Ch. 37
Which sign or symptom is associated with eclampsia? A. Supine hypotensive syndrome B. Hyperglycemia C. Seizures D. Painless vaginal bleeding
C. Seizures
You observe meconium staining upon the delivery of a newly born baby. Which of the following is an indication for suctioning? A. Vigorous activity B. Adequate respirations C. Good cry D. Heart rate of 90
D. Heart rate of 90
When do the signs and symptoms of hyperemesis gravidarum usually begin? A. Between 4 and 6 weeks of pregnancy B. Between 7 and 9 weeks of pregnancy C. Between 1 and 3 weeks of pregnancy D. Between 10 and 12 weeks of pregnancy
A. Between 4 and 6 weeks of pregnancy
Which statement regarding the normal physiological changes of pregnancy to the mother's reproductive system is accurate? A. By the end of pregnancy, about one-sixth of the mother's blood flow goes to the uterus. B. The fertilized ovum implants in the cervical os. C. The placenta forms over the os cervix to prevent infection of the fetus. D. By the end of pregnancy, the uterus weighs about six pounds.
A. By the end of pregnancy, about one-sixth of the mother's blood flow goes to the uterus.
You are attempting to stimulate a newborn. Drying and tactile stimulation has been unsuccessful. You should next administer A. oxygen. B. chest compressions. C. ventilations. D. suctioning.
A. oxygen.
Which choice BEST describes the recommended plan for reassessing an obstetric patient for postpartum bleeding? A. Reassessment is not necessary unless transport time is greater than 30 minutes. B. Reassess throughout transport, regardless of the estimated amount of blood loss. C. Reassessment is only necessary if the initial blood loss was greater than 500 mL. D. Reassess if the initial amount of blood loss was greater than 250 mL.
B. Reassess throughout transport, regardless of the estimated amount of blood loss.
Which action should be taken immediately if you see that an infant has a nuchal cord? A. Continue to monitor the cord to ensure the infant's limbs do not become entangled in it. B. Slip the cord over the infant's shoulder right away. C. Place a single umbilical clamp on the cord and cut on the side proximal to the infant. D. Cut the cord in two places and cut between the clamps.
B. Slip the cord over the infant's shoulder right away.
Approximately how much of the mother's blood volume does the pregnant uterus hold? A. One-half B. One-quarter C. One-sixth D. One-eighth
C. One-sixth
You have just delivered an infant who had light meconium staining. He has vigorous activity and a strong cry. What is the CORRECT approach to managing this situation? A. First dry and stimulate the infant, then use a bulb syringe to aggressively suction the mouth and nose. B. Before drying and stimulating the infant, use a bulb syringe to aggressively suction the mouth and nose. C. Call for an ALS unit to care for the infant. D. Avoid suctioning this infant.
D. Avoid suctioning this infant.
Which statement BEST describes the third stage of labor? A. The amniotic sac ruptures. B. The infant's head appears at the opening of the birth canal. C. The infant is completely delivered. D. The placenta is expelled from the uterus.
D. The placenta is expelled from the uterus.