Childbirth Flashcards

1
Q

The passageway from the womb to the vaginal opening is called the ____.
a. ovary
b. birth canal
c. fallopian tube
d. uterus

A

b. birth canal

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2
Q

What structure is attached to the uterus and provides the fetus with oxygen and nutrients?
a. Ovary
b. Womb
c. Placenta
d. Embryo

A

c. Placenta

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3
Q

As the baby’s head delivers, you should check around the neck for the structure that
connects the fetus to the mother. This structure is called the ____.
a. Placenta
b. umbilical cord
c. fallopian tube
d. birth canal

A

b. umbilical cord

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4
Q

The fluid-filled structure that protects the growing fetus is called the ____.
a. fallopian tube
b. Ovary
c. birth canal
d. amniotic sac

A

d. amniotic sac

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5
Q

Your partner assesses a pregnant patient and tells you crowning is present. What does this
mean?
a. The baby’s head is at the vaginal opening.
b. The amniotic sac has ruptured.
c. Contractions have started.
d. The placenta is delivering.

A

a. The baby’s head is at the vaginal opening.

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6
Q

You respond to a 22-year-old female who is 12 weeks pregnant and is having severe abdominal cramps. She is having vaginal bleeding and is passing clots of blood. You
suspect which of the following?

a. She is term and in labor.
b. She is having postpartum hemorrhage.
c. She has a placenta previa.
d. She is having a spontaneous abortion

A

d. She is having a spontaneous abortion

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7
Q

Your patient is a 30-year-old female who is pregnant. She is full term and is having intense contractions every 2 to 3 minutes. Her bag of waters has ruptured and the fluid is clear. The contractions last 60 to 90 seconds and she feels like pushing. This situation suggests which of the following?

a. False labor
b. Bloody show
c. Delivery is imminent.
d. She is having complications with her labor.

A

c. Delivery is imminent.

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8
Q

You should take all the following actions to prepare a patient for delivery EXCEPT ____.

a. visually inspect the vaginal area
b. insert a gloved hand into the vagina to check for baby positioning
c. protect the patient’s modesty by covering her with drapes
d. provide emotional support to the patient and the family

A

b. insert a gloved hand into the vagina to check for baby positioning

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9
Q

Which of the following should you do when you see the baby’s head crowning?

a. Place the palm of your hand on the baby’s head and exert gentle
pressure.
b. Have the mother push between contractions.
c. Observe the delivery and prepare to suction the baby.
d. Check around the neck for the cord.

A

a. Place the palm of your hand on the baby’s head and exert gentle

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10
Q

The baby has delivered. Which of the following actions should you take?

a. Check the cord for pulsation before clamping.
b. Keep the baby positioned above the level of the uterus.
c. Massage the mother’s uterus.
d. Encourage the mother to keep pushing until the placenta delivers.

A

a. Check the cord for pulsation before clamping.

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11
Q

You are helping to deliver a baby. The head delivers with this contraction, but the body does not. As per NY City Protocol, which of the following actions should you take once the infant’s head delivers?

a. Observe the baby until the next contraction.
b. Suction the mouth and nose.
c. Place your hand into the vaginal opening.
d. Wipe the nose and mouth, but do not suction.

A

b. Suction the mouth and nose.

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12
Q

Once the baby delivers, you should do which of the following?

a. Dry the baby and keep his or her head covered.
b. Complete a thorough assessment and then warm, dry, and stimulate the
baby.
c. Initiate CPR immediately if the baby is blue.
d. Check a radial pulse to evaluate circulation.

A

a. Dry the baby and keep his or her head covered.

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13
Q

If the baby does not breathe immediately on delivery, you should do which of the
following?

a. Start CPR.
b. Begin rescue breathing with a bag-valve-mask device.
c. Apply oxygen.
d. Rub the baby’s back and suction the baby.

A

d. Rub the baby’s back and suction the baby.

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14
Q

You have just assisted in the delivery of a term baby. The baby remains limp and blue. Her pulse is less than 60, respirations are 6. You have tried 30 seconds of rescue breathing with no improvement. What should you do next?

a. Start CPR.
b. Begin rescue breathing with a bag-valve-mask device.
c. Apply oxygen.
d. Rub the baby’s back and suction the baby

A

a. Start CPR.

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15
Q

The baby is delivering breech. Which of the following is false?

a. The baby is presenting buttocks first.
b. Do not pull on the baby to deliver the head.
c. You may need to create an airway for the baby while the head is still in the birth canal.
d. The head may not deliver

A

c. You may need to create an airway for the baby while the head is still in the birth canal

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