question

Which of the following processes occurs during ovulation?

answer

The inner lining of the uterus thickens in preparation for implantation

question

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

answer

uterus

question

The vagina and the neck of the uterus comprise the:

answer

birth canal

question

The term "bloody show" is defined as:

answer

the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plugMost medical models base a pregnant woman's due date:

question

Which of the following statements regarding the placenta is correct?

answer

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

question

The umbilical cord:

answer

carries oxygen to the baby via the umbilical vein

question

The amniotic fluid serves to:

answer

insulate and protect the fetus

question

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

answer

on the first day of her last menstrual cycle

question

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

answer

belly button

question

Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?

answer

increased respiratory rate and decreased respiratory reserve

question

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:

answer

pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia

question

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

answer

16 hours

question

The onset of labor begins with:

answer

contractions of the uterus

question

The term primigravida refers to a woman who:

answer

is pregnant for the first time

question

Which of the following occurs during true labor?

answer

Uterine contractions become more regular

question

Braxton-Hicks contractions are characterized by:

answer

alleviation of pain with movement or changing positions

question

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

answer

easier breathing

question

The third stage of labor begins when the:

answer

baby is expelled from the vagina.

question

Preeclampsia MOST commonly occurs after the ____ week of gestation.

answer

30th

question

Signs and symptoms of preeclampsia include:

answer

headache and edema

question

Eclampsia is MOST accurately defined as:

answer

seizures that result from severe hypertension

question

Supine hypotensive syndrome occurs when:

answer

the pregnant uterus compresses the inferior vena cava

question

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:

answer

place her in a left lateral recumbent position

question

The leading cause of maternal death during the first trimester of pregnancy is:

answer

internal bleeding caused by a ruptured ectopic pregnancy

question

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

answer

an ectopic pregnancy

question

Abruptio placenta occurs when:

answer

the placenta prematurely separates from the uterine wall

question

Placenta previa is MOST accurately defined as:

answer

development of the placenta over the cervical opening

question

Which of the following statements regarding gestational diabetes is correct?

answer

In some cases, women with gestational diabetes require insulin injectionsA precipitous labor and delivery is MOST common in women who:

question

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

answer

pregnant patients have an overall increase in blood volume

question

If a pregnant patient requires spinal immobilization, you should secure her to the backboard and then:

answer

elevate the right side of the board with rolled towels or blankets

question

The presence of thick meconium in the amniotic fluid indicates:

answer

that the baby's airway may be obstructed

question

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

answer

"Have you had a sonogram?"

question

Which of the following is an indication of imminent birth?

answer

crowning of the baby's head

question

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:

answer

assess her for crowning

question

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

answer

on a firm surface with her hips elevated 2? to 4?

question

During delivery, it is MOST important to position your partner at the mother's head because:

answer

the mother may become nauseated and vomit

question

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

answer

have delivered a baby before

question

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

answer

start of one to the start of the next

question

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

answer

take quick short breaths

question

During delivery of the baby's head, you should suction the mouth before the nose because:

answer

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

question

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?

answer

Apply gentle pressure to the baby's head as it delivers

question

Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should:

answer

puncture the sac and suction the baby's mouth and nose

question

A nuchal cord is defined as an umbilical cord that:

answer

is wrapped around the baby's neck

question

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

answer

attempt to slip the cord gently over the infant's head

question

After a baby is born, it is important to:

answer

ensure that it is thoroughly dried and warmed

question

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:

answer

firmly massage the uterine fundus with a circular motion

question

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

answer

return of contractions following delivery of the baby

question

A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.

answer

15 to 30

question

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

answer

positive-pressure ventilations

question

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

answer

provide ventilations for 30 seconds

question

Vigorous suctioning of a newborn's airway is indicated if:

answer

there is meconium in the amniotic fluid

question

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:

answer

keep him warm and provide ventilatory assistance

question

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

answer

body size

question

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

answer

7:57

question

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.

answer

8

question

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?

answer

Assess the brachial or umbilical pulse

question

Which of the following statements regarding a breech presentation is MOST correct?

answer

A breech presentation occurs when the buttocks are the presenting part

question

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:

answer

placing the mother supine with her head down and pelvis elevated

question

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

answer

breech presentation and prolapsed umbilical cord

question

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

answer

push the infant's head away from the cord

question

Spina bifida is a developmental defect in which:

answer

a portion of the spinal cord or meninges protrudes outside of the vertebrae

question

An abortion occurs when the fetus and placenta deliver before:

answer

20 weeks

question

Which of the following statements regarding twins is correct?

answer

Most twins are born within 45 minutes of each other

question

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

answer

profound tachycardia

question

An infant is considered to be premature if it:

answer

weighs less than 5 lb or is born before 36 weeks' gestation

question

In contrast to a full-term infant, a premature infant:

answer

has an even proportionately larger head

question

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

answer

provide emotional support to the mother

question

General treatment guidelines when caring for a woman with traumatic vaginal bleeding include:

answer

transporting to an appropriate facility

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