Deck 21: Childbirth and Related Emergencies

Question 1

Which of the following is not a function of the placenta?

A) to provide the fetus with nourishment
B) regulate blood glucose
C) to provide oxygen from the mother's blood
D) absorb fetal waste products

Answer 1

regulate blood glucose

Question 2

Which of the following stages of labor lasts the longest?

A) dilation
B) crowning
C) delivery
D) delivery of the placenta

Answer 2

dilation

Question 3

During which stage of labor does the mother experience an uncontrollable urge to push?

A) dilation
B) bloody show
C) delivery
D) delivery of the placenta

Answer 3

delivery

Question 4

The area of skin and muscle between the vagina and the anus is the:

A) cervix.
B) perineum.
C) bloody show.
D) genitalia.

Question 5

Which of the following signals the first stage of labor?

A) the presenting part
B) the bloody show
C) crowning
D) delivery of the placenta

Question 6

During which stage of labor does the cervix stretch and thin?

A) dilation
B) crowning
C) delivery
D) presenting part

Question 7

The opening into the uterus is called the:

A) symphysis pubis.
B) bladder.
C) cervix.
D) vagina.

Question 8

A miscarriage usually occurs before ________ weeks of pregnancy.

A) 20
B) 25
C) 30
D) 36

Question 9

Which of the following is not a sign of a miscarriage (spontaneous abortion)?

A) cramp-like abdominal pain
B) moderate to severe bleeding
C) crowning
D) passage of tissue

Question 10

A seizure during pregnancy often signals:

A) eclampsia.
B) an ectopic pregnancy.
C) a ruptured uterus.
D) miscarriage.

Question 11

A condition in which a normally positioned placenta prematurely separates from the uterine wall during the last 3 months of pregnancy is:

A) placenta previa.
B) ectopic pregnancy.
C) pre-eclampsia.
D) abruptio placenta.

Question 12

The leading cause of first trimester maternal deaths is:

A) pre-eclampsia.
B) ectopic pregnancy.
C) spontaneous abortion.
D) abruptio placenta.

Question 13

Which of the following statements about pre-eclampsia/eclampsia is not True?

A) Pre-eclampsia/eclampsia is a common condition affecting about 1 in 20 pregnant women.
B) Pre-eclampsia/eclampsia occurs most frequently in the first 3 months of pregnancy.
C) Pre-eclampsia/eclampsia is characterized by high blood pressure and swelling in the extremities.
D) Pre-eclampsia/eclampsia is most likely to affect women in their twenties who are pregnant for the first time.

Question 14

Which one of the following is a sign that distinguishes eclampsia?

A) high blood pressure
B) swelling
C) convulsions
D) visual disturbances

Question 15

Which one of the following is not a typical sign or symptom of a ruptured uterus?

A) nausea
B) constant and severe pain
C) a tearing sensation in the abdomen
D) excessive vaginal bleeding

Question 16

Which one of the following is not a cause for uterine rupture?

A) extended or forceful labor
B) many previous pregnancies
C) a weak uterine scar
D) eclampsia

Question 17

When transporting a woman in labor, which of the following should you not do?

A) keep her lying down
B) try to delay the delivery until you arrive at a hospital
C) have the woman bend her knees and spread her thighs to watch for crowning
D) place a folded blanket under the buttocks and lower back

Question 18

Delivery of the placenta usually occurs within ________ of the birth.

A) 10 minutes
B) seconds
C) 30 minutes
D) 1 hour

Question 19

It is normal for a woman to lose as much as ________ of blood after giving birth.

A) 1 cup
B) 2 cups
C) 4 cups
D) 5 cups

Question 20

If there is excessive vaginal bleeding following delivery of the placenta, you should:

A) pack the vagina.
B) place mother in the prone position.
C) massage the uterus.
D) No action is required as this is normal.

Question 21

Following delivery of the placenta, you should:

A) cut the cord.
B) place the placenta in a plastic bag and transport it to the hospital.
C) pack the birth canal with gauze.
D) leave "mom" alone, nothing is required.

Question 22

When tying or clamping the umbilical cord, how many clamps should you use?

A) 1 clamp
B) 2 clamps
C) 3 clamps
D) 4 clamps

Question 23

The first thing you should do to care for the newborn is to:

A) score the infant using the APGAR system.
B) repeat suctioning.
C) dry and warm the infant.
D) flick the soles of the infant's feet.

Question 24

If the infant's heart rate is less than 100 beats per minute, provide artificial ventilation at the rate of one breath every:

A) 3 seconds.
B) 1 to 1.5 seconds.
C) 5 seconds.
D) 8 seconds.

Question 25

Which of the following is common in breech births?

A) prolapse cord
B) excessive bleeding
C) usually there are twins
D) arm presentation

Question 26

Amniotic fluid that is greenish or brownish-yellow is a sign of:

A) prolapsed cord.
B) meconium passage.
C) a premature birth.
D) a breech birth.

Question 27

The most critical aspect of treatment for meconium passage is to:

A) suction the baby's nose and mouth.
B) alleviate pressure on the cord.
C) stimulate the infant to breathe.
D) start CPR.

Question 28

Which of the following is not True about premature babies?

A) They cannot tolerate losing even minute amounts of blood.
B) They have smaller heads in proportion to their bodies.
C) They will generally be thinner and smaller.
D) They are more susceptible to infection.

Question 29

Which answer is True regarding premature babies?

A) They require less resuscitation.
B) They have large amounts of cartilage in the outer ear.
C) They are more susceptible to respiratory infections.
D) They have deep creases in the soles of their feet.

Question 30

In a prolapsed cord, the best position for the mother is:

A) head down or buttocks raised.
B) on her left side.
C) lying flat on her back.
D) on her right side, head up.

Question 31

In multiple births, each infant will have his/her own ________ attached.

A) umbilical cord
B) placenta
C) uterus
D) birth canal

Question 32

Childbirth is a normal, natural process; in only a few situations do victims need to be transported rapidly.

Question 33

The placenta is a disk-shaped inner lining attached at one surface to the uterus and at the other to the birth canal.

Question 34

The expulsion of the mucous plug from the cervix is known as the bloody show.

Question 35

The first stage of labor may last as long as eighteen hours or more for a woman having her first baby.

Question 36

Bright lights and loud noises can trigger seizures in a pre-eclampsia/eclampsia victim.

Question 37

Pre-eclampsia/eclampsia affects approximately 1 in 10 pregnant women.

Question 38

As a general guideline for a mother that has had more than one pregnancy, you should try to transport her to the hospital if the amniotic sac has ruptured.

Question 39

When transporting a woman in labor, have the woman cross her legs to prevent the baby from being born before reaching the hospital.

Question 40

During delivery, apply gentle pressure to the perineum to reduce the risk of tearing.

Question 41

Vernix caseosa is the plastic-like sac of fluid in which the baby floats.

Question 42

When assisting with a delivery, have the woman take long, deep breaths during contractions and short, quick breaths between contractions.

Question 43

Meconium is the newborn's first feces, indicating fetal distress inside the amniotic sac.

Question 44

Meconium is bright red in color and poses no danger to the newborn.

Question 45

It is normal for a woman to lose up to 2 quarts of blood following delivery.

Question 46

With multiple birth deliveries, about 1/3 of the second twins have a breech presentation.

Question 47

Premature babies may weigh less than 5.5 pounds.

Question 48

You do not have to keep a premature infant warm after birth.

Question 49

A limb presentation means that one arm or one leg protrudes first from the birth canal.