Exam 2: Obstetrics

A 30-year-old woman complains of swelling in both of her legs. She is 32 weeks pregnant, and states that she has also developed varicose veins over the past few weeks. Which of the following BEST explains the cause of this patient's signs and symptoms?

A 24-year-old pregnant woman is actively seizing. Her partner reports that she complained of abdominal pain approximately 10 minutes ago, and then began seizing. He reports that the seizure activity has been consistent for the past 10 minutes, and that she has no significant medical history. You should:

You are assisting a mother with an out-of-hospital delivery. After the head delivers, it immediately retracts back into the perineum. You should:

You are caring for a 19-year-old woman who states that she is 32 weeks pregnant. She is experiencing cramping abdominal pain every six to seven minutes and reports a brief period of fluid discharge from her vagina approximately 15 minutes ago. You should:

A newborn is listless and has a heart rate of 50 beats per minute after 30 seconds of stimulation. You should FIRST:

During which period of development is the fetus most susceptible to damage from maternal exposure to toxins, such as alcohol and tobacco?

When assessing the vital signs of a pregnant patient, it is generally most appropriate to have the patient in which position?

You are caring for a woman in labor. She has had three previous deliveries and states that her contractions are approximately 3 minutes apart. Physical exam reveals a bulging of tissue at the vaginal opening with each contraction; however, the baby's head is not yet visible. You should:

A newborn has just been delivered. He is centrally pink with pale extremities, has a heart rate of 110, and is actively crying and moving. The appropriate APGAR score for this infant is:

The medically appropriate term for the projected birth date of a baby is:

Just before an infant is delivered, the fetal scalp can be seen at the vaginal opening during each contraction. This is referred to as:

A 21-year-old woman is complaining of abdominal pain. She says she is 25 weeks pregnant and has been actively trying to stop using methamphetamines, but slipped and used earlier today. Her abdominal pain comes every 8 to 10 minutes and is described as sharp and cramping. You suspect:

Which structure allows oxygenated maternal blood to bypass the uninflated lungs of the developing fetus?

A 38-year-old pregnant woman called 911 after she developed a "splitting headache" unrelieved by over-the-counter analgesics. She states that she has a previous diagnosis of diabetes that is typically well controlled with insulin injections. This patient's history of diabetes makes her more likely to develop which of the following pregnancy-related conditions?

A 37-year-old, obviously pregnant woman complains of sharp, tearing abdominal pain. She reports that she is pregnant with her fifth child, but states she cannot remember the exact due date. The patient has a history of drug use and states that she last smoked crack cocaine approximately 30 minutes ago. You suspect:

The second stage of labor begins:

The term "puerperium" refers to:

A woman late in her pregnancy is in cardiac arrest. When resuscitating this patient, it is appropriate to:

During delivery, you notice a yellowish-green fluid on the baby's head and face. You recognize:

A 27-year-old pregnant woman was the restrained driver of a vehicle that hit the guardrail at a high rate of speed. She sustained a large laceration to the upper thigh and has lost a significant amount of blood. Vital signs are: heart rate 102, blood pressure 118/78 mmHg, respirations 18, and her skin is pale and clammy. Which of the following BEST explains this patient's presentation?