Chapter 34 Quiz - Obstetrics and Neonatal Care

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: A. superior diaphragm. B. belly button. C. pubic bone. D. xiphoid process.

B. belly button.

The umbilical cord: A. separates from their placenta shortly after birth. B. carries oxygen to the baby via the umbilical vein. C. carries blood away from the baby via the artery. D. contains two veins and one large umbilical artery.

B. carries oxygen to the baby via the umbilical vein.

In contrast to a full-term infant, a premature infant: A. is one who is born before 38 weeks' gestation. B. has an even proportionately larger head. C. retains heat better because of excess body hair. D. is often covered with excess vernix material.

B. has an even proportionately larger head.

The amniotic fluid serves to: A. remove viruses from the fetus. B. insulate and protect the fetus. C. assist in fetal development. D. trasnfer oxygen to the fetus.

B. insulate and protect the fetus.

The term primigravida refers to a woman who: A. has had more than one live baby. B. is pregnant for the first time. C. has had only one live birth. D. has never been pregnant.

B. is pregnant for the first time.

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: A. thorough drying with a towel. B. positive-pressure ventilations. C. suctioning of the upper airway. D. some form of tactile stimulation.

B. positive-pressure ventilations.

Which of the following statements regarding a breech presentation is correct? A. There is minimal risk of trauma to the infant with a breech presentation. B. It is impossible to deliver a breech presentation in the prehospital setting. C. A breech presentation occurs when the buttocks are the presenting part. D. Breech deliveries occur rapidly, so the EMT should deliver at the scene.

C. A breech presentation occurs when the buttocks are the presenting part.

Which of the following is an indication of imminent birth? A. Irregular contractions lasting 10 minutes B. Expulsion of the mucus plug from the vagina C. Crowning of the baby's head D. Rupture of the amniotic sac

C. Crowning of the baby's head

Which of the following occurs during true labor? A. The uterus becomes very soft and movable. B. Uterine contractions last about 10 seconds. C. Uterine contractions become more regular. D. Uterine contractions decrease in intensity.

C. Uterine contractions become more regular.

After a baby is born, it is important to: A. position it so that its head is higher than its body. B. cool the infant to stimulate effective breathing. C. ensure that it is thoroughly dried and warmed. D. immediately clamp and cut the umbilical cord.

C. ensure that it is thoroughly dried and warmed.

A newborn infant will usually begin breathing spontaneously within _____ seconds following birth. A. 30 to 60 B. 3 to 5 C. 5 to 10 D. 15 to 30

D. 15 to 30

Which of the following is NOT a component of the APGAR score? A. Grimace B. Pulse C. Activity D. Body size

D. Body size

In contrast to abruptio placenta, placenta previa: A. might present without significant abdominal pain. B. is typically associated with severe abdominal pain. C. is caused by hypertension or abdominal trauma. D. might not present with heavy vaginal bleeding.

D. might not present with heavy vaginal bleeding. (quiz states that it's B)

Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT: A. low birth weight. B. respiratory depression. C. premature delivery. D. profound tachycardia.

D. profound tachycardia.

Eclampsia is MOST accurately defined as: A. hypertension in the 20th week of pregnancy. B. a blood pressure greater than 140/90 mm Hg. C. high levels of protein in the patient's urine. D. seizures that result from severe hypertension.

D. seizures that result from severe hypertension.

An infant is premature if it: A. is born before 38 weeks' gestation or weighs less than 6 pounds. B. weighs less than 5.5 pounds or is born before 37 weeks' gestation. C. is born before 40 weeks' gestation or weighs less than 7 pounds. D. weighs less than 5 pounds or is born before 36 weeks' gestation.

D. weighs less than 5 pounds or is born before 36 weeks' gestation.

A precipitous labor and delivery is MOST common in women who: A. have delivered a baby before. B. have gestational diabetes C. are younger than 30 years of age. D. are pregnant for the first time.

A. have delivered a baby before.

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because: A. pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia. B. white blood cells decrease during pregnancy, which increases the mother's risk of an infection. C. the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding. D. iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery.

A. pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.

A pregnant trauma patient might lose a significant amount of blood before showing signs of shock because: A. pregnant patients have an overall increase in blood volume. B. pregnant patients can dramatically increase their heart rate. C. pregnancy causes vasodilation and a lower blood pressure. D. blood is shunted to the uterus and fetus during major trauma.

A. pregnant patients have an overall increase in blood volume.

When determining the frequency of contractions, you should time the contractions from the: A. start of one to the start of the next. B. end of one to the start of the next. C. start of one to the end of the next. D. end of one to the end of the next.

A. start of one to the start of the next.