EMR: Chapter 23

(True or False): During the second stage of labor, the placenta separates from the uterine wall and is then expelled from the uterus.

False

A full-term pregnancy lasts approximately _________ days.

280

A full-term pregnancy lasts approximately ___________ days.

280

(True or False): Insert the tip of the bulb syringe about three inches into the baby's mouth.

False

(True or False): Normal labor is divided into four stages: dilation, contraction, expulsion, and placental.

False

(True or False): There is very little exposure to blood and body fluids during childbirth, so you do not need to take standard precautions.

False

(True or False): To feel for contractions, you should place your gloved hand on the mother's cervix.

False

(True or False): Use a rubber bulb syringe to suction mucus first from the baby's nose, then from his mouth.

False

(True or False): When the placenta delivers, slowly and gently pull it from the vagina.

False

(True or False): During childbirth, a loss of up to three pints of blood is normal and usually is well tolerated by the mother.

Fasle

Which of the following statements about delivery of the placenta is true? -pull on the umbilical cord to assist with delivery -it takes from 10 to 30 minutes to deliver -discard it immediately after it deliver -it usually delivers before the baby does

It takes from 10 to 30 minutes to delvier

_____________________ consists of contractions of the uterine wall, which force the baby and later the placenta into the outside world.

Labor

(True or False): After the placenta delivers, place it in a plastic bag.

True

(True or False): All equipment and material used during delivery should be sterile, or at least as clean as possible.

True

(True or False): If the mother's bleeding appears to be excessive after delivery of the placenta, treat her for shock.

True

(True or False): If there is meconium staining of the amniotic fluid, consider requesting an advanced life support unit to assist on scene.

True

(True or False): If you observe crowning, you should prepare to assist in the delivery right where you are.

True

(True or False): If you perform tactile stimulation but the baby still does not take a breath, start artificial ventilation.

True

(True or False): Perform artificial ventilation on the newborn if there is persistent central cyanosis (bluish discoloration around the chest and abdomen) after 100 percent oxygen has been administered.

True

The fetus floats in a "bag of waters" that contains __________ fluid.

amniotic

The ___________________ ___________________ is filled with a fluid in which the fetus floats.

amniotic sac

If there is no breathing after birth, rub the baby's ____________________ gently or snap one of your index fingers against the _______________ of the baby's __________________.

back, soles, feet

In a(n) ___________ birth, the baby's feet or buttocks deliver first.

breech

During the first stage of labor, the _____________________ becomes fully dilated.

cervix

The neck of the uterus, which leads into the vagina, is called the _____________________.

cervix

The term _____________ refers to the appearance of the baby's head at the opening of the birth canal.

crowning

The first stage of labor is characterized by:

dilation of the cervix

The final (third) stage of labor is characterized by:

expulsion of the placenta

If contractions are more than ________ minutes apart, the mother usually has time to be transported to a hospital.

five

To avoid supine hypotensive syndrome, the expectant mother should lie on her _____________________ side.

left

After the baby is delivered, observe for the delivery of the ____________.

placenta

The _____________ provides nourishment to the fetus, absorbs its waste, and produces hormones during pregnancy.

placenta

The _____________________, a disk-shaped organ on the inner lining of the uterus, provides nourishment to the fetus, absorbs wastes from the fetus, and produces hormones.

placenta

Use a(n) _________________ _________________ _______________ to suction mucus from the baby's mouth, then from the nose.

rubber bulb syringe (or rubber suction syringe)

During the _____________________ stage of labor, the baby moves through the birth canal and is born.

second

Because delivery results in exposure to a great deal of blood and body fluids, you should be sure to take all necessary __________________ __________________.

standard precautions

If the mother's contractions are ________ minutes apart, prepare to help deliver the baby where you are.

three

The birth of a baby may be imminent if the mother's contractions are about ________ minutes apart.

three

During a normal pregnancy, the baby develops inside the mother's:

uterus

The _________________ is the organ that contains the developing fetus.

uterus