Chapter 32 Obstetrics and Neonatal Care
Which of the following question is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes
"Have you had a sonogram?"
a newborn infant will usually begin breathing spontaneously within _____ seconds following birth
15 to 30
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
16 hours.
an abortion occurs when the fetus and placenta deliver before
20 weeks
Preeclampsia MOST commonly occurs after the _____ week of gestation
30th
if a baby is born at 7:52 the second Apgar score should be calculated at
7:57
you have just delivered a baby boy. His body is pink but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resist attempts to straighten his legs. His Apgar score is
8
you have just delivered a full-term infant. His respirations are rapid and irregular, and he has a strong cry. what should you do next?
Assess the brachial or umbilical pulse
Which of the following statements regarding gestational diabetes is correct?
In some cases, women with gestational diabetes require insulin injections
Which of the following processes occurs during ovulation?
The inner lining of the uterus thickens in preparation for implantation.
Which of the following statements regarding the placenta is correct?
The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.
Which of the following occurs during true labor?
Uterine contractions become more regular.
Which of the following statements regarding a breech presentation is MOST correct
a breech presentation occurs when the buttocks are presenting part
spina bifida is a developmental defect in which
a portion of the spinal cord or meninges protrudes outside of the vertebrae
Braxton-Hicks contractions are characterized by:
alleviation of pain with movement or changing positions.
A history of pelvic inflammatory disease or tubal ligations increase a woman's risk for
an ectopic pregnancy
during your visual inspection of a 19-year old woman in labor you see the baby's head crowning at the vaginal opening. what should you do?
apply gentle pressure to the baby's head as it delivers
positive-pressure ventilations
are not common interventions used to stimulate spontaneous respirations in the newborn
You are assessing a 25-year old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions you should
assess her for crowning
Upon delivery of an infant's head you note that the umbilical cord is wrapped around its neck. you should
attempt to slip the cord gently over the infants head
the third stage of labor begins when the
baby is expelled from the vagina
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
belly button.
The vagina and the neck of the uterus comprise the:
birth canal.
the ONLY indications for placing your gloved finger in the vagina during delivery are
breech presentation and prolapsed umbilical cord
The umbilical cord:
carries oxygen to the baby via the umbilical vein.
The onset of labor begins with:
contractions of the uterus.
Which of the following is an indication of imminent birth?
crowning of the baby's head
Placenta previa is MOST accurately defined as
development of the placenta over the cervical opening
After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience
easier breathing
If a pregnant patient requires spinal immobilization you should secure her to the backboard and then
elevate the right side of the board with rolled towels or blankets
After a baby is born it is important to
ensure that it is thoroughly dried and warmed
following delivery of a full-term baby you have properly cared for the baby and have clamped and cut the umbilical cord. during transport you note that the mother is experiencing moderate vaginal bleeding. you should
firmly massage the uterine fundus with a circular motion
in contrast to a full-term infant a premature infant
has an even proportionately larger head
A precipitous labor and delivery is MOST common in women who
have delivered a baby before
signs and symptoms of preeclampsia include
headache and edema
Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?
increased respiratory rate and decreased respiratory reserve
The amniotic fluid serves to:
insulate and protect the fetus.
The leading cause of maternal death during the first trimester of pregnancy is
internal bleeding caused by a ruptured ectopic pregnancy
body size
is not a component of the Apgar Score
profound tachycardia
is not a fetal complication associated with drug- or alcohol addicted mothers
return of contractions following delivery of the baby
is not considered an obstetrical emergency
The term primigravida refers to a woman who:
is pregnant for the first time.
a nuchal cord is defined as an umbilical cord that
is wrapped around the baby's neck
you have just delivered a premature baby. Your assessment reveals that he is breathing adequately however his heart rate is 90 beats/min. you should
keep him warm and provide ventilatory assistance
which of the following statements regarding twins is correct
most twins are born within 45 minutes of each other
When preparing a pregnant patient for delivery you should position her
on a firm surface with hips elevated 2" to 4"
Most medical models base a pregnant woman's due date:
on the first day of her last menstrual cycle.
A woman who is 36 weeks pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic tachycardic, and hypotensive. In addition to administering 100% oxygen, you should
place her in a left lateral recumbent position
your 22- year old patient is in active labor. upon visual inspection you note that the infant's leg is protruding from the vagina. appropriate management of this situation includes
placing the mother supine with here head down and pelvis elevated
Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:
pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because
pregnant patients have an overall increase in blood volume
following delivery of a pulseless and apneic infant who has a foul odor skin sloughing and diffuse blistering you should
provide emotional support to the mother
if a newborn's heart rate is less than 60 beats/min following delivery you should
provide ventilations for 30 seconds
upon delivery of the baby's head you note that its face is encased in the unruptured sac . you should
puncture the sac and suction the baby's mouth and nose
while examining a woman in labor you see the umbilical cord protruding from the vagina. you should
push the infant's head away from the cord
Eclampsia is MOST accurately defined as
seizures that result from severe hypertension
When determining the frequency of contractions you should time the contractions form the
start of one to the start of the next
During delivery of the baby's head you should suction the mouth before the nose because
suctioning the nose first may cause the baby to gasp and aspirate fluid
when the mother is experiencing a contraction you should instruct her to
take quick short breaths
The presence of thick meconium in the amniotic fluid indicates
that the baby's airway may be obstructed
During delivery it is MOST important to position your partner at the mother's head because
the mother may become nauseated and vomit
Abruptio Placenta occurs when
the placenta prematurely separates from the wall
Supine hypotensive syndrome occur when
the pregnant uterus compresses the inferior vena cava
The term "bloody show" is defined as:
the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.
vigorous suctioning of a newborn's airway is indicated if
there is meconium in the amniotic fluid
general treatment guidelines when caring for a woman with traumatic vaginal bleeding include
transporting to an appropriate facility
From what internal female organ is the fetus expelled during delivery?
uterus
an infant is considered to be premature if it
weighs less than 5 lb or is born before 36 weeks gestation
