chapter 33 E MT

26)In contrast to a full-term infant, a premature infant:

has an even proportionately larger head

27)Signs and symptoms of preeclampsia include:

headache and edema

16)The amniotic fluid serves to:

insulate and protect the fetus

3)The term primigravida refers to a woman who:

is pregnant for the first time

24)A nuchal cord is defined as an umbilical cord that:

is wrapped around the baby's neck

31)When preparing a pregnant patient for delivery, you should position her:

on a firm surface with her hips elevated 2″ to 4″.

43)Most medical models base a pregnant woman's due date:

on the first day of her last menstrual cycle.

4)A 33-year-old woman who is 36 weeks pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. In addition to administering 100% oxygen, you should:

place her in a left lateral recumbent position

57)Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes:

placing the mother supine with her head down and pelvis elevated.

50)Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

positive-pressure ventilations

1)By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:

belly button

35)A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.

15 to 30

33)An abortion occurs when the fetus and placenta deliver before:

20 weeks

13)Preeclampsia MOST commonly occurs after the ____ week of gestation.

30th

10)If a baby is born at 7:52, the second Apgar score should be calculated at:

7:57

11)You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His Apgar score is:

8

14)The vagina and the neck of the uterus comprise the:

birth canal

37)During your visual inspection of a 19-year-old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do?

Apply gentle pressure to the baby's head as it delivers.

15)The ONLY indications for placing your gloved fingers in the vagina during delivery are:

breech presentation and prolapsed umbilical cord

39)Which of the following statements regarding gestational diabetes is correct?

In some cases, women with gestational diabetes require insulin injections.

54)Which of the following statements regarding twins is correct?

In some cases, women with gestational diabetes require insulin injections.

6)Spina bifida is a developmental defect in which:

a portion of the spinal cord or meninges protrudes outside of the vertebrae.

44)Which of the following processes occurs during ovulation?

The inner lining of the uterus thickens in preparation for implantation.

30)Which of the following statements regarding the placenta is correct?

The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.

40)Which of the following occurs during true labor?

Uterine contractions become more regular.

12)In contrast to a full-term infant, a premature infant:

has an even proportionately larger head

28)Braxton-Hicks contractions are characterized by:

alleviation of pain with movemnt or changing positions

36)A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:

an ectopic pregnancy

56)You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:

assess her for crowning.

21)Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should:

attempt to slip the cord gently over the infants head

20)The third stage of labor begins when the:

baby is expelled from the vagina

46)The umbilical cord:

carries oxygen to the baby via the umbilical vein.

7)The onset of labor begins with:

contractions of the uterus

52)Which of the following is an indication of imminent birth?

crowning of the baby's head

19)Placenta previa is MOST accurately defined as:

devolpment of the placenta over the cervical opening

5)After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:

easier breathing

22)If a pregnant patient requires spinal immobilization, you should secure her to the backboard and then:

elevate the right side of the board with rolled towels or blankets

48)After a baby is born, it is important to:

ensure that it is thoroughly dried and warmed.

18)Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:

pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia

23)A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:

pregnant patients have an overall increase in blood volume

2)Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT:

profound tachycardia

45)Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should:

provide emotional support to the mother.

9)If a newborn's heart rate is less than 60 beats/min following delivery, you should:

provide ventilations for 30 seconds

49)Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should:

puncture the sac and suction the baby's mouth and nose.

47)While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:

push the infant's head away from the cord.

55)Eclampsia is MOST accurately defined as:

seizures that result from severe hypertension.

29)When determining the frequency of contractions, you should time the contractions from the:

start of one to the start of the next

38)During delivery of the baby's head, you should suction the mouth before the nose because:

suctioning the nose first may cause the baby to gasp and aspirate fluid.

25)When the mother is experiencing a contraction, you should instruct her to:

take quick short breathes

42)The presence of thick meconium in the amniotic fluid indicates:

that the baby's airway may be obstructed.

8)During delivery, it is MOST important to position your partner at the mother's head because:

the mother may become nauseated and vomit

32)Abruptio placenta occurs when:

the placenta prematurely seperates from the uterine wall

41)The term "bloody show" is defined as:

the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.

53)Vigorous suctioning of a newborn's airway is indicated if:

there is meconium in the amniotic fluid.

17)General treatment guidelines when caring for a woman with traumatic vaginal bleeding include:

transporting to an appropriate facility

34)From what internal female organ is the fetus expelled during delivery?

uterus

51)From what internal female organ is the fetus expelled during delivery?

uterus