Deck 42: Obstetrics

Question 1

In this picture, the arrow is pointing to the

A) vaginal orifice.
B) labia minora.
C) clitoris.
D) labia majora.

Answer 1

labia majora.

Question 2

In this picture, the arrow is pointing to the

A) vestibule.
B) urethal opening.
C) clitoris.
D) labia minora.

Answer 2

vestibule.

Question 3

From the 3rd to the 8th week of gestation, the developing structure is called a(n)

A) zygote.
B) fetus.
C) blastocyst.
D) embryo.

Answer 3

embryo.

Question 4

Which of the following is the area between the vaginal opening and anus that is commonly torn during childbirth?

A) Clitoris
B) Perineum
C) Cervix
D) Vestibule

Question 5

In the picture, which day is the arrow pointing to when the egg implants in the wall of the uterus?

A) Day 9
B) Day 3
C) Day 5
D) Day 7

Question 6

The larger black arrow in the right quadrant of the photo below is pointing to which part of the fetal portion of the placenta?

A) Umbilical artery
B) Umbilical venule
C) Chorionic villus
D) Fetal capillaries

Question 7

In stage 2 of labor, contractions typically occur every

A) 8 to 10 minutes.
B) 6 to 7 minutes.
C) 4 to 5 minutes.
D) 2 to 3 minutes.

Question 8

The placenta usually delivers within ________ minutes of the infant's birth.

A) 10 to 15
B) 30 to 45
C) 15 to 30
D) 5 to 10

Question 9

During the first 6 months of pregnancy, the mother's systolic blood pressure may drop by ________ mm Hg.

A) 1 to 5
B) 15 to 20
C) 10 to 15
D) 5 to 10

Question 10

Your pregnant patient is having contractions every 5 minutes and they last 45 seconds. While you are doing your assessment, her amniotic sac breaks. You should

A) reassess the length and frequency of her contractions.
B) prepare to deliver the baby on the scene.
C) transport her to the hospital.
D) let her husband transport her to the hospital.

Question 11

You are delivering a baby's head and find that a loop of the cord is wrapped around the neck once. You should

A) unwrap it by gently slipping it around the head.
B) place 2 clamps 3 inches apart and cut between them.
C) suction the baby's mouth and nose.
D) deliver the rest of the baby and then unwrap the cord.

Question 12

You have delivered a baby on the scene. The mother's perineum tore and continues to bleed. You should

A) transport the patient emergently.
B) place a sterile dressing against the tear and instruct the patient to apply pressure.
C) perform a uterine massage.
D) administer oxygen to the mother by nasal cannula at 5 L/min.

Question 13

How should you suction a baby's airway after the head has been delivered?

A) Suction the mouth for 3 to 5 seconds per attempt.
B) Gently suction the mouth once and then the nose.
C) Gently suction the back of the throat.
D) Suction the nose then the mouth for 15 seconds.

Question 14

In which of the following cultures does a new mother traditionally avoid exposure to the cold, going outdoors, taking a shower or bath, and exercising for 30 days after the delivery of a baby?

A) Mexican American
B) Chinese American
C) Native American
D) Arab American

Question 15

You are assisting in a delivery and your patient is accompanied by her mother while her husband remains outside the room. Throughout labor, the patient does not complain or show signs of distress. She is most likely from which of the following cultures?

A) Native American
B) Mexican American
C) African American
D) Arab American

Question 16

You are assisting a Mexican American woman deliver her baby at home. During the pushing stage of labor she screams loudly. You should

A) assume that she is exaggerating her level of pain.
B) instruct her to stop pushing and reassess.
C) ask the patient if she is okay.
D) reassure her that she is almost finished.

Question 17

A premature infant is one weighing less than 5.5 pounds before the ________ week of gestation.

