41-1 Test

Question 1

When assessing the abdomen of a woman who is 36 weeks pregnant, you should expect it to be:
Choose one answer.
	A. rigid and distended. 
	B. firm and nontender. 	
	C. distended and guarded. 
	D. enlarged and tender.

Answer 1

firm and nontender.

Question 2

During your visual exam of a woman in active labor, you see a loop of the umbilical cord protruding from her vagina. She is in the middle of a strong contraction, and you can see the baby’s head just beyond the cord. You should immediately:
Choose one answer.
A. instruct her to pant during the contraction.
B. place her on 100% supplemental oxygen.
C. apply sterile, moist dressings over the cord.
D. push the baby’s head back into the vagina.

Answer 2

instruct her to pant during the contraction.

Question 3

Fertilization of an egg usually occurs in the:
Choose one answer.
	A. fallopian tube. 	
	B. infundibulum. 	
	C. ovary. 	
	D. uterus.

Answer 3

fallopian tube.

Question 4

In contrast to an abruptio placenta, a placenta previa:
Choose one answer.
A. is usually caused by maternal abdominal trauma.
B. is associated with an absence of fetal heart tones.
C. usually presents with painless vaginal bleeding.
D. typically presents with tearing abdominal pain.

Answer 4

usually presents with painless vaginal bleeding.

Question 5

All of the following processes take place in the uterus, EXCEPT:
Choose one answer.
	A. fetal development. 	
	B. the act of labor.  	
	C. fertilization. 	
	D. implantation.

Answer 5

fertilization.

Question 6

The MOST immediate treatment to prevent placental hypoperfusion in a pregnant woman who is lying on her back is to:
Choose one answer.
A. administer 1 to 2 L of isotonic crystalloid solution.
B. place the woman in a left lateral recumbent position.
C. keep the woman supine and elevate her legs 12 inches.
D. manually displace the gravid uterus to the right side.

Answer 6

place the woman in a left lateral recumbent position.

Question 7

Marks: 1
A spontaneous abortion:
Choose one answer.
A. is most often the result of a congenital abnormality of the placenta.
B. occurs naturally and may or may not have an identifiable cause.
C. is generally performed by a physician to prevent maternal death.
D. affects one out of every three pregnancies and is typically idiopathic.

Answer 7

occurs naturally and may or may not have an identifiable cause.

Question 8

If a pregnant woman is injured and is bleeding severely:
Choose one answer.
A. signs of shock will appear earlier than expected.
B. her blood pressure will fall after a 70% loss of blood.
C. her body will automatically shunt blood to the fetus.
D. blood flow will be diverted away from the uterus.

Answer 8

blood flow will be diverted away from the uterus.

Question 9

Luteinizing hormone stimulates the ovarian cells to release all of the following hormones, EXCEPT:
Choose one answer.
	A. oxytocin. 	
	B. estrogen.  	
	C. progesterone. 	
	D. relaxin.

Answer 9

oxytocin.

Question 10

There is a higher incidence of abdominal injuries in association with chest trauma in pregnant women because:
Choose one answer.
A. the abdomen is large and protuberant.
B. the peritoneum is maximally stretched.
C. seat belts are usually not worn.
D. the diaphragm is elevated nearly 2 inches.

Answer 10

the diaphragm is elevated nearly 2 inches.

Question 11

At term, displacement of the diaphragm by the uterus causes a(n):
Choose one answer.
A. decrease in inspiratory reserve volume.

B. marked increase in residual volume.

C. decrease in expiratory reserve volume. 	

D. increase in functional reserve capacity.

Answer 11

decrease in expiratory reserve volume.

Question 12

Which of the following is NOT a function of the placenta?
Choose one answer.
A. Excretion of wastes in the maternal circulation

B. Antibody production that protects the fetus 	

C. Fetal protection against all harmful substances

D. Synthesis of glycogen and cholesterol

Answer 12

Fetal protection against all harmful substances

Question 13

A 20-year-old female presents with severe lower abdominal pain. She does not believe that she is pregnant, but states that her breasts have been unusually tender and that she has been nauseated. What is the pathophysiology of this patient’s suspected condition?
Choose one answer.
A. The placenta has prematurely detached from the uterine wall.
B. A fertilized ovum is implanted somewhere other than the uterus.
C. High levels of estrogen are affecting the gastrointestinal system.
D. The normal flow of bile from the liver has been interrupted.

Answer 13

A fertilized ovum is implanted somewhere other than the uterus.

Question 14

Appropriate care for postpartum bleeding in the prehospital setting includes all of the following, EXCEPT:
Choose one answer.
A. administering IV fluids to maintain perfusion. Incorrect
B. infusing oxytocin at a rate of 0.2–0.3 units/min. Incorrect
C. carefully placing sanitary pads in the vagina. Correct
D. massaging the uterus in a clockwise fashion. Incorrect

Answer 14

C. carefully placing sanitary pads in the vagina.

Question 15

n contrast to gravida 3 mothers, gravida 1 mothers:
Choose one answer.
A. will typically take more time to deliver.
B. are at a lower risk for complications.
C. have delivered at least one baby.
D. often experience a precipitous delivery.

Answer 15

A. will typically take more time to deliver.

Question 16

A primagravida woman:
Choose one answer.
	A. is pregnant for the first time. 	
	B. has had one abortion. 	
	C. will deliver her second baby. 
	D. has delivered one baby.

