Chapter 9: Pregnancy and Childbirth

True or False Question

Life-threatening conditions may result from unmonitored high blood pressure or diabetes in pregnant women.
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Which of the following statements about infertility are correct?

Multiple select question.

Long-term marijuana use accounts for more female infertility cases than male infertility cases.
Men are more likely to be infertile than women.
For about one-third of couples who cannot conceive, both partners have fertility problems.
About a quarter of the factors contributing to infertility are male.
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Which of the following statements are correct regarding health- and age-related factors in deciding whether or not to become a parent?

Multiple select question.

Teenagers and older women have a higher incidence of pregnancy-related health problems.
Diabetes can be easily maintained during pregnancy.
Most experts automatically classify a pregnancy as "high risk" if the mother is over age 35.
Current health status of the mother does not influence the health of the baby.
Multiple Choice Question Which statement regarding early signs and symptoms of pregnancy is false? Multiple choice question. A woman who experiences tingling in her breasts during pregnancy should seek medical attention. Nausea likely results from increased hormone concentrations in a pregnant woman. Morning sickness can occur all day long, and sometimes it continues until the baby is born. Some women experience slight bleeding after the implantation of a fertilized egg.A woman who experiences tingling in her breasts during pregnancy should seek medical attention.Multiple Choice Question Infertility is defined as the inability to conceive after trying for ______. Multiple choice question. more than 10 years a year or more 2 years or more more than 5 yearsa year or moreMultiple Select Question Select all that apply Which of the following are the two main causes of female infertility? Multiple select question. failure to ovulate tubal blockage smoking environmental toxinsfailure to ovulate tubal blockageMultiple Choice Question What is Chadwick's sign? Multiple choice question. a hormone that is detectable early in a pregnancy the softening of the uterus just above the cervix that indicates pregnancy a bluish discoloration of the cervix and labia that indicates pregnancy irregular contractions that indicate a pregnancya bluish discoloration of the cervix and labia that indicates pregnancyMultiple Select Question Select all that apply The leading causes of male infertility can be divided into which of the following categories? Multiple select question. hypothalamic pituitary disease unexplained causes disorders of sperm transport infections of the pelvis sexually transmitted infections testicular diseasehypothalamic pituitary disease unexplained causes disorders of sperm transport testicular diseaseMultiple Choice Question All the following are early signs and symptoms of pregnancy except ______. Multiple choice question. morning sickness slight bleeding lightening breast tendernesslighteningMultiple Choice Question The stage of development between the blastocyst and fetus is called the Multiple choice question. neonate. blastomere. zygote. embryo.embryo.Multiple Select Question Select all that apply Which of the following events of fetal development occur during the second trimester? Multiple select question. All body systems are operating. Fetus weighs approximately 3 pounds. Fetus weighs approximately 1.5 pounds. A baby born prematurely at 24--26 weeks has a better than 50% chance of survival.All body systems are operating. Fetus weighs approximately 1.5 pounds. A baby born prematurely at 24--26 weeks has a better than 50% chance of survival.Multiple Choice Question In a pregnant woman, a softening of the uterus just above the cervix, visible during a pelvic examination, is called ______. Multiple choice question. Chadwick's sign Hegar's sign Braxton Hicks sign lighteningHegar's signMultiple Choice Question In what trimester does a fetus gain most of its birth weight? Multiple choice question. first trimester second trimester third trimester Weight gain is constant across all three trimesters.third trimesterMultiple Choice Question ______ tests for fetal abnormalities by the use of high-frequency sound waves to display an image of the fetus within the uterus. Multiple choice question. Amniocentesis Chorionic villus sampling Quadruple marker screening UltrasonographyUltrasonographyMultiple Select Question Select all that apply Which of the following statements regarding a woman's emotional responses to pregnancy are correct? Multiple select question. Many mood changes associated with pregnancy are out of a woman's control. A pregnant woman's partner can help ease her mind if she begins to feel unattractive due to her increasing size. Education about pregnancy can help ease a woman's fears of miscarrying. Worries of miscarriage usually increase during the second trimester.Many mood changes associated with pregnancy are out of a woman's control. A pregnant woman's partner can help ease her mind if she begins to feel unattractive due to her increasing size. Education about pregnancy can help ease a woman's fears of miscarrying.Multiple Choice