Module 6/7: Chapter 31 Quiz JBL

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) 7:57.

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) alleviation of pain with movement or changing positions.

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: A) elevate her legs 6″ to 8″ and cover her with a blanket. B) firmly massage the uterine fundus with a circular motion. C) carefully insert a sterile trauma dressing into her vagina. D) place her legs together and position her on her left side.

B) firmly massage the uterine fundus with a circular motion.

Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy? A) decreased respiratory rate and increased minute volume B) increased respiratory rate and decreased respiratory reserve C) increased respiratory reserve and decreased oxygen demand D) increased respiratory depth and decreased respiratory rate

B) increased respiratory rate and decreased respiratory reserve

Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should: A) give the mother 100% oxygen and transport at once. B) puncture the sac and suction the baby's mouth and nose. C) leave the amniotic sac intact until arrival at the hospital. D) note the color of the amniotic fluid before breaking the sac.

B) puncture the sac and suction the baby's mouth and nose.

The presence of thick meconium in the amniotic fluid indicates: A) an expected finding in full-term infants. B) that the baby's airway may be obstructed. C) that the fetus is at least 4 weeks premature. D) that full newborn resuscitation will be needed.

B) that the baby's airway may be obstructed.

From what internal female organ is the fetus expelled during delivery? A) vagina B) uterus C) cervix D) perineum

B) uterus

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes? A) "When are you due?" B) "Is this your first baby?" C) "Have you had a sonogram?" D) "Do you feel the urge to push?"

C) "Have you had a sonogram?"

Which of the following statements regarding gestational diabetes is correct? A) Gestational diabetes results in permanent diabetes mellitus after delivery. B) The onset of gestational diabetes typically manifests with hypoglycemia. C) In some cases, women with gestational diabetes require insulin injections. D) Diet and exercise are typically ineffective in controlling gestational diabetes.

C) In some cases, women with gestational diabetes require insulin injections.

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) carries oxygen to the baby via the umbilical vein.

The leading cause of maternal death during the first trimester of pregnancy is: A) massive brain damage secondary to a prolonged seizure. B) unrecognized or untreated supine hypotensive syndrome. C) internal bleeding caused by a ruptured ectopic pregnancy. D) blunt trauma to the abdomen during a motor vehicle crash.

C) internal bleeding caused by a ruptured ectopic pregnancy.

Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should: A) immediately clamp and cut the umbilical cord. B) give 100% oxygen to the mother and transport at once. C) provide free-flow oxygen to the infant and transport. D) attempt to slip the cord gently over the infant's head.

D) attempt to slip the cord gently over the infant's head.

The third stage of labor begins when the: A) placenta is fully delivered. B) cervix is completely dilated. C) umbilical cord has been clamped. D) baby is expelled from the vagina.

D) baby is expelled from the vagina.

The vagina and the neck of the uterus comprise the: A) womb. B) cervix. C) fundus. D) birth canal.

D) birth canal.

The onset of labor begins with: A) thinning of the uterus. B) full dilation of the cervix. C) increased fetal movement. D) contractions of the uterus.

D) contractions of the uterus.

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) on the first day of her last menstrual cycle.

If a newborn's heart rate is less than 60 beats/min following delivery, you should: A) flick the soles of its feet. B) begin chest compressions. C) resuction the mouth only. D) provide ventilations for 30 seconds.

D) provide ventilations for 30 seconds.

An abortion occurs when the fetus and placenta deliver before: A) 20 weeks. B) 24 weeks. C) 26 weeks. D) 28 weeks.

A) 20 weeks.

Which of the following statements regarding a breech presentation is MOST correct? A) A breech presentation occurs when the buttocks are the presenting part. B) There is minimal risk of trauma to the infant with a breech presentation. C) It is impossible to deliver a breech presentation in the prehospital setting. D) Breech deliveries occur rapidly, so the EMT should deliver at the scene.

A) A breech presentation occurs when the buttocks are the presenting part.

Signs and symptoms of preeclampsia include: A) headache and edema. B) marked hypoglycemia. C) dyspnea and bradycardia. D) dysuria and constipation.

A) headache and edema.

A 33-year-old 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: A) place her in a left lateral recumbent position. B) position her supine and elevate her legs 12″. C) carefully place sterile gauze into her vagina. D) assist her ventilations with a bag-mask device.

A) place her in a left lateral recumbent position.

During delivery of the baby's head, you should suction the mouth before the nose because: A) suctioning the nose first may cause the baby to gasp and aspirate fluid. B) it is easier to suction larger volumes of fluid from the baby's oropharynx. C) babies are primarily mouth breathers and do not breathe through their nose. D) the mucosa of the nose is fragile and is easily damaged by vigorous suctioning.

A) suctioning the nose first may cause the baby to gasp and aspirate fluid.

During delivery, it is MOST important to position your partner at the mother's head because: A) the mother may become nauseated and vomit. B) the mother needs to be apprised of the situation. C) she may need emotional support during the delivery. D) mothers often need assisted ventilation during delivery.

A) the mother may become nauseated and vomit.

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) the placenta prematurely separates from the uterine wall.

The term "bloody show" is defined as: A) the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug. B) mild vaginal bleeding that occurs within the first 30 minutes after the onset of the second stage of the labor process. C) the normal amount of vaginal bleeding that occurs within the first 24 hours following delivery of the baby and placenta. D) any volume of blood that is expelled from the vagina after the amniotic sac has ruptured and contractions have begun.

A) the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.