Ch 36: Pre-Test

When obtaining the history of a 25-year-old patient in labor, which of the following questions would you likely ask after asking when the labor pains started?:

"Do you feel the urge to push?".

Your pregnant patient is contracting. Which of the following question is most important in determining whether delivery is eminent?:

"Do you feel the urge to push?".

At which of the following intervals should you assess an APGAR score on a newborn?:

1 minute and 5 minutes after birth.

When the fetus and placenta deliver before the 20th week, refer to this as:

A miscarriage.

What is NOT typically included in an obstetrics kit?:

A scalpel.

When assessing the neonate, you would use the APGAR score to rate which of the following findings?:

Appearance, pulse, grimace, activity, and respiratory effort.

Your patient is 39 weeks pregnant and complaining of contractions are two minutes apart. She tells you that she needs to use the bathroom before transport. You should:

Explain that the sensation of my indicate that she is close to delivery and you need to check to see where the babies head is in the birth canal.

You suspect that your patient has been sexually assaulted. You should:

Fulfill any locally mandated reporting requirements.

Which of the following is the threshold for beginning chest compressions in a newborn?:

Heart rate lower than 60 per minute.

When predicting the need for a neonatal resuscitation, what is the significance of a pregnant patient in labor not having seen an obstetrician?:

If the pregnant patient in labor has not seen a doctor for her pregnancy, she probably hasn't received any prior prenatal care.

What is NOT a reason for keeping a baby warm?:

Maintaining the airway.

Amniotic fluid that is greenish or brownish-yellow rather than clear, as a result of fetal defecation, is known as:

Meconium staining.

As you inspect the perineum of a woman in labor to check for crowning, the water breaks. You note that it is pea green in color. What does that finding indicate?

Meconium, The first stool to be passed by an infant, can be present in the amniotic fluid if the fetus had a hypoxic event.

As an infant's head emerges during a normal delivery, few secretions are present. As the infant's body is delivered, the infant begins to cry normally. Which of the following statements best describes the proper care of the infants airway?

No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant.

When a pregnant patient has a seizure, transport the patient:

On the left side.

You have just delivered, dried, and warmed a newborn. The newborn has slow, gasping respirations. You should:

PROVIDE VENTILATIONS AT 40-60 PER MINUTE.

When treating a patient who has been sexually assaulted, you should try to:

Provide a same-sex provider to assist the patient.

If, upon viewing the vaginal area, you see the umbilical cord presenting, indicating a cord is prolapsed, then position the mother with her head down in her pelvis:

Raised with a blanket or pillow.

If a patient is in labor for her first delivery, what is the most reliable indication that delivery will happen imminently?:

She feels the urge to push.

To support the baby's head during delivery, you should:

Spread your fingers evenly, avoiding pressure to the fontanelles, with the other hand open below the baby's head.

What is the name for the dizziness and drop in blood pressure that occurs when a pregnant mother is in a supine position in the weight of the uterus, infant, placenta, and amniotic fluid compresses the inferior vena cava, reducing the return of blood to the heart in the cardiac output?:

Supine hypotension syndrome.

During which stage of labor does the cervix reach full dilation?:

The end of the first stage of labor.

Which of the following events reliably occurs during the second stage of labor?:

The infant is delivered.

Your pregnant patient is contracting. She denies any prenatal care. Why is this a concern?:

The patient likely knows little about her health or that of her baby.

Which of the following statements best describes the third stage of labor?:

The placenta is expelled from the uterus.

Shortly after delivery of the newborn, the mother experiences a return of labor pains. This likely indicates that:

The placenta is preparing to deliver.

Which of the following statements about fetal development is true?:

The uterus grows to reach the epigastrium by the seventh month.

To take the weight off the vena cava and counteract or avoid the possible drop in blood pressure from vena cava compression, all patients at which stage of pregnancy should be transported on their left sides?:

Third trimester.

Your pregnant patient is in the third trimester. You have ruled out possible cervical spine injury. How should you transport the patient?:

To take the weight off the vena cava and counteract it or avoid the possible drop in blood pressure, older trimester patient should be transported on the LEFT SIDE. A pillow or rolled blanket should be placed behind the back to maintain proper positioning.

If the placenta does not deliver within about 20 minutes after delivery of the newborn, you should:

Transport immediately.

By what percentage does the maternal blood volume increase throughout pregnancy?:

Up to 48%.

To assess your pregnant patient for​ crowning, you​ must:

Visualize the vaginal opening.

You are caring for a pregnant trauma patient with a possible cervical spine injury. She is due to deliver within the next month. How should you transport the patient?:

With spinal precautions, with patient and board tilted to the left as a unit. This relieves pressure on the abdominal organs and vena cava.

When assisting with the delivery of twins, assume that:

You will need to conduct multiple neonatal resuscitation simultaneously.

Which of the following is not a sign of the potential need for a neonatal resuscitation?: A. No prior prenatal care B. Labor induced by drug use C. Crowning D. History of placenta previa

C. Crowning.

Which of the following may indicate the need for neonatal resuscitation?: A. Lack of visible meconium. B. Term delivery. C. Preterm delivery D. A previous C-section

C. Preterm delivery.

What separates the lower aspect of the uterus from the vagina?:

Cervix.

If you cannot loosen or slip the umbilical cord over the babies head, then:

Clamp the cord in two places, and cut the cord between the clamps.

Which of the following figures indicates the correct chest compression-to-ventilation ratio for CPR in a newborn?:

3:1.

What is the typical duration of pregnancy?:

40 weeks.

Which of the following interventions is required in a newborn who has spontaneous breathing and a heart rate greater than 100 per minute but who still has central cyanosis?: A. Blow-by oxygen B. BVM ventilation C. Chest compressions D. Bulb syringe suction

A. Blow-by oxygen.

Your pregnant patient is contracting, and delivery appears eminent. Part of your care for the mother must include: A. Vitals every 5 minutes. B. Emotional support. C. Orthostatic vitals. D. Immediate transport.

B. Emotional support.

Which of the following situations is most likely when a woman who is experiencing labor pain states that she needs to go to the bathroom to move her bowels?:

Birth is eminent. When the baby is in the birth canal, it often puts pressure on the rectum, causing the sensation that the mother needs to move her bowels.

Which of the following mechanisms accounts for supine hypotensive syndrome?: A. Compression of the umbilical cord between the fetus and the uterine wall results in decreased fetal cardiac output and hypertension. B. The weight of the enlarged uterus and fetus compresses the vagus nerve, slowing the heart rate and decreasing cardiac output C. The weight of the enlarged uterus and fetus compresses the descending aorta, restricting bloodflow to the rest of the body. D. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate blood return to the heart.

D. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate blood return to the heart.

If you are taking the history of a female patient in labor, and she answers yes to the question of whether she feels she has to move her bowels, then:

Do not let her go to the bathroom.

What is the highest priority for an active and crying baby after delivery?:

Drying the infant thoroughly and wrapping the infant in warm blankets, covering head.

The period from the beginning of contractions to full cervical dilation occurs:

During the first stage of labor.

If the ovum implants in the fallopian tubes, the patient is at risk for:

Ectopic pregnancy.

If you notice that the patient has a prolapsed cord when you are examining for crowning, what should you do?:

Elevate the patient's hips, administer oxygen, wrap the cord using a sterile towel, and use your hand to prevent the fetal head from compressing the cord.

You are caring for a 19-year-old female who is complaining of vaginas bleeding. She states that she is not pregnant, and she is not menstruating. You should:

Ensure the airway is adequate, assess for shock, and transfer the patient.