Deck 3: Pregnancy

Question 1

The third stage of labor involves

A)complete dilation of the cervix.
B)pushing the baby down the birth canal.
C)the crowning of the baby's head.
D)delivering the placenta.

Answer 1

D

Question 2

Which of the following is NOT true about childbirth?

A)Walking and movement during childbirth can shorten the labor.
B)The presence of a supportive birth attendant during labor can result in the requirement of less medical intervention.
C)Patterned breathing and relaxation can reduce a woman's perception of pain.
D)Use of medication during labor and delivery is always a safe option.

Answer 2

D

Question 3

Lack of folic acid can lead to

A)low birth weight.
B)neural tube defects.
C)heart abnormalities.
D)Down syndrome.

Answer 3

B

Question 4

37-41 weeks is

A)the recommended minimum length of time to wait after a delivery before conceiving another child.
B)the average length of time couples attempt to conceive a child.
C)when the fetus is ready for life outside the uterine environment.
D)the period of the fetus.

Question 5

The purpose of the placenta is

A)to pass oxygen and nutrients from the mother to the fetus.
B)to filter out impurities before they reach the fetus.
C)to guide the progress of the fetus's development.
D)to provide physical cushioning for the developing fetus.

Question 6

Pica is defined as

A)the inability to gain weight during pregnancy.
B)nausea that persists through the entire gestation.
C)the ingestion of nonfood substances.
D)a complication of the TORCH complex.

Question 7

Thalidomide, a mild tranquilizer sold over the counter in the 1960s to alleviate symptoms of morning sickness, is an example of

A)a barbiturate.
B)a teratogen.
C)a safe medication to use during pregnancy.
D)a carcinogen.

Question 8

At the end of the second week after fertilization (fourth week of gestation)when the fertilized ovum implants in the uterine lining, the fertilized ovum becomes

A)an embryo.
B)a zygote.
C)a fetus.
D)a blastula.

Question 9

Based on age, which of the following is the optimum age for pregnancy?

A)40
B)33
C)17
D)16

Question 10

One of the side effects of the transmission of syphilis to the fetus in utero is

A)brain damage.
B)low birth weight.
C)above average birth weight.
D)Rh incompatibility.

Question 11

Which of the following statements is FALSE concerning the effects of illegal drugs on prenatal development?

A)Infants born to addicted mothers can also be addicted.
B)Illicit drug use during pregnancy can increase the risk of miscarriage.
C)Illegal drug use can increase the risk of low birth weight.
D)Illegal drug use results in developmental disabilities and birth defects.

Question 12

The baby who receives an Apgar score of 5 will most likely

A)die.
B)require resuscitation.
C)require medical intervention.
D)leave the hospital that day.

Question 13

The following is true regarding midwife-assisted deliveries EXCEPT

A)there has been a marked increase in the use of midwives in the US in the past 40 years.
B)80% of the world's babies are born with midwives.
C)midwives are dangerous for the infant and the mother.
D)midwives are associated with more positive outcomes for infant and maternal health.

Question 14

During the last 2 months of gestation, what is a key aspect of the fetus's development?

A)Rapid weight gain
B)Grasp reflex development
C)Rapid head growth
D)Completed formation of eyes and eyelids

Question 15

Perinatal transmission is one of the most frequent modes for transmitting

A)toxoplasmosis.
B)gonorrhea.
C)HIV.
D)syphilis.

Question 16

Rh incompatibility occurs when

A)a mother's partner and the baby are both Rh negative.
B)a mother is Rh positive and her partner is Rh negative.
C)a mother is Rh negative and her partner is Rh positive.
D)a mother and her partner are both Rh negative, but the baby is Rh positive.

Question 17

Which of the following is NOT a serious complication of pregnancy?

A)Gestational diabetes
B)Vaginal bleeding
C)Eclampsia
D)Nausea

Question 18

The Apgar test helps determine

A)the length of time expected for labor.
B)the maturity of the infant's lungs.
C)the general condition of the newborn immediately after birth.
D)the expected size of the infant at birth.

Question 19

37 weeks 0 days to 38 weeks 6 days gestation is considered

A)premature.
B)early term.
C)full term.
D)late term.

Question 20

Use of which of the following substances leads to the most preventable cause of irreversible developmental disabilities in the Western world?

A)Heroin
B)Crack cocaine
C)Alcohol
D)Cigarettes

Question 21

Which of the following statements is TRUE about smoking during pregnancy?

A)It can lead to birth defects.
B)It decreases the level of carbon monoxide in a pregnant woman's blood.
C)It doubles the risk of developmental disabilities.
D)It increases the risk of physical birth defects.

Question 22

Which of the following is TRUE of a Small for Gestational Age (SGA)infant?

A)Its weight falls below the 25th percentile of the normal weight of an infant in that particular stage of development.
B)The infant has a low birth weight because it is born too early.
C)The infant is born small because of prenatal deprivation of some sort that affected its growth and development.
D)The outlook for long-term growth improvement is poor.

