Chapter 31 - Obstetrics & Neonatal Care

Question 1

An abortion occurs when the fetus and placenta deliver before:
Select one:
A. 28 weeks.
B. 24 weeks.
C. 20 weeks.
D. 26 weeks.

Answer 1

C. 20 weeks.

Question 2

Braxton-Hicks contractions are characterized by:
Select one:
A. pink or red bloody show in conjunction with the contractions.
B. alleviation of pain with movement or changing positions.
C. regular contractions of progressively increasing intensity.
D. a rupture of the amniotic sac just before the contractions begin.

Answer 2

B. alleviation of pain with movement or changing positions.

Question 3

During delivery of the baby’s head, you should suction the mouth before the nose because:
Select one:
A. it is easier to suction larger volumes of fluid from the baby’s oropharynx.
B. suctioning the nose first may cause the baby to gasp and aspirate fluid.
C. babies are primarily mouth breathers and do not breathe through their nose.
D. the mucosa of the nose is fragile and is easily damaged by vigorous suctioning.

Answer 3

B. suctioning the nose first may cause the baby to gasp and aspirate fluid.

Question 4

During delivery, it is MOST important to position your partner at the mother’s head because:
Select one:
A. she may need emotional support during the delivery.
B. the mother may become nauseated and vomit.
C. mothers often need assisted ventilation during delivery.
D. the mother needs to be apprised of the situation.

Answer 4

B. the mother may become nauseated and vomit.

Question 5

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:
Select one:
A. carefully insert a sterile trauma dressing into her vagina.
B. firmly massage the uterine fundus with a circular motion.
C. elevate her legs 6² to 8² and cover her with a blanket.
D. place her legs together and position her on her left side.

Answer 5

B. firmly massage the uterine fundus with a circular motion.

Question 6

If a newborn's heart rate is less than 60 beats/min following delivery, you should:
Select one:
A. resuction the mouth only.
B. flick the soles of its feet.
C. begin chest compressions.
D. provide ventilations for 30 seconds.

Answer 6

D. provide ventilations for 30 seconds.

Question 7

Most medical models base a pregnant woman’s due date:
Select one:
A. on the last day of her last menstrual cycle.
B. two weeks after her last menstrual cycle.
C. two weeks before her last menstrual cycle.
D. on the first day of her last menstrual cycle.

Answer 7

D. on the first day of her last menstrual cycle.

Question 8

The onset of labor begins with:
Select one:
A. contractions of the uterus.
B. thinning of the uterus.
C. increased fetal movement.
D. full dilation of the cervix.

Answer 8

A. contractions of the uterus.

Question 9

The presence of thick meconium in the amniotic fluid indicates:
Select one:
A. an expected finding in full-term infants.
B. that the fetus is at least 4 weeks premature.
C. that the baby’s airway may be obstructed.
D. that full newborn resuscitation will be needed.

Answer 9

C. that the baby’s airway may be obstructed.

Question 10

The term “bloody show” is defined as:
Select one:
A. mild vaginal bleeding that occurs within the first 30 minutes after the onset of the second stage of the labor process.
B. any volume of blood that is expelled from the vagina after the amniotic sac has ruptured and contractions have begun.
C. the normal amount of vaginal bleeding that occurs within the first 24 hours following delivery of the baby and placenta.
D. the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.

Answer 10

D. the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.