Test Bank for Blueprints Obstetrics & Gynecology, 7th Edition
by Tamara Callahan, 9781975134877, Covering Chapters 1-32
| Includes Rationales
What is the typical duration of pregnancy?
A. 36 weeks
B. 40 weeks
C. 32 weeks
D. 44 weeks - ANSWER: B. 40 weeks
If, upon viewing the vaginal area, you see the umbilical cord presenting, indicating the cord is
prolapsed, then position the mother with her head down and her pelvis:
A. turned to the left.
B. flat to the ground or floor.
C. turned to the right.
D. raised with a blanket or pillow. - ANSWER: D. raised with a blanket or pillow.
You have delivered a 34-week-gestation infant who is active and crying. Which of the following
actions is the highest priority for this infant?
A. Applying high-concentration oxygen by a pediatric nonrebreather mask
B. Suctioning the mouth and nose with a bulb syringe
C. Allowing the mother to breastfeed the infant
D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the head -
ANSWER: D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the
head
If a patient is in labor for her first delivery, what is the most reliable indication that delivery will
happen imminently?
A. She feels the onset of contractions.
B. She feels the urge to push.
C. She is not crowning.
D. She is not straining. - ANSWER: B. She feels the urge to push.
Which of the following mechanisms accounts for supine hypotensive syndrome?
A. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate
blood return to the heart.
B. The weight of the enlarged uterus and fetus compresses the descending aorta, restricting blood
flow to the rest of the body.
C. The weight of the enlarged uterus and fetus compresses the vagus nerve, slowing the heart rate
and decreasing cardiac output.
D. Compression of the umbilical cord between the fetus and the uterine wall results in decreased fetal
cardiac output and hypotension. - ANSWER: A. The weight of the enlarged uterus and fetus presses on
the inferior vena cava, causing inadequate blood return to the heart.
What is the name for the dizziness and drop in blood pressure that occur when a pregnant mother is
in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compresses the
inferior vena cava, reducing the return of blood to the heart and the cardiac output?
,A. Braxton-Hicks contractions
B. Supine hypotensive syndrome
C. Labor
D. Lightening - ANSWER: B. Supine hypotensive syndrome
When assisting with the delivery of twins, assume that:
A. you should clamp or tie the cord of the first baby only after the second is born.
B. you will need to conduct multiple neonatal resuscitations simultaneously.
C. the placenta will not be delivered until both babies are delivered.
D. the babies will each be larger than a baby in a single birth. - ANSWER: B. you will need to conduct
multiple neonatal resuscitations simultaneously.
As an infant's head emerges during a normal delivery, few secretions are present. As the infant's body
is delivered, the infant begins to cry normally. Which of the following statements best describes the
proper care of the infant's airway?
A. Use a bulb syringe to suction first the infant's mouth, then the nose.
B. No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant.
C. To allow all secretions to drain, hold the infant with the head lower than the feet for several
seconds before drying and warming the infant and cutting the umbilical cord.
D. Use mechanical suction with a soft suction catheter to clear the infant's nose and mouth of
secretions. - ANSWER: B. No intervention is needed for the airway. Clamp and cut the cord, and warm
and dry the infant.
Your patient is 39 weeks pregnant and complaining of contractions that are 2 minutes apart. She tells
you that she needs to use the bathroom before transport. You should:
A. explain that the sensation might indicate that she is close to delivery and you need to check to see
whether the baby's head is in the birth canal.
B. explain that it is a normal sensation that will go away as birth gets closer.
C. assist the patient in getting up, and let her know that you will be right outside the bathroom if she
needs anything.
D. explain that it is not possible to allow her to go to the restroom, and place her on the stretcher for
transport. - ANSWER: A. explain that the sensation might indicate that she is close to delivery and you
need to check to see whether the baby's head is in the birth canal.
When the fetus and placenta deliver before the twentieth week, refer to this as:
A. a miscarriage.
B. a spontaneous abortion.
C. an abortion.
D. an induced abortion. - ANSWER: A. a miscarriage.
Which of the following interventions is required in a newborn who has spontaneous breathing and a
heart rate greater than 100 per minute but who still has central cyanosis?
