Which of the following is NOT generally considered an obstetrical emergency?
return of contractions following delivery of the baby
Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should:
provide emotional support to the mother.
The presence of thick meconium in the amniotic fluid indicates:
the babys airway may be obstructed
The term primigravida refers to a woman who:
is pregnant for the first time
After a baby is born, it is important to:
ensure that it is thoroughly dried and warmed
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
A precipitous labor and delivery is MOST common in women who:
have delivered a baby before
In contrast to a full-term infant, a premature infant:
has an even proportionately larger head.
Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?
increased respiratory rate and decreased respiratory RESERVE
From what internal female organ is the fetus expelled during delivery?
When preparing a pregnant patient for delivery, you should position her:
on a firm surface with her hips elevated 2″ to 4″.
Which of the following is an indication of imminent birth?
crowning of the babys head
You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:
assess for crowning
Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:
pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia.
When the mother is experiencing a contraction, you should instruct her to:
take quick short breaths
The amniotic fluid serves to:
insulate and protect the fetus
Braxton-Hicks contractions are characterized by:
alleviation of pain with movement or changing positions.
An infant is considered to be premature if it:
weighs less than 5 lb or is born before 36 weeks' gestation. 36 weeks
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
When determining the frequency of contractions, you should time the contractions from the:
start of one to the start of the next.
Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes:
placing the mother supine with her head down and pelvis elevated.
Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should:
puncture the sac and suction the baby's mouth and nose
The vagina and the neck of the uterus comprise the:
the birth canal
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
pregnant patients have an overall increase in blood volume
If a pregnant patient requires spinal immobilization, you should secure her to the backboard and then:
elevate the right side of the board with towels or blankets
Which of the following statements regarding the placenta is correct?
The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.
Which of the following statements regarding a breech presentation is MOST correct?
A breech presentation occurs when the buttocks are the presenting part.
Eclampsia is MOST accurately defined as:
seizures that result from severe hypertension
Which of the following statements regarding twins is correct?
Most twins are born within 45 minutes of each other.
The term "bloody show" is defined as:
the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.
During your visual inspection of a 19-year-old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do?
Apply gentle pressure to the baby's head as it delivers.
Which of the following occurs during true labor?
Uterine contractions become more regular.
If a baby is born at 7:52 p.m., the second APGAR score should be calculated at
General treatment guidelines when caring for a woman with traumatic vaginal bleeding includes
transporting to an apropriate facility
A placenta previa is MOST accurately defined as
development of the placenta over the cervical opening
The umbilical cord
carries oxygen to the baby via the umbilical vein.
The third stage of labor begins when the
baby is expelled from the vagina
A nuchal cord is defined as an umbilical cord that
is wrapped around the babys neck
Supine hypotensive syndrome occurs when
the gravid uterus compresses the inferior vena cava
In contrast to a placenta previa, a placenta abruptio occurs when
the placenta prematurely separates from the uterine wall.
You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should
keep him warm and provide ventilatory assistance.
If a newborn has gasping respirations after being dried and suctioned
further stimulation is not likely to improve ventilation.
The onset of labor begins with
contractions of the uterus
An abortion occurs when the fetus and placenta deliver before
During delivery, it is MOST important to position your partner at the mother's head because
the mother may become nauseated and vomit.
You have just delivered a full-term infant. His respirations are rapid and irregular and he has a strong cry. What should you do next?
Assess the brachial or umbilical pulse.
During delivery of the baby's head, you should suction the mouth before the nose because
suctioning the nose first may cause the baby to gasp and aspirate fluid.
The leading cause of maternal death during the first trimester of pregnancy is
internal bleeding caused by a ruptured ectopic pregnancy
Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should
attempt to slip the cord gently over the infant's head
A 26-year-old woman complains of a stabbing pain in the right lower quadrant of her abdomen. She states that her last menstrual period was 7 weeks ago and that she had pelvic inflammatory disease approximately 3 months ago. You should be MOST suspicious that this patient is experiencing
an ectopic pregnancy
All of the following questions are pertinent to ask a mother when determining whether or not her baby will deliver within the next few minutes, EXCEPT
Have you had a sonogram?
When the cervix begins to dilate
a mucus plug is expelled from the vagina
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for
an ectopic pregnancy
The ONLY indications for placing your gloved fingers in the vagina during delivery are
breeched presentation and prolapsed umbilical cord
A 35-year-old woman who is 30 weeks' pregnant presents with a severe headache and swelling in her hands and feet. She is conscious and alert with a blood pressure of 148/94 mm Hg, a pulse of 100 beats/min, and respirations of 24 breaths/min. During transport, you should be MOST concerned with
the possibility that she may experience a seizure
You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His APGAR score is
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should
push the infant's head away from the cord
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
firmly massage the uterine fundus with a circular motion
The term primipara refers to a woman who
has had only one live birth.
You are assessing a 30-year-old woman who is 35 weeks' pregnant. She tells you that her amniotic sac has not ruptured, but she is experiencing irregular contractions that "come and go." Upon visual inspection, you note a small amount of brown mucus draining from her vagina. You should
administer oxygen and transport.
Signs and symptoms of pregnancy-induced hypertension (preeclampsia) include all of the following, EXCEPT
blood in urine (hematuria)
A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.
15 to 20 seconds
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
place her in a left lateral recumbent position.
Compared to full-term infants, premature infants are at a higher risk for
Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT:
A 30-year-old pregnant female is gravida-3 and para-2. This means that she has
given birth to 2 live babies
Summarizes the health of a newborn.
A=Appearance P=Pulse G=Grimace A=Activity R=Respirations
after the fetus has descended into the pelvis at the end of the third trimester many mothers exprience
most medical models base a pregnant womans due date
on the first day of her last menstrual cycle
vigorous suctioning of a newborns airway is indicated if
there is meconium in the amniotic fluid