Ch. 22 Study Guide

To preserve legal evidence, the rape victim should not:

Change clothes until after medical evaluation, urinate or defecate until medical evaluation, was or touch until after medical evaluation All of the above

If you must assist with the delivery of the baby, an important guideline to remember is:

Do not let the mother use the toilet, do not hold the mother's legs together, do not touch the vaginal area except during delivery All of the above

During which stage of labor does the amniotic sac break?

End of the first

What can be done to help control vaginal bleeding after delivery?

Gently massage the mother's lower abdomen/allow the baby to nurse

Which questions should be asked of a woman in labor to determine whether there is time to transport her to a hospital?

Has she had a baby before?, How frequent are the contractions?, Has the amniotic sac ruptured? All of the above

After the baby is delivered, and before the umbilical cord is cut, the newborn should be held:

Head slightly lower than the trunk, level with the mother's vagina

Which childbirth position improves blood return to the heart?

Lying on the left side

Which childbirth positions provide protection against possible aspiration during vomiting?

Lying on the left side

During which stage of labor is the placenta expelled?

Third

Labor is a ______ stage process.

Three

Internal vaginal bleeding caused by trauma should be treated by:

Using a pack only if bleeding is life threatening, placing her on her left side, seeking medical attention All of the above

Which of the following can signal that delivery is imminent?

When the woman has had a baby before, when the contractions are less than 2 minutes apart, when the amniotic sac has ruptured, and the woman feels the need to move her bowels All of the above

The mother experiencing a breech presentation should be placed:

kneeling head-down position with pelvis elevated

A newborn should begin to breathe:

wishing 30 seconds

A woman can be expected to lose up to ______ to ______ cup(s) of blood after delivery.

1 to 2

The third stage of labor lasts about ______ minutes or more.

15

Contractions less than ______ minutes apart and 45 to 60 seconds long, especially in a woman who has had more than one pregnancy, signal imminent delivery.

2

During breech presentation, the first aider should act to prevent suffocation of the baby is the head is not delivered within ______ minutes of the body.

3

A baby born before ______ weeks of pregnancy is considered premature.

37

If in a remote location, and after cord pulsations have stopped, tie the cord about ______ widths away from the baby and a second tie 2 inches further away from the first in order to cut the cord.

4 inches

Contractions more than ______ minute(s) apart are a good indication that there will be enough time to get the mother to a hospital.

5

A miscarriage is also called a:

Spontaneous abortion

Presence of greenish- or brownish-yellow amniotic fluid requires the first aider to:

Suction the mouth and nostrils thoroughly, hold the baby in a moderately head down position to promote drainage, call 911 immediately All of the above

What is the risk in a prolapsed umbilical cord presentation?

Suffocation of the baby

Which term describes the bulging out of the vagina as the fetus's head or part of the baby presses against it?

Crowning

Premature babies are especially at risk for:

Hypothermia

If the amniotic sac ruptures more than 12 hours before birth occurs, the likelihood of ______ is increased.

Infection to mother and body

If a woman in labor feels she has to move her bowels, delivery:

Is imminent

The most important care of the newborn is:

Positioning, dying, keeping war, and stimulating to breathe

What care should be given to a woman with vaginal bleeding late in her pregnancy?

Save the sanitary pads used, treat for shock if needed, seek medical attention All of the above

The actual delivery of the baby takes place during the ______ stage of labor.

Second

If the baby's head emerges with the umbilical cord wrapped around the neck, the first aider should:

Slip the cord over the baby's head