Chapter 34 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:
- elevate her legs to improve brain perfusion and keep her warm.
- administer oral glucose for presumed hypoglycemia and transport.
- insert an oral airway and ventilate her with a bag-valve mask.
- place her on her side, administer high-flow oxygen, and transport.
place her on her side, administer high-flow oxygen, and transport.
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.
- position her supine and elevate her legs 12 inches.
- carefully place sterile gauze into her vagina.
- ventilate her with a bag-mask device.
place her in a left lateral recumbent position.
Abruptio placenta occurs when:
- the placenta prematurely separates from the uterine wall.
- a tear in the placenta causes severe internal hemorrhage.
- the placenta affixes itself to the outer layer of the uterus.
- the placenta develops over and covers the cervical opening.
the placenta prematurely separates from the uterine wall.
After a baby is born, it is important to:
- ensure that it is thoroughly dried and warmed.
- position it so that its head is higher than its body.
- cool the infant to stimulate effective breathing.
- immediately clamp and cut the umbilical cord.
ensure that it is thoroughly dried and warmed.
After delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should:
- begin full resuscitation and transport.
- report the case to the medical examiner.
- provide emotional support to the mother.
- dry the infant off to stimulate breathing.
provide emotional support to the mother.
After 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:
- breastfeeding causes uterine blood vessels to dilate.
- a portion of the placenta was retained in the uterus.
- uterine massage increases blood flow to the uterus.
- the production of oxytocin caused uterine contraction.
the production of oxytocin caused uterine contraction.
After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:
- mid-back pain.
- a bloated feeling.
- an urge to push.
- easier breathing.
easier breathing.
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
- 4 hours.
- 8 hours.
- 10 hours.
- 16 hours.
16 hours.
An abortion occurs when the fetus and placenta deliver before:
- 20 weeks.
- 24 weeks.
- 26 weeks.
- 28 weeks.
20 weeks.
A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.
- 3 to 5
- 5 to 10
- 15 to 30
- 30 to 60
15 to 30
An infant is premature if it:
- is born before 38 weeks’ gestation or weighs less than 6 pounds.
- weighs less than 5.5 pounds or is born before 37 weeks’ gestation.
- is born before 40 weeks’ gestation or weighs less than 7 pounds.
- weighs less than 5 pounds or is born before 36 weeks’ gestation.
weighs less than 5 pounds or is born before 36 weeks’ gestation.
A nuchal cord is defined as an umbilical cord that:
- has separated from the placenta.
- is wrapped around the baby’s neck.
- is lacerated due to a traumatic delivery.
- has abnormally developed blood vessels.
is wrapped around the baby’s neck.
Braxton-Hicks contractions are characterized by:
- regular contractions of progressively increasing intensity.
- alleviation of pain with movement or changing positions.
- pink or red bloody show in conjunction with the contractions.
- a rupture of the amniotic sac just before the contractions begin.
alleviation of pain with movement or changing positions.
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother’s:
- belly button.
- pubic bone.
- xiphoid process.
- superior diaphragm.
belly button.
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except:
- suctioning of the upper airway.
- thorough drying with a towel.
- positive-pressure ventilations.
- some form of tactile stimulation.
positive-pressure ventilations.
