quiz 3

Question 1

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

Answer 1

b. 10 hours

Question 2

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

Answer 2

d. pyelonephritis

Question 3

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

Answer 3

b. life-threatening for the infant

Question 4

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

Answer 4

a. vertex presentation

Question 5

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

Answer 5

c. 5 cm

Question 6

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

Answer 6

b. magnesium sulfate

Question 7

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

Answer 7

a. frank breech presentation

Question 8

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

Answer 8

b. Pierre Robin’s Palsy

Question 9

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

Answer 9

c. 5-20

Question 10

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

Answer 10

b. supine hypotension

Question 11

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

Answer 11

c. 12 weeks

Question 12

What is the MOST dangerous cause of first trimester bleeding

Select one:

a. ectopic pregnancy
b. trauma
c. placenta previa
d. abruptio placentae

Answer 12

a. ectopic pregnancy

Question 13

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

Answer 13

b. nullipara

Question 14

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

Answer 14

c. multipara

Question 15

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

Answer 15

c. magnesium sulfate

Question 16

What is the correct dose of Magnesium Sulfate for the eclamptic patient?

Select one:

a. 4mg
b. 0.4mg
c. 4gm
d. 0.4gm

Answer 16

c. 4gm

Question 17

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

Answer 17

d. 20mg-80mg

Question 18

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

Answer 18

a. dexamethasone 10mg IV

Question 19

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

Answer 19

a. severe preeclampsia

Question 20

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

Answer 20

b. 36 weeks