Chapter 33

You have just delivered a baby boy. His body is paint, but his hands and feet are blue. His heart rate is approximately 110 beats per min, his respirations are rapid and irregular. He has a we cry when stimulated and resist attempt to straighten his legs. His Apgar score is

8

Spine bifida is A developmental defect in which:

A portion of the spinal cord or meninges protrudes outside of vertebrae

Braxton Hicks contractions are characterized by:

Alleviation of pain with movement or changing positions.

Upon delivery of the infant's head, you note the umbilical cord is wrapped around the neck. You should

Attempt to slip the cord gently over the infants head

Which of the following is not complement of the Apgar score?

Body size

The only indication of placing finger in the vagina doing during a delivery are:

Bridge presentation of prolapsed umbilical cord

The onset of labor begins when

Contractions of the uterus

placenta previa is defined as:

Development of the placenta over the cervical opening.

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

Easier breathing

signs and symptoms of preeclampsia include

Headache and edema

Which of the following statements regarding gestational diabetes Is correct

In some cases women with gestational Diabetes require insulin injections

Which of the following are normal physiologic changes that occur in the mothers respiratory system during pregnancy

Increased respiratory rate in decreased respiratory reserve

You have just delivered a premature baby. Your assessment reveals that he is breathing adequately, however, his heart rate is 90 bpm you should

Keep him warm and ventilate with a BVM

Which of the following statements regarding twins is correct

Most twins are born within 45 minutes of each other

Most medical models base a pregnant woman due date

On the first day of her last menstrual cycle.

A 33-year-old woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport, you know that she suddenly becomes diaphoretic, tachycardia, and hypertensive. You should:

Place her in a left lateral recumbent position.

Fetal complications associated with drug or alcohol addictive mothers include all of the following except

Profound tachycardia

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

If a newborn heart rate is less than 60 beats following delivery you should

Provide ventilations for 30 sec

While examining a woman in labor, you see The umbilical cord routing from the vagina. You should

Push the infants head away from the cord.

Which of the following is not generally heard a obstetrical emergency?

Return the contractions following delivery of the baby

Which of the following statements regarding suctioning of a newborns mouth and oropharynx is correct

Suctioning is indicated prior to the cord if respiratory distress is present

When the mother is experienced a contraction, you should instruct her to

Take quick short breaths

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 the fetus but does not allow blood to mix between the mother and fetus.

abruptio placenta occurs when:

The placenta prematurely were separate from the uterine wall.

Supine hypotensive syndrome occurs

The pregnant uterus compresses the inferior vina cava

Following delivery of the placenta, the mother is experience vaginal bleeding. After massaging the uterine fundus and allowing the mother to breast-feed, the bleeding stops. This occurred because

These actions stimulate the production of oxytocin and cause uterine contractions.

The following occurs during true labor?

Uterine Contractions become more regular.

An infant is considered to be premature is it

Weighs less than 5 pounds where is born before 36 weeks gestation.

The vagina and the neck of the uterus comprise the:

birth canal.

The umbilical cord

carries oxygen to the baby via the umbilical vein.

A precipitous labor and delivery is MOST common in women who

have delivered a baby before

In contrast of abruptio placenta, placenta previa

may not present with heavy vaginal bleeding.