Question During which phase of the pregnancy cycle is the fetus about 14 inches and 1.5 pounds and the fetal heartbeat audible with a stethoscope? Multiple choice question. first trimester third trimester conception second trimestersecond trimesterFill in the Blank Question An important fetal development in the third trimester is the formation of a layer of brown ____________________ under the skin that has a rich supply of blood and provides protection against hypothermia.FatMultiple Select Question Select all that apply Which of the following are part of a regular prenatal checkup? Multiple select question. a vision test measuring blood pressure monitoring weight gain monitoring the position of the fetusmeasuring blood pressure monitoring weight gain monitoring the position of the fetusTrue or False Question Ultrasound is only used to determine a fetus' sex.FalseMultiple Select Question Select all that apply Which of the following statements regarding Rh factor is correct? (Choose every correct answer.) Multiple select question. Antibodies against a fetus will cause problems such as anemia, mental retardation, or death. Rh incompatibility is easily treated with a serum. Mother and fetus are considered incompatible if they both are Rh negative. An Rh-negative mother will build antibodies against Rh-positive fetuses.Antibodies against a fetus will cause problems such as anemia, mental retardation, or death. Rh incompatibility is easily treated with a serum. An Rh-negative mother will build antibodies against Rh-positive fetuses.Multiple Select Question Select all that apply Which of the following are particularly important for pregnant women? Multiple select question. vitamin B12 folate vitamin C vitamin Dfolate vitamin DMultiple Choice Question An agent or influence that may cause physical defects in a developing fetus is called a(n) _____. Multiple choice question. teratogen toxin Rh factor stressteratogenMultiple Select Question Select all that apply Which of the following events of fetal development occur during the second trimester? Multiple select question. A baby born prematurely at 24--26 weeks has a better than 50% chance of survival. Fetus weighs approximately 3 pounds. Fetus weighs approximately 1.5 pounds. All body systems are operating.A baby born prematurely at 24--26 weeks has a better than 50% chance of survival. Fetus weighs approximately 1.5 pounds. All body systems are operating.Multiple Select Question Select all that apply During a regular doctor visit as part of prenatal care, the mother will be checked for ______. Multiple select question. high blood pressure inherited diseases poor diet dermatitishigh blood pressure inherited diseases poor dietMultiple Choice Question The protein in the blood that can jeopardize the health of the fetus if mother--baby incompatibility occurs is called the ______ factor. Multiple choice question. Rh teratogen collagen compatibility negativityRhTrue or False Question If a pregnant woman gets drunk once during pregnancy, it is not enough to cause brain damage to a fetus.FalseMultiple Choice Question Which statement is correct regarding food safety during pregnancy? Multiple choice question. Pregnant women should eat a lot of ready-to-eat meats. Pregnant women should continue to eat as they normally do. Pregnant women should avoid eating undercooked meat. Most types of fish are good diet choices for pregnant women.Pregnant women should avoid eating undercooked meat.Multiple Choice Question A defect present at the time of birth that is either inherited or caused by problems during gestation is called _____. Multiple choice question. congenital malformation teratogen fetal alcohol syndrome Rh incompatibilitycongenital malformationFill in the Blank Question The combination of birth defects that result from a mother consuming excessive alcohol during pregnancy is called _______________ ______________ ____________ (FAS).Fetal Alcohol SyndromeMultiple Choice Question Which statement regarding the impact of tobacco smoke on a fetus is false? Multiple choice question. Tobacco impairs oxygen delivery to the fetus. Smoking during pregnancy increases the chances of low birth weight. Smoking during pregnancy increases the chances of infant death. Smoking during pregnancy increases the chances of miscarriage.Tobacco impairs oxygen delivery to the fetus.Multiple Choice Question Which statement regarding alcohol consumption during pregnancy is incorrect? Multiple choice question. A baby born with fetal alcohol syndrome may experience a number of hindering health complications. Getting drunk during pregnancy can lead to stillbirth, miscarriage, and fetal alcohol syndrome. Scientists have concluded that it is safe for a pregnant woman to have no more than one drink every other day. Getting drunk just once during pregnancy may be enough to cause brain damage to the fetus.Scientists have concluded that it is safe for a pregnant woman to have no more than one drink every other day.Multiple Choice Question Which of the following statements is true concerning caffeine consumption by a woman who is pregnant? Multiple choice question. Caffeine reduces the blood supply to the uterus. Caffeine consumption does not affect the woman's fetus. Caffeine consumption raises the level of the hormone estrogen in the woman's body. A pregnant