Ch. 34 Obstetrics & Neonatal Care
Braxton-Hicks contractions are characterized by: A) regular contractions of progressively increasing intensity. B) alleviation of pain with movement or changing positions. C) pink or red bloody show in conjunction with the contractions. D) a rupture of the amniotic sac just before the contractions begin.
B
From what internal female organ is the fetus expelled during delivery? A) Vagina B) Uterus C) Cervix D) Perineum
B
If a baby is born at 7:52, the second Apgar score should be calculated at: A) 7:53. B) 7:57. C) 7:59. D) 8:00.
B
Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect: A) intrauterine bleeding. B) pulmonary embolism. C) acute pulmonary edema. D) spontaneous pneumothorax.
B
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: A) suctioning of the upper airway. B) thorough drying with a towel. C) positive-pressure ventilations. D) some form of tactile stimulation.
C
The umbilical cord: A) separates from the placenta shortly after birth. B) carries blood away from the baby via the artery. C) carries oxygen to the baby via the umbilical vein. D) contains two veins and one large umbilical artery.
C
Which of the following occurs during true labor? A) Uterine contractions decrease in intensity. B) The uterus becomes very soft and movable. C) Uterine contractions become more regular. D) Uterine contractions last about 10 seconds.
C
A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days. You should: A) elevate her legs to improve brain perfusion and keep her warm. B) administer oral glucose for presumed hypoglycemia and transport. C) insert an oral airway and ventilate her with a bag-valve mask. D) place her on her side, administer high-flow oxygen, and transport.
D
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A) preeclampsia. B) placenta previa. C) gestational diabetes. D) an ectopic pregnancy.
D
Most medical models base a pregnant woman's due date: A) two weeks after her last menstrual cycle. B) on the last day of her last menstrual cycle. C) two weeks before her last menstrual cycle. D) on the first day of her last menstrual cycle.
D
Spina bifida is a developmental defect in which: A) an excessive amount of cerebrospinal fluid damages the spinal cord. B) nerve fibers that arise from the spinal cord do not function properly. C) the spinal column is severely deformed, resulting in permanent paralysis. D) a portion of the spinal cord or meninges protrudes outside of the vertebrae.
D
The vagina and the neck of the uterus comprise the: A) womb. B) cervix. C) fundus. D) birth canal.
D
When determining the frequency of contractions, you should time the contractions from the: A) end of one to the start of the next. B) start of one to the end of the next. C) end of one to the end of the next. D) start of one to the start of the next.
D
During your visual inspection of a 25-year-old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do? A) Apply gentle pressure to the baby's head as it delivers. B) Tell the mother not to push and transport her immediately. C) Place your fingers in the vagina to assess for a nuchal cord. D) Maintain firm pressure to the head until it completely delivers.
A
Abruptio placenta occurs when: A) the placenta prematurely separates from the uterine wall. B) a tear in the placenta causes severe internal hemorrhage. C) the placenta affixes itself to the outer layer of the uterus. D) the placenta develops over and covers the cervical opening.
A