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You are attending to a woman in labor who requires augmentation but declines Pitocin. Vaginal exam reveals her to be 5cm/90% effaced/-2 station, intact bag of waters. Which of the following options would be an appropriate intervention?

In the ACNM Position Statement on Home Birth, ACNM supports:

A 23 year old G2 P1001 is being induced with pitocin at 39 weeks for a medical indication. You would discontinue pitocin in the event of:

The infant girl is born limp and blue, heart rate is 99, she makes gasping attempts, and does not respond to wiping and drying. What is her Apgar?

The recent research evidence related to PROM at term would suggest that if a client does not have a preference, decreased occurrence of infection and client satisfaction are improved with:

A newly born infant has Apgars of 4 at 1 min. and 8 at 5 min. At birth, an umbilical cord pH of 7.28 and a base excess of -3.6 mEq/L indicates:

Based on the ACNM position statement on male newborn circumcision midwives should recommend:

A 27-year-old G3 P1011 at 40 wks gestation presents in labor for evaluation. The fetal heart rate baseline is 145, moderate variability, early decelerations are present, and 3 contractions per 10 minutes in a 20 minute tracing. What information is missing to determine a fetal heart rate category?

B.D. is a 29-year-old G3P2002 with a history of two previous normal pregnancies and births, with newborns weighing 7 ½ lb and 8 lbs. After a 10 hour first stage and a 25 minute second stage, she delivers her placenta after 10 minutes. A minute later you observe bright red, brisk bleeding from the vagina. What is your first action?

List at least 4 NON-pharmacologic possible methods of labor induction.