Chapter 16 Practice Test
C
Despite resuctioning the newborn's mouth and nose, it has not taken its first breath. You should: A. immediately clamp the umbilical cord. B. wipe the infant's mouth out with gauze. C. rub its back or flick the soles of its feet. D. provide three rescue breaths and reassess.
B
During a breech birth: A. the umbilical cord has a knot tied in it. B. the infant's head is not the presenting part. C. the labor process speeds up significantly. D. a limb is protruding from the vaginal opening.
D
During a normal delivery: A. the infant is still encased in the amniotic sac. B. the infant's head turns face-up as soon as it emerges. C. the lower shoulder delivers before the upper shoulder. D. the upper shoulder delivers before the lower shoulder.
C
During delivery of the infant, the mother is usually most comfortable: A. on her back with her legs straight and spread apart. B. on her side with her legs straight and slightly spread. C. on her back with her knees bent and legs up and apart. D. on her side with her knees bent and her legs slightly open.
A
During delivery, you note that the umbilical cord is wrapped around the infant's neck. Your initial action should be to: A. attempt to slip the cord over the infant's head. B. reduce pressure on the cord and await EMT arrival. C. clamp and cut the umbilical cord and continue as normal. D. suction the infant's mouth and nose and then clamp the cord.
A
During the second stage of labor: A. delivery of the infant occurs. B. the amniotic sac ruptures. C. the uterus begins to contract. D. delivery of the placenta occurs.
B
During your assessment of a newborn's pulse, you note that it is 50 beats/min. You should: A. provide rescue breathing. B. begin chest compressions. C. clamp the umbilical cord. D. wrap the infant in a blanket.
C
Following delivery of the placenta, the mother continues to bleed heavily from the vagina, despite uterine massage. Her skin is cool and moist, and her pulse is weak and rapid. You should: A. continue massaging the uterus, place a blanket over her, and give her sips of water. B. insert one sterile gauze pad into her vagina, treat her for shock, and administer oxygen. C. place a sanitary pad over her vagina, elevate her legs, and arrange for immediate transport. D. carefully pack her vagina with sterile gauze pads, elevate her legs, and arrange for transport.
C
The major risk associated with a prolapsed umbilical cord is: A. severe drying of the umbilical cord. B. decreased blood flow to the mother. C. cord compression during a contraction. D. massive bleeding and shock in the infant.
B
The newborn infant should not: A. begin to cry right after birth. B. remain blue for up to 30 minutes. C. breathe faster than 40 breaths/min. D. have a pulse greater than 100 beats/min.
C
The third stage of labor involves: A. delivery of the infant. B. crowning of the infant. C. delivery of the placenta. D. the onset of contractions.
A
The use of sterile gloves during the delivery of an infant: A. protects the mother and infant from infection. B. is not necessary unless there is blood present. C. prevents transmission of an airborne disease. D. is not practical in the out-of-hospital setting.
D
To determine whether the infant's head is crowning, you must: A. ask the mother to stop pushing. B. ask the mother to take slow breaths. C. look for the head after a contraction. D. observe the vaginal opening during a contraction.
C
Which of the following does not usually occur during the first stage of labor? A. The onset of contractions B. Rupture of the amniotic sac C. Crowning during contractions D. Occurrence of the bloody show
B
Which of the following statements regarding delivery of the placenta is correct? A. The placenta often takes between 24 and 36 hours to deliver. B. It usually delivers on its own within 30 minutes after the infant. C. You may have to pull on the placenta to facilitate its delivery. D. It is common for bleeding to continue after placental delivery.
B
Which of the following statements regarding pregnancy is correct? A. First-time mothers will most likely deliver their infant outside a hospital. B. The length of labor is often longer in women who are first-time mothers. C. Women who have delivered several children can usually reach a hospital. D. The number of previous pregnancies determines the exact length of labor.
D
Which of the following statements regarding the bag of waters is correct? A. At the end of pregnancy, it should contain no fluid. B. In most cases, it breaks during the delivery of the infant. C. It provides nutrients to the fetus during its development. D. It usually breaks toward the end of the first stage of labor.
A
Which of the following statements regarding twins is correct? A. Delivery of the second infant occurs no differently from the first. B. The mother will always be able to tell you if she is having twins. C. The majority of twins will deliver within 1 to 2 hours of each other. D. Contractions usually do not cease between deliveries of the infants.
B
You are assisting a woman in labor who is 34 weeks pregnant. After delivering the newborn, you ensure adequate breathing and circulation. You should next: A. clamp and cut the umbilical cord. B. ensure that the newborn is warm. C. administer oxygen to the mother. D. assist with delivery of the placenta.
B
You are dispatched to a residence for a possible miscarriage. Your patient, a 19-year-old woman, is lying on the couch. She tells you that she is 24 weeks pregnant, and that when she went to the bathroom, she passed what looked like a fetus. After confirming her finding, you should: A. notify law enforcement, retrieve the fetus from the toilet, and turn it over to the police. B. assess her for signs of shock, provide emotional support, and arrange for prompt transport. C. immediately elevate her legs, apply oxygen if it is available, and inspect her vagina for bleeding. D. tell her that you are sorry for her loss and have a friend or family member transport her to the hospital.
