Chapter 33 Quiz Flashcards
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:
A. place her on her side, administer high-flow oxygen, and transport.
B. administer oral glucose for presumed hypoglycemia and transport.
C. elevate her legs to improve brain perfusion and keep her warm.
D. insert an oral airway and ventilate her with a bag-valve mask.
A. place her on her side, administer high-flow oxygen, and transport.
Chapter 33, page 1187, Complications of Pregnancy
The presence of meconium in the amniotic fluid indicates:
A. that the baby’s airway may be obstructed.
B. that the fetus is at least 4 weeks premature.
C. an expected finding in full-term infants.
D. that full newborn resuscitation will be needed.
A. that the baby’s airway may be obstructed.
Chapter 33, page 1192, Patient Assessment
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:
A. insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome.
B. inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management.
C. call for the police to ensure that patient assessment is carried out.
D. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.
D. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.
Chapter 33, page 1190, Cultural Value Considerations
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
A. pregnancy causes vasodilation and a lower blood pressure.
B. blood is shunted to the uterus and fetus during major trauma.
C. pregnant patients have an overall increase in blood volume.
D. pregnant patients can dramatically increase their heart rate.
C. pregnant patients have an overall increase in blood volume.
Chapter 33, page 1189, Special Considerations for Trauma and Pregnancy
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
A. thorough drying with a towel.
B. suctioning of the upper airway.
C. some form of tactile stimulation.
D. positive-pressure ventilations.
D. positive-pressure ventilations.
Chapter 33, page 1202, Neonatal Assessment and Resuscitation
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:
A. place her legs together and position her on her left side.
B. carefully insert a sterile trauma dressing into her vagina.
C. firmly massage the uterine fundus with a circular motion.
D. elevate her legs 6 to 8 inches and cover her with a blanket.
C. firmly massage the uterine fundus with a circular motion.
Chapter 33, page 1202, Normal Delivery Management
A nuchal cord is defined as an umbilical cord that:
A. is wrapped around the baby’s neck.
B. has separated from the placenta.
C. is lacerated due to a traumatic delivery.
D. has abnormally developed blood vessels.
A. is wrapped around the baby’s neck.
Chapter 33, page 1200, Normal Delivery Management
Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
A. “When are you due?”
B. “Do you feel the need to push?”
C. “Is this your first baby?”
D. “Have you had a sonogram?”
D. “Have you had a sonogram?”
Chapter 33, page 1195, Normal Delivery Management
When determining the frequency of contractions, you should time the contractions from the:
A. end of one to the start of the next.
B. start of one to the start of the next.
C. start of one to the end of the next.
D. end of one to the end of the next.
B. start of one to the start of the next.
Chapter 33, page 1197, Normal Delivery Management
If a baby is born at 7:52, the second Apgar score should be calculated at:
A. 7:59.
B. 7:53.
C. 7:57.
D. 8:00.
C. 7:57.
Chapter 33, page 1205, Neonatal Assessment and Resuscitation
