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Chapter 33 Review
Terms in this set (53)
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
Place her on her side, administer high-flow oxygen, and transport.
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
An ectopic pregnancy
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
A nuchal cord is defined as an umbilical cord that:
Is wrapped around the baby's neck
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
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
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?
Apply gentle pressure to the baby's head as it delivers
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
From what internal female organ is the fetus expelled during delivery?
The amniotic fluid serves to
Insulate and protect the fetus
If a baby is born at 7:52, the second Apgar score should be calculated at
The presence of meconium in the amniotic fluid indicates
That the baby's airway may be obstructed
Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect
When determining the frequency of contractions, you should time the contractions from the
Start of one to the start of the next
When preparing a pregnant patient for delivery, you should position her
On a firm surface with her hips elevated 2 to 4 inches
Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
"have you had a sonogram?"
You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should:
respect the patients wishes, ensure that the appropriate documentation is completed, and transport the patient
You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should
Continue your care in a private area, document any details regarding the scene and the incident and reassure her as you provide
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
A 33-year-old woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. You should
Place her in a left lateral recumbent position
A precipitous labor and delivery is MOST common in women who:
Have delivered a baby before
Abruptio placenta occurs when
The placenta prematurely separates from the uterine wall
After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:
An infant is considered to be premature if it
weighs less than 5 lb or is born before 36 weeks' gestation
Braxton-Hicks contractions are characterized by
Alleviation of pain with movement or changing positions
Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT:
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
Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because
These actions simulate the production of oxytocin and cause uterine contraction
If a newborn's heart rate is less than 60 beats/min following delivery, you should
Provide ventilations for 30 seconds
In contrast to abruptio placenta, placenta previa:
may not present with hevay vaginal bleeding
Most medical models base a pregnant woman's due date
on the first day of her last menstural cycle
Placenta previa is defined as
Development of the placenta over the cervical opening
Signs and symptoms of preeclampsia include:
Headache and edema
Spina bifida is a development defect in which
a portion of the spinal cord or meninges protudes outside of the vertebrae
Supine hypotensive syndrome occurs when
the pregnant uterus compresses the inferior vena cava
The ONLY indications for placing your gloved fingers in the vagina during delivery are
breech presentation and prolapsed umbilical cord
The onset of labor begins with
contractions of the uterus
The umbilical cord
carries oxygen to the baby via the umbilical vein
The vagina and the neck of the uterus comprise the
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 infants head
When the mother is experiencing a contraction, you should instruct her to
Take quick short breaths
Which of the following are normal physiologic changes that occur in the mother's respiratory system during pregnancy?
Increased respiratory rate and decreased respiratory reserve
Which of the following is NOT a component of the Apgar score
Which of the following is NOT generally considered an obstetrical emergency
Return of contractions following delivery of the baby
Which of the following occurs during true labor?
Uterine contractions become more regular
Which of the following statements regarding gestational diabetes is correct?
In some cases women with gestational diabetes require insulin injections.
Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct
Suctioning is indicated prior to cutting the cord if respiratory distress is present
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 the fetus but does not allow blood to mix the mother and fetus
Which of the following statements regarding twins is correct?
Most twins are born within 45 minutes of each other
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should
push the infants head away from the cord
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
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 ventilate with a BVM
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