Chapter 33: Obstetrics and Neonatal Care Practice
Questions
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. insert an oral airway and ventilate her with a bag-valve mask.
B. administer oral glucose for presumed hypoglycemia and transport.
C. place her on her side, administer high-flow oxygen, and transport.
D. elevate her legs to improve brain perfusion and keep her warm. - ANS -C
\A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
A. placenta previa.
B. gestational diabetes.
C. preeclampsia.
D. an ectopic pregnancy. - ANS -D
\A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
A. 16 hours.
B. 8 hours.
C. 10 hours.
D. 4 hours. - ANS -A
\A nuchal cord is defined as an umbilical cord that:
A. is wrapped around the baby's neck.
B. has separated from the placenta.
C. is lacerated due to a traumatic delivery.
D. has abnormally developed blood vessels. - ANS -A
\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. pregnancy causes vasodilation and a lower blood pressure.
D. pregnant patients have an overall increase in blood volume. - ANS -D
\By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A. belly button.
B. superior diaphragm.
C. pubic bone.
D. xiphoid process. - ANS -A
\Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
A. thorough drying with a towel.
B. suctioning of the upper airway.
C. some form of tactile stimulation.
D. positive-pressure ventilations. - ANS -D
\During your visual inspection of a 25-year-old woman in labor, you see the baby's head crowning at the vaginal opening.
What should you do?
A. Apply gentle pressure to the baby's head as it delivers.
B. Place your fingers in the vagina to assess for a nuchal cord.
C. Tell the mother not to push and transport her immediately.
D. Maintain firm pressure to the head until it completely delivers. - ANS -A
\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. firmly massage the uterine fundus with a circular motion.
B. elevate her legs 6 to 8 inches and cover her with a blanket.
C. place her legs together and position her on her left side.
D. carefully insert a sterile trauma dressing into her vagina. - ANS -A
\From what internal female organ is the fetus expelled during delivery?
A. Cervix
B. Perineum
C. Uterus
Questions
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. insert an oral airway and ventilate her with a bag-valve mask.
B. administer oral glucose for presumed hypoglycemia and transport.
C. place her on her side, administer high-flow oxygen, and transport.
D. elevate her legs to improve brain perfusion and keep her warm. - ANS -C
\A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
A. placenta previa.
B. gestational diabetes.
C. preeclampsia.
D. an ectopic pregnancy. - ANS -D
\A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
A. 16 hours.
B. 8 hours.
C. 10 hours.
D. 4 hours. - ANS -A
\A nuchal cord is defined as an umbilical cord that:
A. is wrapped around the baby's neck.
B. has separated from the placenta.
C. is lacerated due to a traumatic delivery.
D. has abnormally developed blood vessels. - ANS -A
\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. pregnancy causes vasodilation and a lower blood pressure.
D. pregnant patients have an overall increase in blood volume. - ANS -D
\By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A. belly button.
B. superior diaphragm.
C. pubic bone.
D. xiphoid process. - ANS -A
\Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
A. thorough drying with a towel.
B. suctioning of the upper airway.
C. some form of tactile stimulation.
D. positive-pressure ventilations. - ANS -D
\During your visual inspection of a 25-year-old woman in labor, you see the baby's head crowning at the vaginal opening.
What should you do?
A. Apply gentle pressure to the baby's head as it delivers.
B. Place your fingers in the vagina to assess for a nuchal cord.
C. Tell the mother not to push and transport her immediately.
D. Maintain firm pressure to the head until it completely delivers. - ANS -A
\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. firmly massage the uterine fundus with a circular motion.
B. elevate her legs 6 to 8 inches and cover her with a blanket.
C. place her legs together and position her on her left side.
D. carefully insert a sterile trauma dressing into her vagina. - ANS -A
\From what internal female organ is the fetus expelled during delivery?
A. Cervix
B. Perineum
C. Uterus
