Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
_________ _________ is a developmental defect in which a portion of the spinal cord protrudes outside
the vertebrae. - ANSWER-spina bifida
__________ is a condition in which the placenta develops over and covers the cervix.
a. eclampsia
b. placenta previa
c. placenta abruptio
d. prolapsed cord - ANSWER-b
__________ is a situation in which the umbilical cord comes out of the vagina before the infant.
a. eclampsia
b. placenta previa
c. abruptio placenta
d. prolapsed cord - ANSWER-d
___________ 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 - ANSWER-a
20 Weeks of Gestation - ANSWER-Top of uterus grown to belly button
aid in assessment of pregnant woman's abdomen
A 16-year-old female complains of vaginal bleeding and abdominal cramping that began several hours
ago. During your assessment interview, you should:
A) inquire about the possibility of pregnancy in private, if possible.
B) avoid asking questions that she will feel uncomfortable answering. C) recall that patients in this age
group prefer not to be treated as adults. D) obtain the majority of your information from one of her
parents. - ANSWER-A) inquire about the possibility of pregnancy in private, if possible.
A full-term pregnancy is from _______ to _________ weeks, counting from the first day of the last
menstrual cycle. - ANSWER-36; 40
,Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
A patient presents with a sudden onset of shortness of breath three days following a delivery. What is
likely the underlying cause of this condition?
a. pulmonary hypertension
b. pulmonary inflammation
c. pulmonary embolism
d. pulmonary fibrosis - ANSWER-c
Abortion - ANSWER-passage of fetus + placenta before 20 weeks.
self induced
Abruption placenta - ANSWER-placenta separates prematurely from wall of uterus
from hypertension
complaints:severe pain/vaginal bleeding
calm patient
signs:shock
treatment:high flow oxygen, put patient on (L) side
sterile sanitary napkin, keep napkins + any tissues from vagina
Trauma is leading cause of abruption placenta.
Abuse - ANSWER-ABC's, control bleeding, immobilize injuries, treat for shock with oxygen, keep patient
warm.
After delivery, if the infant does not begin breathing after _______ seconds, you should begin
resuscitation efforts.
a. 5-10
b. 10-15
c. 15-20
d. 20-25 - ANSWER-b
After delivery, the ________, or afterbirth, separates from the uterus and is delivered. - ANSWER-
placenta
Airway + Breathing - ANSWER-life threats to mom causes complicated delivery
assess adequate breathing, provide high flow oxygen
All of the following are correct regarding postterm pregnancy except:
,Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
a. infants can be larger, sometimes weighing 10lbs or more
b. there is an increased risk of meconium aspirations
c. postterm is considered past 2 weeks gestation
d. ultrasounds are not accurate at determining due dates - ANSWER-d
amniotic sac - ANSWER-where fetus develops
bag of waters 500 mL to 1,000 mL
insulates floating fetus
An infant delivered before _________ weeks is considered premature.
a. 36
b. 37
c. 38
d. 39 - ANSWER-a
Any bleeding from the vagina in a pregnant woman should be treated how? - ANSWER-As a serious sign
and should be treated in the hospital promptly.
Apgar Score - ANSWER-Standard Scoring System used to assess the status of newborn. Calculated 1 to 5
minutes after birth.
Appearance
Pulse
Grimace or Irritability
Activity or Muscle Tone
Respirations
As soon as the infant is born, you should? - ANSWER-He or she needs to be dried off and wrapped
immediately in a blanket or towel and placed on one side.
As the pregnancy continues what happens to the respiratory system? - ANSWER-The respiratory rate
increases, with decreasing minute volumes. The pregnancy also increases the patient's overall demand
for oxygen as the metabolic demands increase.
Because cardiac arrest in neonates is nearly always the result of ventilation compromise, a compression
to ventilation ratio of what should be used? - ANSWER-A compression to ventilation ratio of 3:1 should
be used, which yields 120 actions per minute (90 compressions & 30 vents)
Bed rest for 7 weeks. pre-eclampsia - ANSWER-headache
, Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
swelling of hands/feet
high blood pressure
birth canal - ANSWER-made of vagina + uterus
uterus contains mucous plug that seals uterine opening to prevent contamination
birth canal - ANSWER-vagina + cervix
bloody show - ANSWER-pink mucus
first stage of labor
Blunt Trauma during Pregnancy - ANSWER-uterus enlarges/rises out of pelvis
uterus has rich blood supply
hypoxic (insufficient oxygen) or shock or hypovolemia (decreased blood)
signs:vaginal bleeding/pain
treatment:rapid transport, high flow oxygen, airway,
sanitary pad by vagina, put patient on (L) side, ALS backup.
Braxton Hicks Contractions - ANSWER-false labor
Breech Delivery - ANSWER-Body part delivered first.
Greater risk for trauma. Mother needs to deliver 10 minutes after buttocks shows.
Need ALS.
Make a "V" with gloved fingers + put inside vagina to keep walls of vagina from compressing airway.
By the end of pregnancy, the pregnant patient's heart rate increases up to 20%, or about __________
beats more per minute. - ANSWER-20
Cardiovascular Changes During Pregnancy - ANSWER-Increased blood volume
Preparing for blood loss during child birth
Blood Volume passes through uterus every 8 to 11 minutes/increase of 50% during pregnancy
Red Blood Cells increases = pregnant women need to take iron
Blood Clotting factors change to prepare for childbirth. Heart Rate increases 20% or 20 beats per min.
Cephalic Presentation - ANSWER-Fetus positioned head first in birth canal
cervix - ANSWER-narrowest portion of uterus that opens into vagina
Chief Complaint - ANSWER-Obstetric History expected due date, complications, prenatal care.