woman should limit her caffeine consumption to 4 cups of coffee per day.Caffeine reduces the blood supply to the uterus.Multiple Select Question Select all that apply Which of the following can cause harm to fetus if taken during pregnancy? Multiple select question. cocaine methamphetamine carbohydrates containing gluten large doses of vitamin Acocaine methamphetamine large doses of vitamin AMultiple Select Question A baby can die or have birth defects if the mother is infected with which of the following? Select all that apply. Multiple select question. group B streptococcus Zika virus Candida albicansgroup B streptococcus Zika virusMultiple Select Question Select all that apply Which of the following are potential conditions that a baby born with fetal alcohol syndrome may suffer from? Multiple select question. obesity or overweight mental impairment abnormal behavior patterns large head unusual facial characteristicsmental impairment abnormal behavior patterns unusual facial characteristicsMultiple Select Question Select all that apply Smoking during pregnancy increases the risk of ______. Multiple select question. damage to the baby's DNA inadequate oxygen to the fetus infant death an overweight babydamage to the baby's DNA inadequate oxygen to the fetus infant deathMultiple Select Question Select all that apply Consuming which of the following beverages can create stress in a pregnant woman and her fetus by increasing levels of the hormone epinephrine? Multiple select question. cola black tea fruit juice regular coffeecola black tea regular coffeeMultiple Select Question Select all that apply What prescription drugs have been known to cause fetal damage or complications if taken during pregnancy? Multiple select question. dimethicone antidepressants blood pressure medications anti-seizure medicationsantidepressants blood pressure medications anti-seizure medicationsMultiple Choice Question The most common cause of life-threatening infections in newborns is ______. Multiple choice question. hepatitis B group B streptococcus herpes simplex 2 gonorrheagroup B streptococcusMultiple Choice Question The prenatal exercises known as ______ exercises involve alternately contracting and relaxing pelvic floor muscles used to stop the flow of urine. Multiple choice question. cardiovascular isometric Kegel core-strengtheningKegelMultiple Choice Question A condition during pregnancy identified by high blood pressure and the appearance of protein in the urine is ______. Multiple choice question. placenta previa ectopic pregnancy preeclampsia gestational diabetespreeclampsiaMultiple Choice Question The most common site of an ectopic pregnancy is ______. Multiple choice question. in the uterus in the oviduct on the adrenal cortex in the abdomenin the oviductMultiple Select Question Select all that apply Which statements regarding exercise during pregnancy are correct? Multiple select question. All women are encouraged to limit physical activity after 6 months. Exercise contributes to physical and mental wellness. Women can generally keep working their jobs until late in the pregnancy. Prenatal exercise classes help prepare the body for birth.Exercise contributes to physical and mental wellness. Women can generally keep working their jobs until late in the pregnancy. Prenatal exercise classes help prepare the body for birth.Which of the following is not a common complication of pregnancy? Multiple choice question. preeclampsia fetal programming spontaneous abortion ectopic pregnancyfetal programmingMultiple Select Question Select all that apply What are the signs that a pregnant woman may miscarry? Multiple select question. pregnancy symptoms disappear intermittent high fever vaginal spotting pelvic crampspregnancy symptoms disappear vaginal spotting pelvic crampsMultiple Select Question Select all that apply An ectopic pregnancy endangers the mother's life when ______. Multiple select question. she is not physically fit and is at least 40 pounds overweight it causes a rupture and severe bleeding it causes her to go into shock it occurs in a space too small to hold the developing babyit causes a rupture and severe bleeding it causes her to go into shock it occurs in a space too small to hold the developing babyMultiple Select Question Select all that apply Which statements regarding stillbirth are correct? Multiple select question. Black women have about twice as many stillbirths as white women. Each year about 20,000 stillbirths occur worldwide. The stillbirth rate in the United States is a little more than 6 per 1,000 births. Risk factors include smoking, obesity, and advanced chronic age.Black women have about twice as many stillbirths as white women. The stillbirth rate in the United States is a little more than 6 per 1,000 births. Risk factors include smoking, obesity, and advanced chronic age.Multiple Choice Question What is a key characteristic of eclampsia? Multiple choice question. inability to process insulin seizures placental abruption miscarriageseizuresMultiple Select Question Select all that apply Which of the following statements regarding spontaneous abortion are correct? Multiple select question. Women who have a spontaneous abortion are no longer able to become pregnant. Another word for spontaneous abortion is miscarriage. Pelvic cramping is a sure sign of