Chapter 32- Obstetrics and Neonatal Care
A 20-year-old female presents with lower abdominal pain and scant vaginal bleeding. She is conscious and alert with a
blood pressure of 124/64 mm Hg and a pulse rate of 120 beats/min and strong. When asked, she states that her last
menstrual period was approximately 2 months ago. You should suspect: - ANS -an ectopic pregnancy
\A 21-year-old female in her third trimester of pregnancy was involved in a motor-vehicle crash. She was unrestrained and
struck a telephone pole while traveling approximately 40 MPH. She complains of severe abdominal pain and vaginal
bleeding and has signs of shock. While palpating her abdomen, you can feel a fetal body part through the abdominal wall.
On the basis of the mechanism of injury and the patient's clinical presentation, you should suspect a/an: - ANS -uterine
rupture
\A 24-year-old female, in her second trimester of pregnancy, presents with what she describes as "mild" contractions.
After further questioning, she tells you that there is no regular pattern to the contractions and that they have not increased
in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is MOST likely
experiencing: - ANS -Braxton-Hicks contractions
\A 29-year-old female has experienced a spontaneous abortion during the latter part of her first trimester. She is
conscious and alert, with a blood pressure of 100/60 mm Hg and a heart rate of 100 beats/min and strong. In addition to
providing emotional support and administering oxygen, you should: - ANS -start a large-bore IV of normal saline and
transport
\A 29-year-old female in her second trimester of pregnancy is found semiconscious by her sister. The patient is
diaphoretic and breathing shallowly at a rate of 28 breaths/min. Her blood glucose level reads 40 mg/dL. You should: -
ANS -assist ventilations, start an IV of normal saline, and give 25g of dextrose slowly.
\A 34-year-old female in her second trimester of pregnancy presents with a generalized motor seizure. Her husband tells
you that her obstetrician recently diagnosed her with preeclampsia. You should: - ANS -protect her airway from injury,
maintain her airway and administer O2, and be prepared to suction her mouth
, \A baby is born at 34 weeks' gestation. Its body is cyanotic and it has weak muscle tone. Further assessment reveals that
the infant has a weak cry, a heart rate of approximately 90 beats/min, and irregular respirations of approximately 12
breaths/min. What is this infant's Apgar score? - ANS -4
\A nulliparous woman has: - ANS -never delivered a viable baby
\A nulliparous woman has: - ANS -never delivered a viable baby
\A premature infant is one that is born before: - ANS -36 weeks or weighs less than 5 pounds
\After 30 seconds of positive-pressure ventilations and chest compressions on a depressed newborn, your reassessment
reveals that the infant's heart rate is 80 beats/min. You should: - ANS -discontinue chest compressions and continue
positive-pressure ventilations.
\After administering 30 seconds of free-flow oxygen to a newborn with central cyanosis, you note that the cyanosis is not
improving. You should: - ANS -perform positive-pressure ventilation with 100% oxygen.
\After determining that a newborn's airway is patent and breathing is adequate, you assess the heart rate and find that it is
90 beats/min. You should: - ANS -begin assisting ventilations with a bag-mask device.
\After drying, warming, and suctioning the mouth and nose of an infant following birth, you note that the baby's
respirations are gasping, and irregular. You should: - ANS -briefly flick the soles of the feet or gently rub the back or trunk.
\After providing 30 seconds of positive-pressure ventilations to a premature newborn, your partner assesses the infant's
heart rate and finds that it is 50 beats/min. You should: - ANS -advise your partner to initiate chest compressions
\After stopping the ambulance en route to the hospital to assist your partner with the delivery of an infant, you should
resume transport after delivery has occurred and: - ANS -any needed newborn resuscitation has occurred.
\After the baby's head delivers, you should tell the mother to: - ANS -stop pushing so you can suction the infant's mouth
and nose.
\After the baby's head delivers, you should tell the mother to: - ANS -stop pushing so you can suction the infant's mouth
and nose.
\An embryo is referred to as a fetus beyond the ______ week of gestation. - ANS -ninth
\An infant born with a nuchal cord has: - ANS -umbilical cord wrapped around the neck
\An umbilical catheter that is inserted too far may: - ANS -enter the portal venous system and injure the liver.
\As soon as the entire infant is born, you should: - ANS -provide warmth, maintain a patent airway, and resuction.
