (50% N2O/O2) include all of the following EXCEPT:

Which of the following positions used during birth is associated with greater chance of an intact perineum?

Which of the following is NOT a common side effect of epidural analgesia?

The midwife is planning artificial rupture of membranes for the indication of labor dystocia. List the 2 essential criteria for artificial rupture of membranes:

Fentanyl (Sublimaze) is being given IV to a client in active labor.  1) The usual dose, 2) Time of peak effect,  3) Duration of effect, and  4) What can be used for an antidote if there is a serious maternal side effect such as respiratory depression?

Name 4 evidence-based care measures that you could order or provide in supporting Camille and monitoring her labor.