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.