Answer 16

A. is pregnant for the first time.

Question 17

Which of the following would you MOST likely observe in a newborn with hemolytic disease?
Choose one answer.
	A. Polycythemia 	
	B. Splenomegaly 	
	C. Hot flushed skin 	
	D. Jaundice

Answer 17

D. Jaundice

Question 18

You are delivering a baby who was in a breech presentation. The baby’s body has delivered, and you are attempting to deliver its head by lifting its body upward. After about 3 minutes, the baby’s head has not delivered. You should:
Choose one answer.
A. place your gloved hand in the vagina and gently lift the baby’s face away from the vaginal wall.
B. elevate the mother’s hips with pillows, administer high-flow oxygen, and transport immediately.
C. elevate the mother’s hips and apply gentle traction to the baby’s body until the head has delivered.
D. support the baby’s body, carefully turn the mother on her left side, and transport expeditiously.

Answer 18

A. place your gloved hand in the vagina and gently lift the baby’s face away from the vaginal wall.

Question 19

In addition to meeting the metabolic needs of the developing fetus, the mother's blood supply increases significantly in order to perfuse her own organs, especially the:
Choose one answer.
	A. heart and lungs. 	
	B. liver and pancreas.	
	C. central nervous system. 	
	D. uterus and kidneys.

Answer 19

D. uterus and kidneys.

Question 20

Uterine rupture MOST commonly occurs:
Choose one answer.
	A. during active labor.  	
	B. after the placenta delivers. 	
	C. in primiparous women. 
	D. during the third trimester.

Answer 20

A. during active labor.

Question 21

Which of the following statements regarding the umbilical cord is correct?
Choose one answer.
A. The umbilical cord is composed of two large veins and one small artery.
B. The fetus receives the majority of its oxygen supply from the umbilical arteries.
C. The umbilical vein carries oxygenated blood from the placenta to the fetus.
D. The placenta receives arteriovenous blood from the umbilical arteries.

Answer 21

C. The umbilical vein carries oxygenated blood from the placenta to the fetus.

Question 22

Unlike the prenatal period, the gestational period:
Choose one answer.
	A. is 38 weeks in duration. 	
	B. usually takes 40 weeks. 	
	C. only last about 2 weeks. 	
	D. begins at conception.

Answer 22

A. is 38 weeks in duration.

Question 23

After delivering a baby and clamping and cutting the umbilical cord, you note that the end of the umbilical cord attached to the baby is bleeding. You should:
Choose one answer.
A. cut the cord proximal to the first clamp and apply another clamp.
B. pinch the distal end of the cord with your finger and assess the baby.
C. cannulate the baby’s umbilical vein and infuse normal saline.
D. tie or clamp the cord proximal to the first clamp and reexamine it.

Answer 23

tie or clamp the cord proximal to the first clamp and reexamine it.

Question 24

An immature egg is called a(n):
Choose one answer.
	A. zygote. 	
	B. follicle. 	
	C. oocyte. 	
	D. ovum.

Answer 24

C. oocyte.

Question 25

Common signs of gestational diabetes include:
Choose one answer.
	A. polydipsia. 	
	B. confusion. 	
	C. tachycardia. 	
	D. diaphoresis.

Answer 25

A. polydipsia.

Question 26

Following delivery of a stillborn baby at 16 weeks, the mother presents with fever, abdominal tenderness, and a foul-smelling vaginal discharge. This clinical presentation is consistent with:
Choose one answer.
	A. a septic abortion. 	
	B. toxoplasmosis. 	
	C. bacterial vaginosis. 	
	D. trichomoniasis.

Answer 26

A.a septic abortion.

Question 27

Which of the following statements regarding the amniotic sac and fluid is correct?
Choose one answer.
A. The volume of amniotic fluid reaches about 500 mL by the end of pregnancy and nourishes the fetus.
B. In the latter stages of pregnancy, the fetus swallows amniotic fluid and passes wastes out into the fluid.
C. The amniotic sac is composed of a tough, fibrous membrane that generally does not rupture until birth.
D. Amniotic fluid serves no real physiologic purpose and the fetus could easily survive in utero without it.

Answer 27

B. In the latter stages of pregnancy, the fetus swallows amniotic fluid and passes wastes out into the fluid.

Question 28

During the proliferative phase:
Choose one answer.
A. the stratus functionalis of the endometrium is shed during menstruation when implantation of a fertilized egg does not occur.
B. the middle, muscular layer of the fallopian tube propels a fertilized egg toward the uterus where it implants on the uterine wall.
C. fertilization of the egg occurs in the distal third of the fallopian tube within 24 hours following ovulation.
D. estrogen stimulates the endometrium to increase in thickness in preparation for the reception and future growth of a fertilized egg.

Answer 28

estrogen stimulates the endometrium to increase in thickness in preparation for the reception and future growth of a fertilized egg.

Question 29

Marks: 1
Which of the following statements regarding abdominal trauma during pregnancy is correct?
Choose one answer.
A. Deceleration injuries often result in placenta previa.
B. Use of a lap belt increases the risk of uterine injury.
C. Uterine trauma is common during the first trimester.
D. The pubic bone protects the bladder in late pregnancy.

Answer 29

B.Use of a lap belt increases the risk of uterine injury.

Question 30

Human chorionic gonadotropin hormone sends signals to the corpus luteum, which in turn:
Choose one answer.
A. facilitates transition of the blastocyst into an embryo and causes further maturation of the placenta.
B. produces hormones designed to support the pregnancy until the placenta has developed.
C. produces cells that clump together and ultimately form the main tissues of the placenta.
D. causes the developing placenta to produce projections that tap into the external tissue of the blastocyst.

Answer 30

B.produces hormones designed to support the pregnancy until the placenta has developed.