A) 35th
B) 38th
C) 37th
D) 36th

Question 18

You are assisting a woman in labor. Your patient is very quiet, follows your instructions, but does not ask any questions. Her husband does not leave her side, answers questions directed at his wife, and is acting hostile toward you. You should suspect

A) They may be from a culture in which females are submissive.
B) They may be involved in an abusive relationship.
C) He has a strong personality that likes to have control over situations.
D) This is their first child and he is very nervous about delivery.

Question 19

Use of which of the following during pregnancy can cause the unborn baby to have a stroke and can lead to irreversible brain damage?

A) Alcohol
B) Heroin
C) Cocaine
D) Methamphetamine

Question 20

Your pregnant patient reports that she feels faint and has severe pain between her shoulder blades. She is hypotensive, has cool and clammy skin, but no bleeding is evident. You should suspect

A) a spontaneous abortion.
B) placenta previa.
C) an ectopic pregnancy.
D) a ruptured uterus.

Question 21

Your pregnant patient had sudden, bright red vaginal bleeding. She has no abdominal pain or cramping, has cool, clammy skin and an increased heart rate, and tells you that she can still feel the baby moving. She likely has

A) placenta previa
B) an ectopic pregnancy
C) abrupic placentae
D) a uterine rupture

Question 22

Your second trimester pregnant patient was the restrained passenger involved in a motor vehicle collision at highway speeds. She has slight vaginal bleeding with pain, rigidity and tenderness to her abdomen. You should suspect

A) abruptio placentae.
B) placenta previa.
C) ectopic pregnancy.
D) uterine rupture.

Question 23

Your 40 year old pregnant patient complains of blurred vision, nausea, and a severe headache. During your assessment, you find pain in the upper right quadrant of her abdomen. She is currently breathing adequately. Which of the following should you do?

A) Provide positive-pressure ventilation with 100% oxygen.
B) Keep her calm and position her on her right side.
C) Apply oxygen via non-rebreather mask at 15 L/min.
D) Transport her immediately with your lights flashing and siren on.

Question 24

Precipitous labor lasts less than ________ hours from the start of contractions to delivery.

A) 4
B) 2
C) 6
D) 3

Question 25

Your patient has just delivered a baby and has had a postpartum hemorrhage while still on the scene. You should

A) deliver the placenta quickly by gently pulling on the umbilical cord until the placenta is out.
B) lightly pack the vagina with sanitary pads or gauze.
C) suggest to the mother that breast feeding can limit post delivery bleeding.
D) place the patient on her right side and keep her warm with blankets.

Question 26

In the picture below, the arrow is pointing to the

A) labia minora
B) symphysis pubis.
C) labia majora.
D) clitoris.

Question 27

In the picture below, the arrow is pointing to the

A) clitoris.
B) urethal opening.
C) vestibule.
D) labia minora.

Question 28

During the first three weeks after fertilization, the developing structure is called a(n)

A) blastocyst
B) zygote
C) embryo
D) fetus

Question 29

The placenta begins to develop about ________ week(s) after fertilization occurs.

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

Question 30

In this picture of the egg traveling through the fallopian tube, the arrow is pointing to Day after fertilization, when there are four cells in the egg.

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

Question 31

In the picture below, the black arrows are pointing to which part of the placenta?

A) Uterine Muscle
B) Maternal Arteriole
C) Uterine Wall
D) Maternal Venule

Question 32

In stage 1 of labor, contractions typically last from 30 to 60 seconds and occur every

A) 20 to 40 minutes.
B) 15 to 30 minutes.
C) 5 to 15 minutes.
D) 10 to 20 minutes.

Question 33

In order to reduce the risk of fetal infection, the fetus usually needs to be delivered within ________ hours after the bag of waters has ruptured.

A) 8 to 10
B) 24 to 36
C) 18 to 24
D) 12 to 18

Question 34

Your pregnant patient is having contractions that last 50 seconds every 2 minutes, and she states that she feels like she needs to have a bowel movement. You should

A) prepare to deliver the baby on the scene.
B) place her on her left side and transport non-emergently.
C) allow her to go the bathroom and then reassess.
D) transport her to the hospital with lights and siren.