Question 23

The following is true about cesarean births EXCEPT

A)they are not a viable lifesaving solution to a birth complication.
B)they increase the mother's risk of pain, trauma, and maternal mortality.
C)they are increasingly common in the United States.
D)1/3 of babies are born this way in the United States.

Question 24

Newborns CANNOT

A)recognize their mother's voice.
B)discriminate tastes.
C)imitate facial expressions.
D)focus on objects 24 inches away.

Question 25

Healthy Families Arizona  is a home visitation program that

A)attempts to reduce each family's stress level.
B)provides practical assistance for obtaining food, diapers, and housing.
C)strengthens family functioning.
D)starts with birth and ends at 3 years of age.

Question 26

Which of the following statements is TRUE of a baby who has an opening in the spinal column through which part of the spinal cord bulges?

A)The baby has spina bifida.
B)The baby's defect can be easily repaired.
C)The baby has cerebral palsy.
D)The baby has a chromosomal abnormality.

Question 27

It is important for parents of a disabled infant to

A)be happy that they had a baby who survived.
B)feel guilty because they didn't wish for a "health baby."
C)have an adequate social support network.
D)quickly progress through the phases of grief, shock, and denial.

Question 28

When the bottom of a baby's foot is stroked, the baby will fan out the toes of the foot, exhibiting

A)ankle clonus.
B)the Babinski reflex.
C)the Moro reflex.
D)plantar grasp.

Question 29

Which of the following is NOT a physical characteristic of a child with fetal alcohol syndrome?

A)Poorly developed philtrum
B)Flattened midfacial area
C)Enlarged head
D)Thin upper lip

Question 30

Which of the following behaviors is NOT assessed by the Brazelton Neonatal Assessment Scale?

A)Degree of alertness
B)Irritability
C)Amount of startles
D)Ability to fall asleep without intervention

Question 31

The Brazelton Neonatal Assessment Scale is used to assess the fetus's

A)potential IQ.
B)personality.
C)responsiveness to environmental stimulation.
D)taste preferences.

Question 32

The following statements are true about Babywearing EXCEPT

A)it promotes increased feelings of closeness and responsiveness between caregivers and their child.
B)it increases caregivers' ability to accomplish daily tasks such as housework.
C)it is associated with decreased feelings of caregiver isolation.
D)it is a new practice that is primarily done in the United States.

Question 33

It is important for parents of an infant being cared for in the neonatal intensive care unit to

A)spend time interacting with their infant.
B)avoid touching their infant because of the risk of injury.
C)only interact with their infant through a protective plastic barrier.
D)visit with their infant only for brief periods of time.

Question 34

Which of the following is a result of high maternal depression during pregnancy?

A)Slowed growth
B)Lower vagal tone
C)Small head circumference
D)Spontaneous abortion

Question 35

Which of the following statements is FALSE concerning postnatal bonding?

A)Bonding is an ongoing process between infants and caregivers.
B)There are opportunities for attachment formation beyond the immediate postnatal period.
C)The immediate postpartum period is the only opportunity for mothers to bond with their infants.
D)Women who adopt babies have opportunities for attachment and bonding with their infants.

Question 36

Lack of oxygen to the brain during birth can result in

A)anencephaly.
B)cerebral palsy.
C)Down syndrome.
D)phenylketonuria.

Question 37

Which of the following problems is NOT associated with prematurity?

A)Respiratory distress syndrome
B)Weak sucking reflex
C)Jaundice
D)Hydrocephalus

Question 38

Which of the following is NOT a result of high maternal stress during pregnancy?

A)Premature birth
B)Low infant birth weight
C)Birth defects
D)Reduced oxygen and nutrient flow to the fetus

Question 39

Most Small for Gestational Age (SGA)infants

A)remain behind the normal growth curve through adolescence.
B)catch up in their growth in the first three months and tend to follow normal growth curves by 1 year of age.
C)catch up in their growth within one year and then fall behind the normal growth curve again.
D)overcompensate in growth and speed past the normal growth curve within one year.

Question 40

Following the birth of their child, ________ of women will experience debilitating symptoms of anxiety, insomnia, anorexic behavior, feelings of inadequacy and worthlessness, guilt, emotional disconnect from their child, and difficulty with self-care.

A)5-10%
B)10-15%
C)15-20%
D)20-25%

Question 41

Infant mortality rates are highest in states that have

A)higher rates of obesity.
B)poor access to health care.
C)poor literacy rates.
D)higher teen birth rates.

Question 42

Social risk factors in pregnancy that can have a negative effect on development include

A)a large family.
B)a lack of maternal education.
C)unemployment.
D)the prenatal environment.

Question 43

Domestic violence is a risk factor for both a pregnant woman and her fetus. All of the following are complications of physical abuse of a woman during pregnancy EXCEPT

A)increased risk of miscarriage.
B)preterm labor.
C)congenital defects.
D)low birth weight.

Question 44

All of the following are results of early intervention programs with families EXCEPT

A)improvement of cognitive development.
B)reduction in delinquent behavior.
C)improved social adjustment.
D)decrease in sexually transmitted diseases.

Question 45

In the United States, infant mortality rates are lowest among

A)Whites.
B)Hispanics.
C)Blacks.
D)Asians.