ch 16
A woman in labor is 30 minutes from the nearest hospital, and an ambulance has not yet been called when you arrive on the scene. This is her first pregnancy. Her bag of waters has not been broken and her contractions are eight minutes apart you should
Call an ambulance but prepare for the delivery
If the newborn is surrounded by the bag of waters
Carefully break the bag and push it away from the nose and mouth of the newborn
Breech presentation
Delivery in which the infants buttocks appears first rather than the head
Miscarriage
Delivery of the fetus before it is mature enough to survive outside the womb
Fetus
Developing infant in the uterus
A pregnant woman and either of the first two stages of labor should be transported
F
A stillborn fetus is one who does not begin breathing independently within one minute of delivery
F
A woman who has previously given birth will have more time to reach the hospital than a woman who is pregnant with her first child
F
Assisting in childbirth means no more than receiving the infant as it is delivered and making sure it begins to breathe
F
Contractions during labor are timed by calculating the amount of time between the end of one contraction and the beginning of the next
F
Delivery of an infant should not be attempted unless a pre-package delivery kittens available
F
During normal childbirth, the mother loses about 3 to 4 cups of blood
F
Face and I protection or not necessary during delivery
F
If an infant does not breathe on its own within one minute after birth, CPR should begin immediately
F
If an infant turns to the side after the head emerges you should try to correct its position
F
If instead of normal crowning you see a breech presentation you should prepare for immediate delivery
F
If it looks like a woman has lost about 2 cups of blood during delivery you should rapidly transport her to the hospital
F
In the case of a breech birth, it may be necessary to gently pull the infant to assist with delivery
F
It is important that umbilical cord is cut as soon as the infant breathing independently
F
Normal labor consists of five distinct stages
F
Nursing the newborn after delivery is associated with an increasing hemorrhaging
F
Prolapse of the umbilical cord means that the cord comes out of the vagina before the infants born I need to push back into the vagina until delivery
F
To avoid contamination during delivery a woman who is in labor should be encouraged to use the bathroom for bowel movements
F
You must pull the infants body out of the mother After the head has emerged
F
The mothers contractions are four minutes apart, and the infants head is not crowning yet. In what stage of labor is the mother
First
You usually have time to transport a woman in labor when the contractions are more than how many minutes apart
Five minutes
If an infant does not begin breathing independently after delivery, the EMR may
Gently stimulate the soles of the feet and or back
The first thing you must decide during childbirth situation is whether you
Have time to transport the mother to the hospital before delivery
You should've handled and umbilical cord when
It is wrapped around the infants neck
When you assess for crowning, you noticed umbilical cord protruding through the vagina. Your care should include all the following except
Lang the mother on her right side
Placenta
Life support system of the fetus after birth
The infants head is beginning to emerge. Which of the following should occur
The woman should stop pushing in the woman should breathe rapidly
Which of the following statements regarding a breech birth is false
There will be crowning of the infants head
A young mother in labor tells you that this is her first pregnancy, that she has been having contractions for the past eight hours, and that her water broke some time ago. You should prepare to
Time contractions and check to see if the head is crowning before transporting her to the hospital
When timing contractions you should
Time the contraction cycles from the beginning of one contraction to the beginning of the next
The muscular organ that holds in nourishes a developing fetus is called the
Uterus
Which of the following is false when preparing for a delivery
You must maintain a sterile environment when preparing for delivery
Bag of waters
amniotic sac
If the infants head is crowning that means the infant will be born
in a matter of minutes
The process of delivering an infant is called
labor
Vaginal bleeding in a pregnant woman is often the first sign of
miscarriage
You should begin chest compressions on a newborn if the pulse rate is less than
60 bpm
Crowning
Appearance of the infants head through the birth canal
Bloody show
Bloody mucous plug that is discharge from the vagina when labor begins
To prevent the infants head from emerging to rapidly you should tell the mother to
Stop pushing
If a miscarriage occurs all the tissues I have been passed from the vagina should be saved
T
If a pregnant woman is involved in a motor vehicle collision she should be transported to the hospital on her left side rather on her back
T
In the second stage of labor you'll see the infants head crowning during contractions
T
Massaging the uterus will help it become firm and will help stop bleeding
T
Newspapers, towels, aluminum foil, and shower curtains can be used as equipment during a home delivery
T
Stage three of labor involves delivery of the placenta
T
Transport of a pregnant woman in labor should not be attempted if the contractions are less than three minutes apart or if the infants head is crowning
T
When an infant is born in an unbroken bag of waters you should carefully break the bad push it away from the infants nose and mouth and section the infants nose and mouth
T
Where in kitchen gloves for a delivery is better than wearing no gloves at all
T
A mother in the second stage of labor says she has to move her bowels you should
Tell her she is only feeling the pressure of the infant and should not try to relive the feeling now
During the first stage of labor
The bloody show occurs
After an infant has been delivered you should immediately
Clear the infants nose and mouth
Contractions
Muscular movements of the uterus
Uterus
Muscular organ that holds and nourish developing fetus
My mother tells you that she was pregnant for only seven months with the infant you have just helped deliver. You should recognize that the infant will likely
Need to be kept especially warm
The best way to detect crowning is to
Observe the vaginal opening during the contraction
After the placenta is delivered
Place it in a plastic bag and transported to the hospital for examination
If a newborn shows no signs of life and has an unpleasant odor you should first
Provide physical care and psychological support for the mother
Bulb syringe
Rubber or plastic device used for gentle suction with newborns in infants