Question 35

During the first trimester, the mother's heart rate increases by as much as ________ beats per minute.

A) 20 to 25
B) 10 to 15
C) 5 to 10
D) 15 to 20

Question 36

You are assisting with a delivery and all that you can see is the umbilical cord. You should first

A) place the patient in the knee-chest position with head and chest lowered.
B) use a gloved hand to gently push the cord back into the vagina.
C) arrange for rapid transport to the nearest appropriate medical center.
D) cup the cord against the mother's body using a dry gauze pad or cloth.

Question 37

You are assisting a vaginal birth in the field. After delivering the baby's head, you find that the umbilical cord is tightly wrapped around his neck two times. You should

A) slip your fingers between the cord and the neck and protect the airway as the rest of the baby is delivered.
B) tell the mother to stop pushing and transport with lights and siren.
C) unwrap the cord by gently slipping it over the baby's face and off of the head.
D) place two clamps on the cord three inches apart and cut in the area between the clamps.

Question 38

When suctioning the mouth of a baby during delivery, you should apply suction for only _______ seconds per attempt.

A) 3 to 5
B) 5 to 7
C) 1 to 2
D) 7 to 9

Question 39

When cutting the umbilical cord, you should place your first clamp_______ inches from the baby's belly and the second about_______ inches distal to the first.

A) 2 to 3; 4 to 6
B) 4 to 6; 2 to 3
C) 5 to 7; 2 to 3
D) 2 to 3; 5 to 7

Question 40

When performing a uterine massage, you should

A) massage the area using a kneading motion.
B) place one hand vertically across the abdomen.
C) continue massaging until the uterus feels relaxed.
D) reassess the patient every 10 minutes.

Question 41

During childbirth it is normal for the mother to lose up to _______ mL of blood.

A) 750
B) 150
C) 500
D) 250

Question 42

Your pregnant patient has gone into premature labor at 36 weeks. She blames her premature labor on "sorcery." How should you respond?

A) "Don't worry. You and your baby are both going to be fine."
B) "There is no such thing as sorcery. Please calm yourself."
C) "I will do my best to make sure that you and your baby are healthy."
D) "I know how to combat sorcery. Please stay calm and I will help you."

Question 43

You are assisting with childbirth and your patient is enduring labor without complaining or getting upset. After delivery, she asks to keep the remnants of the umbilical cord for spiritual reasons. Which cultural background is she from?

A) Native American
B) Asian American
C) Chinese American
D) Mexican American

Question 44

You are assisting in a delivery and the patient is accompanied by her mother and sister while her husband remains outside the room. The patient is very anxious, is moaning and groaning loudly throughout the early stages and begins to scream during delivery. At this point, you should

A) ask her mother and sister if they can help you calm her down.
B) ask her directly to calm down and relax to make delivery easier.
C) suggest she concentrate on her breathing exercises, rather than screaming.
D) allow her to continue screaming if she feels that it helps her.

Question 45

In which of the following cultures do pregnant women usually remain fully clothed during labor and prefer to deliver the baby while in a sitting position?

A) Mexican American
B) Arab American
C) Native American
D) Chinese American

Question 46

An infant who is premature is born before the 37th week of gestation or weighing less than _______ pounds.

A) 5.5
B) 2.5
C) 3.5
D) 4.5

Question 47

You are assisting with a multiple birth and the first baby has been born. How many minutes should you allow on the scene for the second to be delivered before transporting immediately to the hospital for delivery there?

A) 10 minutes
B) 8 minutes
C) 15 minutes
D) 5 minutes

Question 48

You are assisting with delivery of a breech baby. During the delivery, you should

A) grasp the baby's abdomen as it appears.
B) support the baby's body on your forearm.
C) gently pull the buttocks and torso during delivery.
D) lift the baby's legs and trunk up slightly.