A. Chest compressions
B. Blow-by oxygen
C. Bag-valve-mask ventilations
D. Bulb syringe suction - ANSWER: B. Blow-by oxygen
When treating a patient who has been sexually assaulted, you should try to:
A. reassure the patient that everything will be fine.
B. have the patient take a shower before transport.
C. encourage the patient to explain to you exactly what happened.
, D. provide a same-sex provider to assist the patient. - ANSWER: D. provide a same-sex provider to
assist the patient.
When a pregnant patient has a seizure, transport the patient:
A. supine.
B. on the left side.
C. prone.
D. on the right side. - ANSWER: B. on the left side.
When obtaining the history of a 25-year-old patient in labor, which of the following questions would
you likely ask after asking when the labor pains started?
A. "Is this your first pregnancy?"
B. "Have you seen a doctor regarding your pregnancy?"
C. "What is your expected due date?"
D. "Do you feel the urge to push?" - ANSWER: D. "Do you feel the urge to push?"
If the placenta does not deliver within about twenty minutes after delivery of the newborn, you
should:
A. ask the mother what she prefers.
B. assess vitals, then decide.
C. transport immediately.
D. remain on scene. - ANSWER: C. transport immediately.
Amniotic fluid that is greenish or brownish-yellow rather than clear, as a result of fetal defecation, is
known as:
A. bile.
B. a mucus plug.
C. meconium staining.
D. bloody show. - ANSWER: C. meconium staining.
If you are taking the history of a female patient in labor, and she answers yes to the question of
whether she feels she has to move her bowels, then:
A. ask her if she feels her "bag of waters" has broken.
B. tell her she must be crowning at this time.
C. ask her if this is her first pregnancy.
D. do not let her go to the bathroom. - ANSWER: D. do not let her go to the bathroom.
The period from the beginning of contractions to full cervical dilation occurs:
A. during the first stage of labor.
B. with the delivery of the placenta.
C. after the baby enters the birth canal.
D. after pregnancy. - ANSWER: A. during the first stage of labor.
When assessing the neonate, you would use the APGAR score to rate which of the following findings?
A. Appearance, pulse, grimace, activity, and respiratory effort
B. Aptitude, priority, growth, appearance, and respiratory rate
C. Airway, pulse oximetry, general evaluation, assessment, and resting pulse
D. Apnea, pulselessness, gap, age (gestational), and respiratory arrest - ANSWER: A. Appearance,
pulse, grimace, activity, and respiratory effort
by Tamara Callahan, 9781975134877, Covering Chapters 1-32
| Includes Rationales
What is the typical duration of pregnancy?
A. 36 weeks
B. 40 weeks
C. 32 weeks
D. 44 weeks - ANSWER: B. 40 weeks
If, upon viewing the vaginal area, you see the umbilical cord presenting, indicating the cord is
prolapsed, then position the mother with her head down and her pelvis:
A. turned to the left.
B. flat to the ground or floor.
C. turned to the right.
D. raised with a blanket or pillow. - ANSWER: D. raised with a blanket or pillow.
You have delivered a 34-week-gestation infant who is active and crying. Which of the following
actions is the highest priority for this infant?
A. Applying high-concentration oxygen by a pediatric nonrebreather mask
B. Suctioning the mouth and nose with a bulb syringe
C. Allowing the mother to breastfeed the infant
D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the head -
ANSWER: D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the
head
If a patient is in labor for her first delivery, what is the most reliable indication that delivery will
happen imminently?
A. She feels the onset of contractions.
B. She feels the urge to push.
C. She is not crowning.
D. She is not straining. - ANSWER: B. She feels the urge to push.
Which of the following mechanisms accounts for supine hypotensive syndrome?
A. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate
blood return to the heart.
B. The weight of the enlarged uterus and fetus compresses the descending aorta, restricting blood
flow to the rest of the body.
C. The weight of the enlarged uterus and fetus compresses the vagus nerve, slowing the heart rate
and decreasing cardiac output.
D. Compression of the umbilical cord between the fetus and the uterine wall results in decreased fetal
cardiac output and hypotension. - ANSWER: A. The weight of the enlarged uterus and fetus presses on
the inferior vena cava, causing inadequate blood return to the heart.
What is the name for the dizziness and drop in blood pressure that occur when a pregnant mother is
in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compresses the
inferior vena cava, reducing the return of blood to the heart and the cardiac output?
