Chapter 22
A newborn should begin to breathe: -immediately -within 5 seconds -within 15 seconds -within 30 seconds
within 30 seconds
A woman can be expected to lose up to ____ to ____ cup(s) of blood after delivery. -1/4 to 1/2 -1/2 to 1 -1 to 2 -2 to 3
1 to 2
The third stage of labor lasts about ____ minutes or more. -5 -15 -10 -2
15
Contractions less than ____ minutes apart and 45 to 60 seconds long, especially in a woman who has had more than one pregnancy, signal imminent delivery. -5 -4 -3 -2
2
During a breech presentation, the first aider should act to prevent suffocation of the baby if the head is not delivered within ____ minutes of the body. -2 -3 -5 -10
3
A baby born before ____ weeks of pregnancy is considered premature. -37 -38 -39 -40
37
If in a remote location, and after cord pulsations have stopped, tie the cord about ____ widths away from the baby and a second tie 2 inches further away from the first in order to cut the cord. -2 inches -4 inches -6 inches -8 inches
4 inches
Contractions more than ____ minute(s) apart are a good indication that there will be enough time to get the mother to a hospital. -1 -2 -4 -5
5
If you must assist with the delivery of the baby, an important guideline to remember is: -do not let the mother use the toilet -do not hold the mother's legs together -do not touch the vaginal area except during delivery -all of the above
all of the above
Internal vaginal bleeding caused by trauma should be treated by: -using a pack only if bleeding is life threatening -placing her on her left side -seeking medical attention -all of the above
all of the above
To preserve legal evidence, the rape victim should not: -change clothes until after medical evaluation -urinate or defecate until after medical evaluation -wash or douche until after medical evaluation -all of the above
all of the above
What care should be given to a woman with vaginal bleeding late in her pregnancy? -save the sanitary pads used -treat for shock if needed -seek medical attention -all of the above
all of the above
Which of the following can signal that delivery is imminent? -when the woman has had a baby before -when the contractions are less than 2 minutes apart -when the amniotic sac has ruptured, and the woman feels the need to move her bowels -all of the above
all of the above
Which questions should be asked of a woman in labor to determine whether there is time to transport her to a hospital? -has she had a baby before? -how frequent are the contractions? -has the amniotic sac ruptured? -all of the above
all of the above
Which term describes the bulging out of the vagina as the fetus's head or part of the baby presses against it? -dilation -crowning -presenting -showing
crowning
During which stage of labor does the amniotic sac break? -end of the first -end of the second -end of the third -none of the above
end of the first
What can be done to help control vaginal bleeding after delivery? -gently massage the mother's lower abdomen/allow the baby to nurse -have the mother lie on her side -apply pressure to the abdomen -nothing can be done to control bleeding outside of the hospital
gently massage the mother's lower abdomen/allow the baby to nurse
After the baby is delivered, and before the umbilical cord is cut, the newborn should be held: -head slightly lower than the trunk, level with the mother's vagina -head slightly lower than the trunk, on top of the mother's abdomen -head slightly lower than the trunk, in the mother's arms -none of the above
head slightly lower than the trunk, level with the mother's vagina
Premature babies are especially at risk for: -infection -hypothermia -shock -suffocation
hypothermia
If the amniotic sac ruptures more than 12 hours before birth occurs, the likelihood of ____ is increased. -complications -infection to mother and baby -quick delivery -stillbirth
infection to mother and baby
If a woman in labor feels she has to move her bowels, delivery: -will be delayed by one hour -is progressing normally and there is no cause for alarm -will likely be a difficult one -is imminent
is imminent
The mother experiencing a breech presentation should be placed: -kneeling head-down position with pelvis elevated -head down or buttocks raised -on her left side -flat on her back
kneeling head-down position with pelvis elevated
Which childbirth position improves blood return to the heart? -sitting up or squatting -lying on the left side -lying on the back -kneeling in a knee-chest position
lying on the left side
Which childbirth positions provide protection against possible aspiration during vomiting? -sitting up -lying on the left side -squatting -lying on the back
lying on the left side
The most important care of the newborn is: -positioning, drying, keeping warm, and stimulating to breathe -drying, keeping warm, stimulating to breathe, and feeding -positioning, washing, drying, and stimulating to breathe -positioning, drying, feeding, and stimulating to breathe
positioning, drying, keeping warm, and stimulating to breathe
The actual delivery of the baby takes place during the ____ stage of labor. -first -second -third -none of the above
second
If the baby's head emerges with the umbilical cord wrapped around the neck, the first aider should: -leave the cord as it is -slip the cord over the baby's head -tug on the cord to stretch it -all of the above
slip the cord over the baby's head
A miscarriage is also called a: -premature delivery -spontaneous abortion -induced abortion -natural abortion
spontaneous abortion
Presence of greenish- or brownish-yellow amniotic fluid requires the first aider to: -suction the mouth and nostrils thoroughly -hold the baby in a moderately head down position to promote drainage -call 9-1-1 immediately -all of the above
suction the mouth and nostrils thoroughly
What is the risk in a prolapsed umbilical cord presentation? -hemorrhage from a torn cord -suffocation of the baby -premature separation of the placenta from the uterus -aspiration by the baby
suffocation of the baby
During which stage of labor is the placenta expelled? -first -second -third -none of the above
third
Labor is a ____ stage process. -one -two -three -four
three
