quiz 3 Flashcards
In a primiparous woman, the usual duration of the first stage of labor is:
Select one:
a. 10-60 minutes
b. 10 hours
c. 4 hours
d. 6 hours
b. 10 hours
You are dispatched to care for an 7 months pregnant non-trauma patient complaining of fever, nausea, vomiting and back pain. She has a HR of 128; RR of 32, BP: 138/88. She is alert, oriented, and in moderate distress (7/10). Her temperature is 101.2. She has an oxygen saturation of 95 percent. Which of the following is most likely to explain this patient’s symptoms?
Select one:
a. Pre-eclampsia
b. eclampsia
c. GERD
d. pyelonephritis
d. pyelonephritis
A multiparous woman who is in labor has the umbilical cord precede the infant’s head’s passage through the vagina. This is:
Select one:
a. life-threatening for both mother and fetus
b. life-threatening for the infant
c. life-threatening for the mother
d. not life-threatening for either the mother or infant
b. life-threatening for the infant
The obstetric term for a “head first” delivery is referred to as:
Select one:
a. vertex presentation
b. ROP position
c. LOP position
d. FOP position
a. vertex presentation
A primiparous woman who is at the middle of her first stage of labor her cervical dilatation is closest to which description below:
Select one:
a. 1 cm
b. 3 cm
c. 5 cm
d. 6 cm
c. 5 cm
This drug has both antiepileptic and antihypertensive properties. It will control seizure activity and lower blood pressure in the eclamptic patient:
Select one:
a. Epi 1:1
b. magnesium sulfate
c. versed
d. valium
b. magnesium sulfate
The obstetric term for a “buttocks first” delivery is referred to as:
Select one:
a. frank breech presentation
b. breech
c. leg first
d. head first
a. frank breech presentation
Which of the following is NOT associated with shoulder dystocia :
Select one:
a. brachial plexis palsy
b. Pierre Robin’s Palsy
c. acidosis
d. hypoxia
b. Pierre Robin’s Palsy
The usual duration of a third stage of labor is:
Select one:
a. 10-15 minutes
b. 50 -60 minutes
c. 5 - 20 minutes
d. 2 hours
c. 5-20
you are caring for an 8 1/2 months pregnant patient with what appears to be a sprained ankle. While in route to the hospital, she is complaining of dizziness and weakness. She is afebrile; she has a HR of 98; RR of 28, appears alert and oriented, and has an O2 SAT of 95%. This most likely explains this patient’s symptoms
Select one:
a. eclampsia
b. supine hypotension
c. low BGL
d. high BGL
b. supine hypotension
A uterus fundal height to the level just above the pubis would be closest to which of the following gestation ages
Select one:
a. 18 weeks
b. 20 weeks
c. 12 weeks
d. 22 weeks
c. 12 weeks
What is the MOST dangerous cause of first trimester bleeding
Select one:
a. ectopic pregnancy
b. trauma
c. placenta previa
d. abruptio placentae
a. ectopic pregnancy
In the obstetric history, the term for a woman who has had no previous delivery is
Select one:
a. primigravida
b. nullipara
c. multipara
d. primipara
b. nullipara
in the obstetric history, the term for a woman who has had multiple deliveries
Select one:
a. primigravida
b. nullipara
c. multipara
d. grand multipara
c. multipara
This drug has both antiepileptic and antihypertensive properties which may control seizure activity and lower BP in the eclamptic patient
Select one:
a. epinephrine
b. lebetalol
c. magnesium sulfate
d. dexamethasone
c. magnesium sulfate
What is the correct dose of Magnesium Sulfate for the eclamptic patient?
Select one:
a. 4mg
b. 0.4mg
c. 4gm
d. 0.4gm
c. 4gm
What is the dose lebetalol for the severe pre-eclamptic patient?
Select one:
a. 5mg-10mg
b. 10mg-20mg
c. 15mg-30mg
d. 20mg-80mg
d. 20mg-80mg
You are treating a term pregnant female patient with severe RUQ pain and delirium. Her BP is 178/126. Her DTRs are 4+ just after she is given MgSO4gm IV you notice bleeding gums and petechial-red spots. Several therapies will be appropriate in the ED or L+D, but for now (ETA 18 minutes) which would be indicated
Select one:
a. dexamethasone 10mg IV
b. solumedrol 125mg
c. lebetalol 20mg
d. valium 20mg
a. dexamethasone 10mg IV
You are dispatched to care for a 9 month pregnant, female whose family reports confusion and epigastric pain. She has a HR of 112; RR of 24. She is disoriented, agitated, and slightly combative. Explain this patient’s symptoms
Select one:
a. severe preeclampsia
b. supine hypotension
c. eclampsia
d. HELLP Syndrome
a. severe preeclampsia
A uterus fundal height to the level of the ziphoid would be closest to
Select one:
a. 33 weeks
b. 36 weeks
c. 37 weeks
d. 38 weeks
b. 36 weeks
