Chapter 34: Obstetrics and Neonatal Care
_________ _________ is a developmental defect in which a portion of the spinal cord protrudes outside the vertebrae. -
ANS -Spina bifida
\___________ is heralded by the onset of convulsions, or seizures, resulting from severe hypertension in the pregnant
woman.
A. eclampsia
B. placenta previa
C. placenta abruptio
D. supine hypotensive syndrome - ANS -A. eclampsia
\A 23-year-old woman, who is 24 weeks pregnant with her first baby, complains of edema to her hands, a headache, and
visual disturbances. When you assess her vital signs, you note that her blood pressure is 160/94 mm Hg. She is MOST
likely experiencing:
A. eclampsia.
B. preeclampsia.
C. a hypertensive crisis.
D. chronic water retention. - ANS -B. preeclampsia.
\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:
A. administer oral glucose for presumed hypoglycemia and transport.
B. insert an oral airway and ventilate her with a bag-valve mask.
C. elevate her legs to improve brain perfusion and keep her warm.
D. place her on her side, administer high-flow oxygen, and transport. - ANS -D. place her on her side, administer high-flow
oxygen, and transport.
\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. - ANS -A. place her in a left lateral recumbent position.
\A common cause of shock in an infant is:
A. a cardiac dysrhythmia.
B. dehydration from vomiting and diarrhea.
C. cardiovascular disease.
D. excessive tachycardia. - ANS -B. dehydration from vomiting and diarrhea.
\A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:Select one:
A. preeclampsia.
B. placenta previa.
C. gestational diabetes.
D. an ectopic pregnancy. - ANS -D. an ectopic pregnancy.
\A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
A. 10 hours.
B. 4 hours.
C. 16 hours.
D. 8 hours. - ANS -C. 16 hours.
\A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.
A. 30 to 60
B. 3 to 5
C. 5 to 10
D. 15 to 30 - ANS -D. 15 to 30
\A newborn is considered to be "term" if it is born after ____ weeks and before ____ weeks.
A. 34; 37
B. 37; 42
C. 38; 44
D. 39; 43 - ANS -B. 37; 42
\A nuchal cord is defined as an umbilical cord that:
, A. is wrapped around the baby's neck.
B. is lacerated due to a traumatic delivery.
C. has separated from the placenta.
D. has abnormally developed blood vessels. - ANS -A. is wrapped around the baby's neck.
\A precipitous labor and delivery is MOST common in women who:
A. have gestational diabetes.
B. are younger than 30 years of age.
C. have delivered a baby before.
D. are pregnant for the first time. - ANS -C. have delivered a baby before.
\A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
A. pregnant patients can dramatically increase their heart rate.
B. blood is shunted to the uterus and fetus during major trauma.
C. pregnant patients have an overall increase in blood volume.
D. pregnancy causes vasodilation and a lower blood pressure. - ANS -C. pregnant patients have an overall increase in
blood volume.
\After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:
A. midback pain.
B. a bloated feeling.
C. an urge to push.
D. easier breathing. - ANS -D. easier breathing.
\An abortion occurs when the fetus and placenta deliver before:
A. 20 weeks.
B. 24 weeks.
C. 26 weeks.
D. 28 weeks. - ANS -A. 20 weeks.
\An infant is considered to be premature if it:
A. is born before 38 weeks' gestation or weighs less than 6 lb.
B. weighs less than 5.5 lb or is born before 37 weeks' gestation.
C. is born before 40 weeks' gestation or weighs less than 7 lb.
_________ _________ is a developmental defect in which a portion of the spinal cord protrudes outside the vertebrae. -
ANS -Spina bifida
\___________ is heralded by the onset of convulsions, or seizures, resulting from severe hypertension in the pregnant
woman.
A. eclampsia
B. placenta previa
C. placenta abruptio
D. supine hypotensive syndrome - ANS -A. eclampsia
\A 23-year-old woman, who is 24 weeks pregnant with her first baby, complains of edema to her hands, a headache, and
visual disturbances. When you assess her vital signs, you note that her blood pressure is 160/94 mm Hg. She is MOST
likely experiencing:
A. eclampsia.
B. preeclampsia.
C. a hypertensive crisis.
D. chronic water retention. - ANS -B. preeclampsia.
\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:
A. administer oral glucose for presumed hypoglycemia and transport.
B. insert an oral airway and ventilate her with a bag-valve mask.
C. elevate her legs to improve brain perfusion and keep her warm.
D. place her on her side, administer high-flow oxygen, and transport. - ANS -D. place her on her side, administer high-flow
oxygen, and transport.
\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. - ANS -A. place her in a left lateral recumbent position.
\A common cause of shock in an infant is:
A. a cardiac dysrhythmia.
B. dehydration from vomiting and diarrhea.
C. cardiovascular disease.
D. excessive tachycardia. - ANS -B. dehydration from vomiting and diarrhea.
\A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:Select one:
A. preeclampsia.
B. placenta previa.
C. gestational diabetes.
D. an ectopic pregnancy. - ANS -D. an ectopic pregnancy.
\A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
A. 10 hours.
B. 4 hours.
C. 16 hours.
D. 8 hours. - ANS -C. 16 hours.
\A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.
A. 30 to 60
B. 3 to 5
C. 5 to 10
D. 15 to 30 - ANS -D. 15 to 30
\A newborn is considered to be "term" if it is born after ____ weeks and before ____ weeks.
A. 34; 37
B. 37; 42
C. 38; 44
D. 39; 43 - ANS -B. 37; 42
\A nuchal cord is defined as an umbilical cord that:
, A. is wrapped around the baby's neck.
B. is lacerated due to a traumatic delivery.
C. has separated from the placenta.
D. has abnormally developed blood vessels. - ANS -A. is wrapped around the baby's neck.
\A precipitous labor and delivery is MOST common in women who:
A. have gestational diabetes.
B. are younger than 30 years of age.
C. have delivered a baby before.
D. are pregnant for the first time. - ANS -C. have delivered a baby before.
\A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
A. pregnant patients can dramatically increase their heart rate.
B. blood is shunted to the uterus and fetus during major trauma.
C. pregnant patients have an overall increase in blood volume.
D. pregnancy causes vasodilation and a lower blood pressure. - ANS -C. pregnant patients have an overall increase in
blood volume.
\After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:
A. midback pain.
B. a bloated feeling.
C. an urge to push.
D. easier breathing. - ANS -D. easier breathing.
\An abortion occurs when the fetus and placenta deliver before:
A. 20 weeks.
B. 24 weeks.
C. 26 weeks.
D. 28 weeks. - ANS -A. 20 weeks.
\An infant is considered to be premature if it:
A. is born before 38 weeks' gestation or weighs less than 6 lb.
B. weighs less than 5.5 lb or is born before 37 weeks' gestation.
C. is born before 40 weeks' gestation or weighs less than 7 lb.
