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. 

Engagement of the fetal head in the pelvis most commonly occurs by which of the following mechanisms?

The third step of Leopold’s maneuvers as described in Varney is determining what fetal part is presenting at the pelvis. This information is helpful to the midwife conducting a complete assessment of a women presenting to the labor unit because it:

Allowing the cord to continue to pulsate, while baby is on the maternal abdomen, facilitates which of the following to occur:

After a spontaneous vaginal birth and placental expulsion, you notice a steady stream of free flowing blood from the vagina which you consider excessive. You judge that you can handle this yourself without medical consultation at this point. What is your first action step?  

As the fetus attempts to descend through the birth canal, the head will assume varying degrees of flexion or extension. What is the most difficult fetal head diameter for passage through the pelvis?

Based on your diagnosis in Question 18, the most appropriate next action would be:

When assessing contractions in labor, the other 2 parameters that the clinician assesses in addition to frequency, are:

The most important predictor of successful induction is: