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P1337420116006)

2.EnggarWi
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h (
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3.Dwi
IndahPar
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i (
P1337420116023)

4.Nov
itaI
nawat
iDewi (
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5.Sept
yFi
rday
ant
i (
P1337420116052)

1.Whati
snur
singpl
anni
ngi
ncont
ract
ionst
resst
est(
CST)pr
egnantwomen.
..
a.Pl
acemot
heri
nsemi
-Fowl
er’
sposi
ti
on,
tur
nedsl
i
ght
lyt
olef
t
b.Moni
tormat
ernal
bloodpr
essur
eandcont
ract
ionsev
ery15mi
n
c.Ensur
eadequat
erecor
dingofut
eri
neact
ivi
tyandFHR
d.Al
lcor
rectanswer
s

2.I
tisknownt
hatamot
heri
nherpr
egnancybecamepr
egnantwi
thherf
ir
st
chi
l
d,demandi
ngt
her
eleaseofmucusmi
xedwi
thbl
oodf
rom hermur
der
.
WhenaVTexami
nat
ioni
sper
for
medbyami
dwi
fe,
thepat
ientbegi
nst
oopen
onemoni
tor
edunt
ilt
hemot
herf
ixest
hecompl
eteopeni
ng.Basedont
heor
y,
t
hisi
s..
.
a. St
ageofl
aboratst
age1
b. St
ageofl
aboratst
age2
c. St
ageofl
aboratst
age3
d. St
ageofl
aboratst
age4

3.I
twasf
oundoutt
hatt
hemot
heri
ninpar
tu,att
het
imeoft
hephy
sical
exami
nat
ionbyt
hemi
dwi
fe,pr
epar
eda3cm openi
ngoft
hecer
vix,af
ter9
hour
s;r
egul
arcont
ract
ions(
>2x/30"
for10'
).Basedont
her
esul
tsoft
he
mi
dwi
fe'
sexami
nat
ion,
thecor
rectdi
agnosi
sis…
a. Thel
atentphaseext
ends.
b. Theact
ivephaseext
ends.
c. Secondar
yAr
rest
d. Fakel
abor

4.I
nbel
owt
hesi
gnswhi
chi
ncl
udesev
eresi
gnsofpr
e-ecl
ampsi
a,except
..
.
a. Sy
stol
i
cbl
oodpr
essur
e>160mHgordi
ast
oli
c>110mmHg

b. Pr
otei
nur
ia=5or(
3+)ont
hest
ri
pdy
etest

c. Ol
i
gur
ia,
diur
esi
s<400ml
in24hour
s

d. I
ncr
easei
nbl
oodpr
essur
egr
eat
ert
hanorequal
to140/
90mmHg

5.I
nthemechani
smsofl
abort
her
ear
e6st
ages,
oneofwhi
chi
sthedescent
.In
bel
owi
sanexpl
anat
ionoft
hedescenti
s..
.

a.Downwar
dmov
ementoft
hef
etal
headi
ntot
hebi
rt
hcanal

b.Poi
ntwhenbi
pat
eri
aldi
amet
eroff
etal
headpassest
hepel
vi
cinl
et

c.Rot
ati
onoft
hef
etal
headt
oal
l
owshoul
der
stopasat
hroughi
schi
al
spi
nes

d.Fl
exi
onoft
hef
etal
chi
pdownont
othef
etal
chest

6.Pai
ndur
ingt
het
hir
dst
agei
sassoci
atedwi
th.
..

a.Di
l
ati
onoft
hecer
vix,
hypoxi
aofut
eri
nemuscl
ecel
l
sdur
ingcont
ract
ions
andst
ret
chi
ngoft
hel
owerut
eri
nesegment
.

b.Hy
poxi
aoft
hemuscl
ecel
l
sint
heut
erusdur
ingcont
ract
ions,
dist
ent
ionof
t
hev
agi
naandper
ineum,
andpr
essur
eonadj
acentst
ruct
ures.

c.Ut
eri
necont
ract
ionsandcer
vical
dil
ati
ondur
ingt
hebi
rt
hoft
hepl
asent
a

d.Copi
ngabi
l
iti
es,
fat
iguel
evel
,pr
esenceofanxi
ety
,andcul
tur
alf
act
ors.
7.Whatcausest
hef
etust
oexper
ienceabr
eechpr
esent
ati
on?