\As the baby begins to deliver, you note that it presents in a vertex position. This means that: - ANS -the head is the
presenting part
A 20-year-old female presents with lower abdominal pain and scant vaginal bleeding. She is conscious and alert with a
blood pressure of 124/64 mm Hg and a pulse rate of 120 beats/min and strong. When asked, she states that her last
menstrual period was approximately 2 months ago. You should suspect: - ANS -an ectopic pregnancy
\A 21-year-old female in her third trimester of pregnancy was involved in a motor-vehicle crash. She was unrestrained and
struck a telephone pole while traveling approximately 40 MPH. She complains of severe abdominal pain and vaginal
bleeding and has signs of shock. While palpating her abdomen, you can feel a fetal body part through the abdominal wall.
On the basis of the mechanism of injury and the patient's clinical presentation, you should suspect a/an: - ANS -uterine
rupture
\A 24-year-old female, in her second trimester of pregnancy, presents with what she describes as "mild" contractions.
After further questioning, she tells you that there is no regular pattern to the contractions and that they have not increased
in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is MOST likely
experiencing: - ANS -Braxton-Hicks contractions
\A 29-year-old female has experienced a spontaneous abortion during the latter part of her first trimester. She is
conscious and alert, with a blood pressure of 100/60 mm Hg and a heart rate of 100 beats/min and strong. In addition to
providing emotional support and administering oxygen, you should: - ANS -start a large-bore IV of normal saline and
transport
\A 29-year-old female in her second trimester of pregnancy is found semiconscious by her sister. The patient is
diaphoretic and breathing shallowly at a rate of 28 breaths/min. Her blood glucose level reads 40 mg/dL. You should: -
ANS -assist ventilations, start an IV of normal saline, and give 25g of dextrose slowly.
\A 34-year-old female in her second trimester of pregnancy presents with a generalized motor seizure. Her husband tells
you that her obstetrician recently diagnosed her with preeclampsia. You should: - ANS -protect her airway from injury,
maintain her airway and administer O2, and be prepared to suction her mouth
, \A baby is born at 34 weeks' gestation. Its body is cyanotic and it has weak muscle tone. Further assessment reveals that
the infant has a weak cry, a heart rate of approximately 90 beats/min, and irregular respirations of approximately 12
breaths/min. What is this infant's Apgar score? - ANS -4
\A nulliparous woman has: - ANS -never delivered a viable baby
\A nulliparous woman has: - ANS -never delivered a viable baby
\A premature infant is one that is born before: - ANS -36 weeks or weighs less than 5 pounds
\After 30 seconds of positive-pressure ventilations and chest compressions on a depressed newborn, your reassessment
reveals that the infant's heart rate is 80 beats/min. You should: - ANS -discontinue chest compressions and continue
positive-pressure ventilations.
\After administering 30 seconds of free-flow oxygen to a newborn with central cyanosis, you note that the cyanosis is not
improving. You should: - ANS -perform positive-pressure ventilation with 100% oxygen.
\After determining that a newborn's airway is patent and breathing is adequate, you assess the heart rate and find that it is
90 beats/min. You should: - ANS -begin assisting ventilations with a bag-mask device.
\After drying, warming, and suctioning the mouth and nose of an infant following birth, you note that the baby's
respirations are gasping, and irregular. You should: - ANS -briefly flick the soles of the feet or gently rub the back or trunk.
\After providing 30 seconds of positive-pressure ventilations to a premature newborn, your partner assesses the infant's
heart rate and finds that it is 50 beats/min. You should: - ANS -advise your partner to initiate chest compressions
\After stopping the ambulance en route to the hospital to assist your partner with the delivery of an infant, you should
resume transport after delivery has occurred and: - ANS -any needed newborn resuscitation has occurred.
\After the baby's head delivers, you should tell the mother to: - ANS -stop pushing so you can suction the infant's mouth
and nose.
\After the baby's head delivers, you should tell the mother to: - ANS -stop pushing so you can suction the infant's mouth
and nose.
\An embryo is referred to as a fetus beyond the ______ week of gestation. - ANS -ninth
\An infant born with a nuchal cord has: - ANS -umbilical cord wrapped around the neck
\An umbilical catheter that is inserted too far may: - ANS -enter the portal venous system and injure the liver.
\As soon as the entire infant is born, you should: - ANS -provide warmth, maintain a patent airway, and resuction.
\As the baby begins to deliver, you note that it presents in a vertex position. This means that: - ANS -the head is the
presenting part
