A Bishop score of 8 or higher means skip the ripening and go straight to oxytocin. Misoprostol and a prior uterine scar don't mix. And the APGAR never decides when resuscitation starts. In this episode of the Physician Assistant Exam Review Podcast, we finish labor: how to start it when it won't start, how to restart it when it stalls, and everything from the epidural to the baby's first assessment, taught the way it actually gets tested.

Five priming questions open the episode. Sit with them while you listen, then check yourself at the end.

What's covered:

• Induction vs augmentation, and why the cervix picks the method
• Who gets induced: offer at 41 weeks, deliver by 42, and no elective induction before 39
• Contraindications to induction: placenta previa, vasa previa, transverse lie, prior classical incision
• The Bishop score: 8 or higher is favorable, 6 or lower means ripen first
• Cervical ripening: misoprostol, dinoprostone, the Foley balloon, and which one a prior cesarean rules out
• Oxytocin, tachysystole, and why amniotomy waits for an engaged head
• Labor analgesia: epidural hypotension, the post-dural puncture headache, pudendal block, IV opioids
• Delayed cord clamping and the three signs of placental separation
• Active management of the third stage, the main prevention of postpartum hemorrhage
• The APGAR score and what it doesn't tell you
• First- through fourth-degree perineal lacerations

Study tip in this episode: it doesn't have to be a ton. It has to be thoughtful. You don't need to study longer. You need to study better.

Free Live Master Class on Passing the PANCE: Find the One Thing Quietly Costing You 5-10% on Every Exam. Two live sessions, Tuesday September 15 and Thursday September 17, both at 8 PM ET: https://physicianassistantexamreview.com/masterclass

Registration for the October cohort of 33 Days to Pass the PANCE opens Thursday, September 17: https://physicianassistantexamreview.com/33

Full episode notes: https://physicianassistantexamreview.com/171

Think different. Work different. Score different.

In this episode of the Physician Assistant Exam Review Podcast, we walk through gestational diabetes and hypertensive disorders of pregnancy the way they actually show up on exams: key risk factors, universal screening windows, the 1‑hour vs 3‑hour glucose tests, and must‑know numbers for preeclampsia, eclampsia, HELLP, and magnesium toxicity.

You'll hear "exam keys" for what to write on your wall, plus a study tip on why your score is really content × skills (how you study, test‑taking, and anxiety management), not content alone.

I also share details about a free live class, Unlock Your Potential as a Student, and the August 33 Days to Pass the PANCE cohort if you want structured help turning effort into points on EORs and the PANCE.

Links: physicianassistantexamreview.com/masterclass and physicianassistantexamreview.com/33