chapter 43 chapter test

In preparation for​ delivery, you should do all of the following​ EXCEPT:

. Have tepid water available for cleansing the fetus.

All of the following are appropriate in treating the patient who is suspected of having preeclampsia​ EXCEPT:

. IV fluid bolus.

Fetal heart tones can be heard with a Doppler at about​ ________ weeks.

10

You should attempt resuscitation if the fetus is at least​ ________ weeks or beyond unless death is obvious.

20

You are ventilating a neonate but he​ doesn't seem to be responding. You know that you MUST begin chest compressions the heart rate drops below​ ________ beats per minute.

60

Which of the following characteristics of a neonate would require some form of​ resuscitation?

A baby whose heart rate is 90.

A method that is commonly used in the field to assess a​ newborn's vital functions is known as the​ ________ score.

APGAR

​________ is the premature separation of the placenta from the uterine wall.

Abruptio placentae

The five components of the top step in the neonatal resuscitation inverted pyramid​ are:

D. ​dry, warm,​ position, suction, stimulate.

Which newborn is MOST in need of neonatal​ resuscitation?

Gestation 32​ weeks, weak​ cry, limp

You are obtaining a history from an​ obese, 15-year-old girl who is pregnant. She tells you this is her first pregnancy and she called 911 because her stomach has been cramping. Which part of her history would lead you to be concerned about gestational​ diabetes?

Her weight

Which of the following statements about the umbilical cord is​ TRUE?

It contains two arteries and one vein.

________ occurs in about one in 8500 births and is characterized by a​ shorter-than-normal chin and large tongue that easily leads to airway obstruction.

Pierre Robin syndrome

What is the temporary organ of​ pregnancy, which functions to supply the developing fetus with oxygen and​ nutrients?

Placenta

All of the following is correct regarding premature infants​ EXCEPT:

The cranium protects the fragile brain tissue.

All of the following increase the risk for neonatal resuscitation​ EXCEPT:

The mother is over the age of 25.

Question content area top Part 1 You are transferring care of a mother and her newborn to the emergency department. What information is MOST important for you to include in your report to the emergency department​ personnel?

Time of​ birth, APGAR​ scores, and gender of the newborn

Pulmonary embolism is more common in patients who have​ had:

a cesarean section.

Your​ patient, who is expecting her second child in two​ days, reports a​ mucous-like vaginal discharge that was pink in color prior to your arrival. The patient is experiencing abdominal cramping intermittently. You suspect this​ is:

a mucous plug.

You are treating a multigravida female who is not receiving prenatal care. The patient is​ 42-years-old and is in her third trimester of pregnancy. She admits to using cocaine earlier in the day and throughout her pregnancy. She is currently experiencing a​ painful, rigid abdomen and signs and symptoms of shock. You should​ suspect

abruptio placentae.

All of the following are signs of preeclampsia​ EXCEPT:

ams

During​ delivery, you note bulging of the perineal area when the mother bears down to expel the fetus from the birth canal. You​ should:

apply gentle pressure to the head of the fetus to prevent explosive delivery.

If your patient in labor complains that she​ "needs to move my​ bowels," you​ should:

assess the patient for crowning

Question content area top Part 1 A preterm delivery​ occurs:

before 37 weeks of gestation.

Immediately following fertilization in the fallopian​ tube, the ovum​ will:

begin division.

Question content area top Part 1 A layer of the extraembryonic membrane that develops blood vessels within​ finger-like projections is called​ the:

chorion.

All of the following are complications that can result from preeclampsia​ EXCEPT

decreased deep tendon reflexes.

You should assume any female of childbearing age who is suffering from lower abdominal pain and a missed period to​ have:

ectopic pregnancy.

If the patient in labor complains of the urge to​ push, you​ should:

examine the vaginal area for crowning.

An ectopic pregnancy MOST commonly occurs in​ the:

fallopian tube.

Fertilization normally will occur in​ the:

fallopian tube.

You have initiated ventilations and chest compressions for a neonate with a pulse rate of 50 and he is not improving. You should​ next:

gain IV access and deliver IV fluids.

Your patient has been pregnant three times with two live deliveries. You should document this​ as:

gravida​ 3, para 2.

Question content area top Part 1 Which of the following is TRUE regarding​ preeclampsia?

it can dev

You are attending to a patient who reports that she is three months pregnant and is receiving​ pre-natal care. Your partner obtains a blood pressure of​ 98/60, pulse of​ 84, and respirations of 14. The patient is complaining of nausea and vomiting. You should​ suspect:

morning sickness

As you are evaluating a pregnant patient who is supine on a​ couch, your partner informs you that the​ patient's blood pressure is​ 78/50, pulse of​ 100, and respirations of 16. You​ should:

place her on her left side and retake vitals.

Your​ 23-year-old patient is seven months pregnant and has called 911 for vaginal bleeding. She reports that she bent down to pick up some toys when she began bleeding. She says it is not painful but she is frightened by the gush of bright red blood. You should​ suspect:

placenta previa.

Question content area top Part 1 You are giving report to the nurse at the hospital regarding your patient who is nine months pregnant. You tell her that the patient reports that her doctor told her that she had recently had protein in her urine. You know that this is indicative​ of:

preeclampsia.

A term referring to the period prior to birth of a child​ is:

prenatal.

You have just delivered a healthy infant who is breathing well and has an APGAR of 9 at five minutes. As you are awaiting delivery of the​ placenta, the mother suddenly experiences severe shortness of​ breath, JVD, and hypotension. You should​ suspect:

pulmonary embolism.

You are attending a pregnant patient who believes she is in labor.​ Suddenly, she reports a very large​ "gush of​ water" from her vagina. You​ suspect:

ruptured amniotic membrane.

The differentiation of preeclampsia and eclampsia​ is:

seizures.

Question content area top Part 1 Pain associated with an ectopic pregnancy may be referred to​ the:

shoulder

You are delivering a baby and the head delivers​ normally, but then retracts back into the birth canal. You should​ suspect:

shoulder dystocia.

Question content area top Part 1 As an infant​ delivers, you are presented with a​ feet-first presentation. You​ should:

support the body and legs and allow the mother to attempt to deliver on her own.

Pregnant patients are more susceptible to​ life-threatening injury because​ of:

the position and increased vascularity of the uterus.

Labor is divided into four stages. If the​ woman's cervix shows complete​ effacement, what stage is she​ in?

two

The risk of​ ________ is substantially increased by pulling on the umbilical cord in an attempt to speed delivery of the placenta.

uterine inversion

Question content area top Part 1 The muscular organ in which a baby develops during pregnancy is called​ the:

uterus.

Bleeding that occurs with placenta previa is​ usually:

​painless, and bright red.