Chapter 33 Obstetrics And Neonatal Care

Premature separation of the placenta from the wall of the uterus is known as:

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:

Which of the following is NOT generally considered an obstetrical emergency?

The leading cause of maternal death in the first trimester is internal hemorrhage into the abdomen following rupture of a(n) ___.

The neck of the uterus

The vagina and lower part of the uterus

Tissue that develops on the wall of the uterus and is connected to the fetus

Connects mother and infant

A fluid-filled, bag like membrane inside the uterus that grows around the developing fetus

Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct?

The vagina and the neck of the uterus comprise the:

The ONLY indications for placing your gloved fingers in the vagina during delivery are:

Signs and symptoms of preeclampsia include:

Following delivery of a pulseless and apneic infant that has a foul odor, skin sloughing, and diffuse blistering, you should:

Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because:

Which of the following statements is NOT true?

From what internal female organ is the fetus expelled during delivery?

Which of the following statements regarding twins is MOST correct?

A placenta previa is defined as:

By the end of pregnancy, the pregnant patient's heart rate increases up to 20%, or about ___ beats more per minute.

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:

When assisting ventilations in a newborn with a bag-mask device, the rate is ___ breaths/min.

Which of the following is NOT a component of the Apgar score?

A precipitous labor and delivery is MOST common in women who:

The amniotic fluid serves to:

During your visual inspection of a 25-year-old patient in labor, you see the baby's head crowning at the vaginal opening. What should you do?

Which of the following is not performed immediately following delivery of the infant?

When determining the frequency of contractions, you should time the contractions from the:

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

If a baby is born at 7:52., the second APGAR score should be calculated at:

Which of the following occurs during true labor?

When the mother is experiencing a contraction, you should instruct her to:

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:

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:

Supine hypotensive syndrome occurs when:

After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:

A 33-year-old woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. You should:

An infant is considered to be premature if it:

Determine the Apgar score in the following scenario: You arrive at the scene of a home delivery. Upon entering the scene, the father appears upset and hands you a limp baby. The child has a weak cry, is completely cyanotic, and has a pulse of 70 beats/min. Respirations are slow.

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 resists attempts to straighten his legs. His APGAR score is:

In contrast to abruptio placenta, placenta previa:

Which of the following statements regarding the placenta is correct?

Abruptio placenta occurs when:

Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT:

___ is a developmental defect in which a portion of the spinal cord protrudes outside the vertebrae.

You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should:

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:

While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:

___ is heralded by the onset of convulsions, or seizures, resulting from severe hypertension in the pregnant woman.

Spina bifida is a developmental defect in which:

Once the infant's head has been delivered:

When preparing a pregnant patient for delivery, you should position her:

A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:

Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should:

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:

The onset of labor begins with:

Braxton-Hicks contractions are characterized by:

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:

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

A nuchal cord is defined as an umbilical cord that:

Most medical models base a pregnant woman's due date:

The presence of meconium in the amniotic fluid indicates:

The umbilical cord:

Which of the following statements regarding gestational diabetes is correct?

You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should:

If a newborn's heart rate is less than 60 beats/mins following delivery, you should:

A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:

Which of the following are normal physiologic changes that occur in the mother's respiratory system during pregnancy?