A
You arrive at the scene of a 30-year-old woman in active labor. Responding paramedics are approximately 10 minutes away. During your assessment of the patient, you see part of the umbilical cord protruding from the vagina. You should: A. elevate the mother's hips and keep the protruding cord moist. B. cover the cord with a dry dressing and update the paramedics. C. place the mother on her left side and give oxygen if it is available. D. advise the mother to stop pushing and wait for the paramedics to arrive.
B
You have just delivered a healthy baby girl. Before responding paramedics arrive, the placenta delivers as well. You should: A. gently massage the uterus until it becomes soft. B. keep the placenta at the same level as the infant. C. cut the umbilical cord and keep the infant warm. D. pack the vagina with gauze to stop any bleeding.
D
A pregnant patient should be positioned on her left side because: A. this will slow down labor and prolong delivery. B. it is usually the most comfortable position for her. C. the heart will be compressed if she is on her back. D. this will allow venous blood to return to the heart.
C
A premature newborn is one that weighs less than ____ pounds or is delivered before ____ weeks of pregnancy. A. 6, 40 B. 6, 38 C. 5, 36 D. 5½, 38
B
An expectant mother is 39 weeks pregnant. She tells you that she is having strong contractions and feels like she needs to move her bowels. You should: A. ask a female to escort her to the bathroom. B. prepare for imminent delivery of the infant. C. suspect that the infant is in a breech position. D. ask her to hold her breath during contractions.
A
As the infant's head emerges from the vagina, you note it is covered with the amniotic sac. You should: A. tear it with your fingers and clear it away from the face. B. attempt to stop the delivery and update responding EMTs. C. elevate the mother's hips and administer oxygen if available. D. suction the infant's mouth and nose and continue the delivery.
D
As the infant's head emerges from the vagina, you should: A. tell the mother to take a series of slow, deep breaths. B. apply moderate pressure to the top of the infant's head. C. pull slightly on the head to prevent explosive delivery. D. support the head and advise the mother to stop pushing.
A
As you observe the mother's vagina, you see the infant's buttocks as the presenting part. The most important thing that you can do is: A. arrange for immediate transport. B. place the mother on her left side. C. gently pull on the infant's buttocks. D. advise the mother to keep pushing.
D
The _________ draw(s) nutrients from the wall of the mother's uterus and deliver(s) them to the developing fetus. A. umbilical cord B. ovaries C. uterus D. placenta
C
The bloody show is most accurately defined as: A. the visible blood that is mixed in with the amniotic fluid. B. a moderate amount of blood that is expelled from the vagina. C. a mucous plug mixed with blood that is expelled from the cervix. D. a clot of blood coated with mucus that is expelled from the vagina.
D
The delivery of an incomplete or underdeveloped fetus is most appropriately called a: A. stillborn delivery. B. toxic miscarriage. C. postterm delivery. D. spontaneous abortion.
C
All of the following items are included in a prepackaged obstetric (OB) kit, except: A. sterile gloves. B. a bulb syringe. C. an oxygen mask. D. umbilical clamps.
B
The developing infant is also called the: A. egg. B. fetus. C. embryo. D. zygote.
B
The egg matures in the: A. uterus. B. ovary. C. vagina. D. fallopian tube.
A
The external opening of the female reproductive system is called the: A. vagina. B. uterus. C. ovary. D. womb.
A
After the umbilical cord stops pulsating, you should: A. tie it with gauze between the mother and newborn. B. tie it with a sterile material and cut it in two places. C. keep the newborn higher than the level of the vagina. D. accurately document the time the infant was born.
B
Contractions are timed from the: A. end of one to the end of the next. B. beginning of one to the beginning of the next. C. end of one to the beginning of the next. D. beginning of one to the end of the next.
D
Crowning is most accurately defined as the: A. beginning of the first stage of the labor process. B. appearance of the placenta as it begins to deliver. C. amount of force with which the uterus contracts. D. appearance of the infant's head during a contraction.
A
If a woman's contractions are more than 5 minutes apart: A. she can usually be transported to the hospital. B. a paramedic unit should respond to the scene. C. you should prepare for an immediate delivery. D. it is likely that she will deliver during transport.
C
If bleeding continues following delivery of the placenta, you should: A. place a sterile gauze pad into the vagina. B. give the mother small sips of water to drink. C. massage the uterus until the bleeding stops. D. elevate the mother's legs and apply blankets.
A
If the newborn does not begin to breathe on its own following delivery, you should first: A. tilt its head down and to the side to facilitate mucus drainage. B. begin mouth-to-mask breathing by providing two gentle puffs. C. vigorously dry the infant with warm towels for at least 30 seconds. D. check the brachial pulse to see if it is greater than 100 beats/min.
B
If you are splashed in the face with blood or other fluids during the delivery of an infant, you should: A. get revaccinated against the hepatitis virus. B. report the incident to your medical director. C. ask the mother if she has an infectious disease. D. stop what you are doing and contact a physician.
D
In addition to the contents of a standard prepackaged OB kit, you should also have: A. sanitary pads. B. a sterile scalpel. C. a towel for the infant. D. oxygen if it is available.
B
In the absence of a prepackaged OB kit, it is most important to remember that you can still assist in delivering an infant with no more than: A. sterile towels and hot water. B. gloved hands and common sense. C. umbilical clamps and clean blankets. D. a face mask and a pair of sterile gloves.
C
Once released, the egg travels to the uterus via the: A. vagina. B. birth canal. C. fallopian tube. D. umbilical cord.
