Obstetrics and Neonatal Care Actual
Exam with Questions Solved 100%
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. - ✔✔Answer: A
Question Type: Critical Thinking
Page: 1112
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. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1112
,A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A.
preeclampsia.
B. placenta previa.
C. gestational diabetes.
D. an ectopic pregnancy. - ✔✔Answer: D
Question Type: General Knowledge
Page: 1112
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. - ✔✔Answer: A
Question Type: General Knowledge
Page: 1112
. Placenta previa is MOST accurately defined as:
A. delivery of a portion of the placenta before the baby.
B. premature placental separation from the uterine wall.
C. abnormal development and functioning of the placenta.
D. development of the placenta over the cervical opening - ✔✔Answer: D
Question Type: General Knowledge
Page: 1112
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. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1113
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. pregnancy causes vasodilation and a lower blood pressure.
C. pregnant patients have an overall increase in blood volume.
D. blood is shunted to the uterus and fetus during major trauma. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1113
If a pregnant patient requires spinal immobilization, you should secure her to the backboard and
then:
A. tilt the board 30° to the right to prevent hypotension.
B. elevate the right side of the board with rolled towels or blankets.
C. raise the foot of the board 12″ in order to maintain blood pressure.
D. elevate the head of the board 6″ to prevent breathing impairment. - ✔✔Answer: B Question Type:
General Knowledge
Page: 1116
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. - ✔✔Answer: B
Question Type: General Knowledge
Page: 1116-1117
Exam with Questions Solved 100%
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. - ✔✔Answer: A
Question Type: Critical Thinking
Page: 1112
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. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1112
,A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A.
preeclampsia.
B. placenta previa.
C. gestational diabetes.
D. an ectopic pregnancy. - ✔✔Answer: D
Question Type: General Knowledge
Page: 1112
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. - ✔✔Answer: A
Question Type: General Knowledge
Page: 1112
. Placenta previa is MOST accurately defined as:
A. delivery of a portion of the placenta before the baby.
B. premature placental separation from the uterine wall.
C. abnormal development and functioning of the placenta.
D. development of the placenta over the cervical opening - ✔✔Answer: D
Question Type: General Knowledge
Page: 1112
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. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1113
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. pregnancy causes vasodilation and a lower blood pressure.
C. pregnant patients have an overall increase in blood volume.
D. blood is shunted to the uterus and fetus during major trauma. - ✔✔Answer: C
Question Type: General Knowledge
Page: 1113
If a pregnant patient requires spinal immobilization, you should secure her to the backboard and
then:
A. tilt the board 30° to the right to prevent hypotension.
B. elevate the right side of the board with rolled towels or blankets.
C. raise the foot of the board 12″ in order to maintain blood pressure.
D. elevate the head of the board 6″ to prevent breathing impairment. - ✔✔Answer: B Question Type:
General Knowledge
Page: 1116
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. - ✔✔Answer: B
Question Type: General Knowledge
Page: 1116-1117