,A. Braxton-Hicks contractions
B. Supine hypotensive syndrome
C. Labor
D. Lightening - ANSWER: B. Supine hypotensive syndrome
When assisting with the delivery of twins, assume that:
A. you should clamp or tie the cord of the first baby only after the second is born.
B. you will need to conduct multiple neonatal resuscitations simultaneously.
C. the placenta will not be delivered until both babies are delivered.
D. the babies will each be larger than a baby in a single birth. - ANSWER: B. you will need to conduct
multiple neonatal resuscitations simultaneously.
As an infant's head emerges during a normal delivery, few secretions are present. As the infant's body
is delivered, the infant begins to cry normally. Which of the following statements best describes the
proper care of the infant's airway?
A. Use a bulb syringe to suction first the infant's mouth, then the nose.
B. No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant.
C. To allow all secretions to drain, hold the infant with the head lower than the feet for several
seconds before drying and warming the infant and cutting the umbilical cord.
D. Use mechanical suction with a soft suction catheter to clear the infant's nose and mouth of
secretions. - ANSWER: B. No intervention is needed for the airway. Clamp and cut the cord, and warm
and dry the infant.
Your patient is 39 weeks pregnant and complaining of contractions that are 2 minutes apart. She tells
you that she needs to use the bathroom before transport. You should:
A. explain that the sensation might indicate that she is close to delivery and you need to check to see
whether the baby's head is in the birth canal.
B. explain that it is a normal sensation that will go away as birth gets closer.
C. assist the patient in getting up, and let her know that you will be right outside the bathroom if she
needs anything.
D. explain that it is not possible to allow her to go to the restroom, and place her on the stretcher for
transport. - ANSWER: A. explain that the sensation might indicate that she is close to delivery and you
need to check to see whether the baby's head is in the birth canal.
When the fetus and placenta deliver before the twentieth week, refer to this as:
A. a miscarriage.
B. a spontaneous abortion.
C. an abortion.
D. an induced abortion. - ANSWER: A. a miscarriage.
Which of the following interventions is required in a newborn who has spontaneous breathing and a
heart rate greater than 100 per minute but who still has central cyanosis?
A. Chest compressions
B. Blow-by oxygen
C. Bag-valve-mask ventilations
D. Bulb syringe suction - ANSWER: B. Blow-by oxygen
When treating a patient who has been sexually assaulted, you should try to:
A. reassure the patient that everything will be fine.
B. have the patient take a shower before transport.
C. encourage the patient to explain to you exactly what happened.
, D. provide a same-sex provider to assist the patient. - ANSWER: D. provide a same-sex provider to
assist the patient.
When a pregnant patient has a seizure, transport the patient:
A. supine.
B. on the left side.
C. prone.
D. on the right side. - ANSWER: B. on the left side.
When obtaining the history of a 25-year-old patient in labor, which of the following questions would
you likely ask after asking when the labor pains started?
A. "Is this your first pregnancy?"
B. "Have you seen a doctor regarding your pregnancy?"
C. "What is your expected due date?"
D. "Do you feel the urge to push?" - ANSWER: D. "Do you feel the urge to push?"
If the placenta does not deliver within about twenty minutes after delivery of the newborn, you
should:
A. ask the mother what she prefers.
B. assess vitals, then decide.
C. transport immediately.
D. remain on scene. - ANSWER: C. transport immediately.
Amniotic fluid that is greenish or brownish-yellow rather than clear, as a result of fetal defecation, is
known as:
A. bile.
B. a mucus plug.
C. meconium staining.
D. bloody show. - ANSWER: C. meconium staining.
If you are taking the history of a female patient in labor, and she answers yes to the question of
whether she feels she has to move her bowels, then:
A. ask her if she feels her "bag of waters" has broken.
B. tell her she must be crowning at this time.
C. ask her if this is her first pregnancy.
D. do not let her go to the bathroom. - ANSWER: D. do not let her go to the bathroom.
The period from the beginning of contractions to full cervical dilation occurs:
A. during the first stage of labor.
B. with the delivery of the placenta.
C. after the baby enters the birth canal.
D. after pregnancy. - ANSWER: A. during the first stage of labor.
When assessing the neonate, you would use the APGAR score to rate which of the following findings?
A. Appearance, pulse, grimace, activity, and respiratory effort
B. Aptitude, priority, growth, appearance, and respiratory rate
C. Airway, pulse oximetry, general evaluation, assessment, and resting pulse
D. Apnea, pulselessness, gap, age (gestational), and respiratory arrest - ANSWER: A. Appearance,
pulse, grimace, activity, and respiratory effort
