Exam 8: Extra Practice, 34-37 Flashcards
A pregnant woman’s blood volume can increase by as much as___% and the heart rate can increase by ___%
50%, 20%
The first stage of labor ends when
the cervix is fully dilated
Name the two reasons why you might place a finger or hand inside the uterus
Maintaining airway for infant during breech presentation
Keeping fetus’ head away from prolapsed cord
Why do children display signs of shock more slowly, but go into shock more quickly?
they have less blood and less fat protecting organs
Name signs of shock in pediatric patients
tachycardia, poor CRT, AMS
An abnormal body temperature is described as
> =100.4
What is venous stasis?
Loss of proper function in vein legs that would normally carry blood to heart, which may result in deep vein thrombosis (blood clots in superficial veins)
The patient tells you that she is 38 weeks’ pregnant and her water broke when she was walking to the kitchen to get a drink. She
says that she began experiencing contractions shortly afterward. The onset of her labor began when the:
A. amniotic sac ruptured.
B. fetus entered the birth canal.
C. uterine contractions began.
D. woman had the urge to push
C
When your partner asks the patient about any complications related to this pregnancy, she tells her that she has been on reduced
activity for the past 7 weeks because she was diagnosed with preeclampsia. Preeclampsia is dangerous because:
A. the headache can be a sign of a stroke.
B. it causes swelling of the hands and feet.
C. the high blood pressure can hide signs of shock.
D. it can lead to eclampsia and seizures
D
The answer to which of the following questions will best help you determine whether delivery for this patient is imminent?
A. Have you had a previous complicated pregnancy?
B. Do you know if there is a chance of multiple deliveries?
C. Is this your first baby?
D. Do you use drugs or drink alcohol
C
The patient informs you that her amniotic fluid was green and she is concerned. The green color is caused by:
A. premature rupture of the membranes.
B. the presence of meconium.
C. prolonged gestation.
D. maternal infectio
B
As you deliver the head, you observe the umbilical cord is wrapped once around the neck. What should you do?
A. Ask the patient not to push, and prepare for immediate transport.
B. Clamp and cut the cord, and remove the cord from around the neck.
C. Pull on the cord to speed the delivery.
D. Try to slip the cord gently over the head
D
Once an appropriate respiratory effort is present in the newborn after delivery, what is the next most important measure in
determining the newborn’s need for resuscitation?
A. Heart rate
B. Blood pressure
C. Pulse oximetry
D. Apgar score
A
Once an appropriate respiratory effort is present in the newborn after delivery, what is the next most important measure in
determining the newborn’s need for resuscitation?
A. Heart rate
B. Blood pressure
C. Pulse oximetry
D. Apgar score
A
You and your partner are called to an elementary school for an 8-year-old boy with an altered mental status. On arrival, you find the
child lying supine on the cafeteria floor. A teacher is waiting with the patient and the scene is safe. The teacher states that the child
finished his lunch and began “shaking” in his chair, at which point the teacher moved him to the floor.
Your general impression provides the following information: there are no obvious life threats, he is alert, his work of breathing is
unlabored, his skin color is pink. Your assessment reveals his airway is open and clear, his respiratory rate is 20 breaths/min, and his
pulse rate is 90 beats/min. The child is responsive to verbal stimuli and is confused as to what happened and where he is. You do not
see any injuries or skin rashes.
1. Which of the following would be the LEAST likely cause of the patient’s altered mental status?
A. Hypoglycemia
B. Drug ingestion
C. Hypoxia
D. Head injury
D