a.Def
isi
tnut
ri
ti
on

b.Mul
ti
pri
tas

c.Consumeal
cohol

d.St
ress

8.Whati
stehdoct
or’
sact
ioni
fthef
etushasapr
emat
urebr
eechpr
esent
ati
on?

a.Sect
iocaesar
ia

b.Bor
nvagi
nal

c.Keept
hef
etus

d.Leopol
dexami
nat
ion

9.I
fthef
etushasat
achy
car
dia,
whati
sthenur
singi
nter
vent
in?

a.El
ect
roni
cmoni
torf
etus

b.Or
dert
erbul
ati
n

c.Or
derr
it
odr
inhy
drochl
ori
de

d.Sect
iocaesar
ia

10.
Howi
snur
singi
nter
vent
ionf
oraf
etusexper
ienci
ngav
ari
abl
edecl
arat
ion?

a.Changemat
ernal
posi
ti
on

b.Or
deroxi
tocy
n

c.Push

d.Leupol
dexami
nat
ion
11.
Howl
ongur
inecont
ract
ionsdur
ingphaset
ransi
ti
on.
..

a.Ev
ery15-
30mi
n,15-
30secdur
ati
onmi
l
rint
ensi
ty

b.Ev
ery3-
5mi
n,30-
60secdur
ati
onmoder
atei
ntensi
ty

c.Ev
ery2-
8mi
n,20-
35secdur
ati
onst
rongi
ntensi
ty

d.Ev
ery2-
3mi
n,45-
90secdur
ati
onst
rongi
ntensi
ty

12.
Oft
hesev
eral
typesofr
egi
onal
anest
hesi
awhi
chhav
ethechar
act
eri
sti
csof
r
educi
ngper
ineal
discomf
ortandnumbnessar
easf
orepi
sot
omycal
l
edt
ype
anest
hesi
a..
.

a.Epi
dunal

b.Pudendal

c.Spi
nal

d.Lokal

13.
From t
hedescr
ipt
ionbel
owwhi
chdoesnoti
ncl
udet
hecont
ent
soft
he
i
mpl
ement
ati
onoft
henur
singpr
ocessdur
ingst
age2i
s..

a.Cont
inueassessmentofmat
ernal
bloodpr
essur
e.FHR,andut
eri
ne
cont
ract
ionsev
ery5mi
nut
e

b.Pr
epar
efort
hei
l
bir
th

c.Thel
abor
ingwomanf
eel
comf
ort
abl
e

d.Compl
eteper
ineal
cleansi
ngofper
ineal
scr
ub

14.
Whati
sasi
gnofpl
acent
alsepar
ati
on?
a.Sl
i
ghtgushofbl
oodf
rom v
agi
nai
sundet
ect
ed

b.Ut
eruschangesshape

c.Theut
eri
nef
undusi
slocat
ed2f
inger
breadt
hsabov
etheumbi
l
icus

d.Ther
eisnoumbi
l
ical
cor
d

15.
Whendoessepar
ati
onofpl
acent
aoccur
?

a.5–30mi
nut
esbef
orebi
rt
hoft
hebaby

b.5–30mi
nut
esaf
tert
hebabyhasbeendel
i
ver
ed

c.7–10mi
nut
esaf
tert
hebabyhasbeenbi
rt
h

d.7–10mi
nut
esbef
oret
hebabyhasbeendel
i
ver
ed

16.
Whatar
ebabycondi
ti
onscancal
l
edi
deal
scor
eofAPGARscor
e?

a.Bodypi
nk,
pal
e,st
rongcr
yingwi
thunf
lexedmuscl
etone

b.Bodypi
nk,
chestr
etr
act
ion,
str
ongcr
yingwi
thsomef
lexesofexr
emi
tes

c.Bodypi
nk,
li
mpofexr
emi
tes,st
rongcr
yingwi
tht
hehear
trat
eabov
e100

d.Bodypi
nk,
vigor
ouscr
yingwi
tht
hehear
trat
eabov
e100

17.
Howt
odet
ermi
net
hatt
hef
ouurst
agei
spr
oggr
esi
ngwi
thi
nnor
mal
li
mit
s?

a.Theut
eri
nef
undusi
slocat
ed2f
inger
breadt
hsabov
etheumbi
l
icus

b.Theper
ineum i
sinf
act

c.Bl
adderi
spal
pal
abl
e

d.Gushofl
ochea

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