Care - Test Bank 3
_________ _________ is a developmental defect in which a portion of the spinal cord protrudes outside
the vertebrae. - ANSWER-spina bifida
__________ is a condition in which the placenta develops over and covers the cervix.
a. eclampsia
b. placenta previa
c. placenta abruptio
d. prolapsed cord - ANSWER-b
__________ is a situation in which the umbilical cord comes out of the vagina before the infant.
a. eclampsia
b. placenta previa
c. abruptio placenta
d. prolapsed cord - ANSWER-d
___________ 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 - ANSWER-a
20 Weeks of Gestation - ANSWER-Top of uterus grown to belly button
aid in assessment of pregnant woman's abdomen
A 16-year-old female complains of vaginal bleeding and abdominal cramping that began several hours
ago. During your assessment interview, you should:
A) inquire about the possibility of pregnancy in private, if possible.
B) avoid asking questions that she will feel uncomfortable answering. C) recall that patients in this age
group prefer not to be treated as adults. D) obtain the majority of your information from one of her
parents. - ANSWER-A) inquire about the possibility of pregnancy in private, if possible.
A full-term pregnancy is from _______ to _________ weeks, counting from the first day of the last
menstrual cycle. - ANSWER-36; 40
,Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
A patient presents with a sudden onset of shortness of breath three days following a delivery. What is
likely the underlying cause of this condition?
a. pulmonary hypertension
b. pulmonary inflammation
c. pulmonary embolism
d. pulmonary fibrosis - ANSWER-c
Abortion - ANSWER-passage of fetus + placenta before 20 weeks.
self induced
Abruption placenta - ANSWER-placenta separates prematurely from wall of uterus
from hypertension
complaints:severe pain/vaginal bleeding
calm patient
signs:shock
treatment:high flow oxygen, put patient on (L) side
sterile sanitary napkin, keep napkins + any tissues from vagina
Trauma is leading cause of abruption placenta.
Abuse - ANSWER-ABC's, control bleeding, immobilize injuries, treat for shock with oxygen, keep patient
warm.
After delivery, if the infant does not begin breathing after _______ seconds, you should begin
resuscitation efforts.
a. 5-10
b. 10-15
c. 15-20
d. 20-25 - ANSWER-b
After delivery, the ________, or afterbirth, separates from the uterus and is delivered. - ANSWER-
placenta
Airway + Breathing - ANSWER-life threats to mom causes complicated delivery
assess adequate breathing, provide high flow oxygen
All of the following are correct regarding postterm pregnancy except:
,Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
a. infants can be larger, sometimes weighing 10lbs or more
b. there is an increased risk of meconium aspirations
c. postterm is considered past 2 weeks gestation
d. ultrasounds are not accurate at determining due dates - ANSWER-d
amniotic sac - ANSWER-where fetus develops
bag of waters 500 mL to 1,000 mL
insulates floating fetus
An infant delivered before _________ weeks is considered premature.
a. 36
b. 37
c. 38
d. 39 - ANSWER-a
Any bleeding from the vagina in a pregnant woman should be treated how? - ANSWER-As a serious sign
and should be treated in the hospital promptly.
Apgar Score - ANSWER-Standard Scoring System used to assess the status of newborn. Calculated 1 to 5
minutes after birth.
Appearance
Pulse
Grimace or Irritability
Activity or Muscle Tone
Respirations
As soon as the infant is born, you should? - ANSWER-He or she needs to be dried off and wrapped
immediately in a blanket or towel and placed on one side.
As the pregnancy continues what happens to the respiratory system? - ANSWER-The respiratory rate
increases, with decreasing minute volumes. The pregnancy also increases the patient's overall demand
for oxygen as the metabolic demands increase.
Because cardiac arrest in neonates is nearly always the result of ventilation compromise, a compression
to ventilation ratio of what should be used? - ANSWER-A compression to ventilation ratio of 3:1 should
be used, which yields 120 actions per minute (90 compressions & 30 vents)
Bed rest for 7 weeks. pre-eclampsia - ANSWER-headache
, Chapter 33 - Obstetrics and Neonatal
Care - Test Bank 3
swelling of hands/feet
high blood pressure
birth canal - ANSWER-made of vagina + uterus
uterus contains mucous plug that seals uterine opening to prevent contamination
birth canal - ANSWER-vagina + cervix
bloody show - ANSWER-pink mucus
first stage of labor
Blunt Trauma during Pregnancy - ANSWER-uterus enlarges/rises out of pelvis
uterus has rich blood supply
hypoxic (insufficient oxygen) or shock or hypovolemia (decreased blood)
signs:vaginal bleeding/pain
treatment:rapid transport, high flow oxygen, airway,
sanitary pad by vagina, put patient on (L) side, ALS backup.
Braxton Hicks Contractions - ANSWER-false labor
Breech Delivery - ANSWER-Body part delivered first.
Greater risk for trauma. Mother needs to deliver 10 minutes after buttocks shows.
Need ALS.
Make a "V" with gloved fingers + put inside vagina to keep walls of vagina from compressing airway.
By the end of pregnancy, the pregnant patient's heart rate increases up to 20%, or about __________
beats more per minute. - ANSWER-20
Cardiovascular Changes During Pregnancy - ANSWER-Increased blood volume
Preparing for blood loss during child birth
Blood Volume passes through uterus every 8 to 11 minutes/increase of 50% during pregnancy
Red Blood Cells increases = pregnant women need to take iron
Blood Clotting factors change to prepare for childbirth. Heart Rate increases 20% or 20 beats per min.
Cephalic Presentation - ANSWER-Fetus positioned head first in birth canal
cervix - ANSWER-narrowest portion of uterus that opens into vagina
Chief Complaint - ANSWER-Obstetric History expected due date, complications, prenatal care.