imminent miscarriage. About 60% of spontaneous abortions are caused by chromosomal abnormalities.Another word for spontaneous abortion is miscarriage. About 60% of spontaneous abortions are caused by chromosomal abnormalities.Multiple Select Question Select all that apply Which of the following are synonyms of stillbirth? Multiple select question. spontaneous abortion fetal death stillborn miscarriage fetal demisefetal death stillborn fetal demiseMultiple Choice Question In placenta previa, which of the following is not possible? Multiple choice question. cesarean delivery vaginal delivery breast feeding carrying fetus to termvaginal deliveryMultiple Choice Question A complication of pregnancy that involves the premature separation of the placenta from the uterine wall is called ______. Multiple choice question. placental abruption placental previa preeclampsia eclampsiaplacental abruptionMultiple Select Question Select all that apply Which statements regarding preeclampsia are correct? Multiple select question. Mild preeclampsia can be monitored, and bed rest is recommended. It is characterized by low blood pressure and lipids in the urine. If untreated, it may lead to eclampsia, where seizures occur. Symptoms include headaches, abdominal pain, vision changes, and weight gain.Mild preeclampsia can be monitored, and bed rest is recommended. If untreated, it may lead to eclampsia, where seizures occur. Symptoms include headaches, abdominal pain, vision changes, and weight gain.Multiple Choice Question Which statement about gestational diabetes is false? Multiple choice question. During gestation, about 30% of pregnant women develop gestational diabetes. Women who develop gestational diabetes have an increased risk of developing type 2 diabetes. In gestational diabetes, the body loses its ability to effectively process insulin. Untreated gestational diabetes can lead to preeclampsia, birth trauma, and large fetuses.During gestation, about 30% of pregnant women develop gestational diabetes.Multiple Choice Question A complication of pregnancy in which the placenta covers the cervical opening is called ______. Multiple choice question. eclampsia preeclampsia placenta previa placenta abruptionplacenta previaMultiple Choice Question Which statement about placental abruption is incorrect? Multiple choice question. It represents about 75% of all bleeding during the third trimester. Symptoms include abdominal pain, vaginal bleeding, and uterine tenderness. It involves the separation of the placenta from the uterine wall. Risk factors include advanced maternal age, tobacco smoking, and multiple gestation.It represents about 75% of all bleeding during the third trimester.Multiple Select Question Select all that apply A baby born before the 37th week of pregnancy is said to have been ______. Multiple select question. born placenta previa born preterm born prematurely prenatalborn preterm born prematurelyMultiple Choice Question Which of the following statements regarding labor induction are true? Multiple choice question. Labor induction is typically offered to pregnant women only after they are 2 weeks past due. Labor induction is one of the most common obstetrical procedures. It is recommended to women at their exact due date.Labor induction is one of the most common obstetrical procedures.Fill in the Blank Question A form of diabetes that occurs during pregnancy is called __________________ diabetes mellitus. (Remember to type only one word in the blank.)GestationalMultiple Choice Question A complication of pregnancy that involves the premature separation of the placenta from the uterine wall is called ______. Multiple choice question. placental abruption eclampsia preeclampsia placental previaplacental abruptionMultiple Choice Question A baby born with low birth weight (LBW) weighs no more than ______ pounds. Multiple choice question. 4.5 3.5 6.5 5.55.5Multiple Choice Question Which statement about preterm labor is false? Multiple choice question. About 30% to 50% of preterm labors resolve themselves. Preterm labor is one of the most common reasons pregnant women are hospitalized. It is defined as a woman going into labor before the 37th week of gestation. Preterm labor is easy to stop.Preterm labor is easy to stop.Multiple Choice Question The procedure of artificially inducing labor is offered to a pregnant women when she is how long overdue? Multiple choice question. 7 to 14 days 18 days 5 to 10 days 2 to 5 days7 to 14 daysTrue or False Question For a mother, physical exhaustion and hormone imbalances can compound the emotional and physical stress following the death of her infant.TrueMultiple Select Question Select all that apply Which of the following health care practitioners are able to deliver a baby? Multiple select question. medical assistant certified nurse midwife licensed practical nurse physiciancertified nurse midwife physicianMultiple Select Question Select all that apply About half of low-birth-weight cases are attributed to which of the following? Multiple select question. teenage pregnancy cigarette smoking poor nutrition advanced maternal age supplemental useteenage pregnancy cigarette smoking poor nutritionMultiple Choice Question What is the name given to each tightening of the muscles of the uterus, which leads to the thinning and opening of the cervix? Multiple choice question. labor a contraction a Kegel exercise a transitiona contractionMultiple Choice Question Infant mortality is defined as the death of a child less than ______ of age. Multiple choice question. 1 year 6 months 2 years 3 months1 yearMultiple Select Question Select all that apply What are helpful actions for parents following the loss of a baby? Multiple select question. ignoring any feelings of sadness, anger, or grief getting input from a doctor to plan another pregnancy seeking professional counseling joining a support groupgetting input from a doctor to plan another pregnancy seeking professional counseling joining a support groupMultiple Select Question Select all that apply Which of the following statements regarding the first stage of labor are true? Multiple select question. At first, contractions usually last about 30 seconds and occur every 15 to 20 minutes. The Apgar score is taken during this stage. The baby is slowly pushed down through the bones of the mother's pelvic ring. It begins with cervical effacement and continues until the cervix is completely dilated.At first, contractions usually last about 30 seconds and occur every 15 to 20 minutes. It begins with cervical effacement and continues until the cervix is completely dilated.Multiple Choice Question Mothers-to-be can choose to have a ______, also called a labor companion, stay with them throughout the duration of labor. Multiple choice question. doula proxy life coach nursing assistantdoulaMultiple Choice Question The process of giving birth, whereby the fetus is expelled from the uterus through uterine contractions, is referred to as ______. Multiple choice question. cesarean delivery dilation contractions laborlaborMultiple Choice Question The death of any child less than 1 year of age is referred to as ______. Multiple choice question. infant mortality infant morbidity prematurity SIDSinfant mortalityMultiple Choice Question ______ during the last part of the first stage of labor is characterized by full cervical dilation, as well as intense and frequent contractions. Multiple choice question. Translation The pushing phase Contraction Active laborFill in the Blank Question The last part of the first stage of labor, during which the cervix becomes fully dilated, is called ____________ labor.ActiveMultiple Choice Question The first stage of labor, on average, lasts approximately how long? Multiple choice question. 13 hours 8 hours 3 hours 24 hours13 hoursMultiple Choice Question Which statement regarding childbirth facilities and services is not correct? Multiple choice question. Labor companions may reduce maternal anxiety and labor duration. Nurse midwives are trained to deliver babies and are less expensive than physicians. The vast majority of deliveries are conducted by physicians in hospitals. The American College of Obstetricians and Gynecologists approves the safety of home deliveries for most women.The American College of Obstetricians and Gynecologists approves the safety of home deliveries for most women.True or False Question Almost all women find bearing down with contractions during the second stage of labor to be the most difficult part of labor.FalseMultiple Choice Question Which statement regarding the postpartum period is incorrect? Multiple choice question. Women will experience a bloody discharge for 3-6 weeks following delivery. Following a vaginal delivery, women are able to leave the hospital in 1-3 days. Parenthood begins overnight and can cause considerable stress. The postpartum period is defined as the six months following childbirth. A woman will continue to experience uterine contractions for days following delivery.The postpartum period is defined as the six months following childbirth.Multiple Choice Question ______ during the last part of the first stage of labor is characterized by full cervical dilation, as well as intense and frequent contractions. Multiple choice question. Active labor Contraction The pushing phase TranslationActive laborMultiple Choice Question The production of milk that begins approximately 3 days after childbirth is called ______. Multiple choice question. secretion prolactin lactation colostrumlactationMultiple Select Question Select all that apply Which of the following statements regarding the second stage of labor are true? Multiple select question. Women have varied opinions regarding the difficulty of this stage. The uterus will continue to contract until the placenta is expelled, marking the end of this stage. Crowning occurs, which is when the baby's head is visible at the mother's vaginal opening. The baby transitions during this stage. This stage ends with the delivery of the baby.Women have varied opinions regarding the difficulty of this stage. Crowning occurs, which is when the baby's head is visible at the mother's vaginal opening. This stage ends with the delivery of the baby.Fill in the Blank Question The period of approximately 3 months following childbirth is referred to as the period.postpartum, postpardum, or post partumMultiple Choice Question The yellowish fluid secreted by the mammary glands until milk comes in is called ______. Multiple choice question. Apgar lactate colostrum prolactincolostrumFill in the Blank Question The production of milk is called ______________________.lactation