Deck 5: Birth and the Newborn Baby

Question 1

A surgical incision was made in Lana's abdomen in order for her to deliver her baby.This procedure is called a

A)forceps birth.
B)natural birth.
C)cesarean section.
D)Lamaze birth.

Answer 1

C

Question 2

A medicated delivery is one in which

A)the baby receives injections of two stress hormones-adrenaline and noradrenaline.
B)the mother is given adrenaline and noradrenaline to help the baby withstand the stress of childbirth.
C)the mother receives anesthesia.
D)mother and baby are both given antibiotics to prevent infection.

Answer 2

C

Question 3

During childbirth,dilation of the cervix occurs

A)during the first stage.
B)during the second stage.
C)during the third stage.
D)shortly before the first contractions occur.

Answer 3

A

Question 4

Harriet's labor has gone on for quite a while,so her physician decides to grasp the baby's head with forceps to help with the birth.Harriet is in which stage of childbirth?

A)First
B)Second
C)Third
D)Fourth

Question 5

The science that specializes in the birth of babies is called

A)pediatrics.
B)gynecology.
C)obstetrics.
D)birthing.

Question 6

Cesarean deliveries

A)are most common among low-income women.
B)are sometimes performed unnecessarily.
C)lead to a substantial increase in risk of newborn death.
D)generally result in shorter hospital stays.

Question 7

Ms.Feldman is a midwife attending to Louise who is in labor.Ms.Feldman determines that Louise's baby is not in the proper position and that the labor is progressing very slowly.She decides to take Louise to the hospital so that doctors can deliver the baby through abdominal surgery.This birth is an example of a

A)natural delivery.
B)Lamaze birth.
C)cesarean delivery.
D)forceps delivery.

Question 8

An electronic fetal monitor is used

A)to track the fetus's heartbeat.
B)to detect any serious problems.
C)to gather information in high-risk deliveries.
D)for all of the above.

Question 9

Yvonne has begun to experience uterine contractions that are causing her cervix to dilate.She is in the _____ stage of childbirth.

A)first
B)second
C)third
D)fourth

Question 10

Krystal's obstetrician has told her that the baby she is about to deliver has his buttocks down in the uterus.Krystal's baby is in the _____ position.

A)normal
B)breech
C)transverse
D)effacement

Question 11

Mary is in the delivery room giving birth to her first child.Her cervix has fully dilated,and the baby's head is just visible in the vaginal canal.Mary is in which stage of childbirth?

A)First
B)Second
C)Third
D)Fourth

Question 12

The end of the second stage of childbirth is indicated by

A)dilation of the cervix.
B)the emergence of the baby from the mother's body.
C)the expulsion of the placenta.
D)contractions that occur every 8 to 10 minutes.

Question 13

Jason remarks to Darleen,who is 6 months pregnant,that it would be nice if they could go back to a time when it was easier to bring a child into the world.Darleen has read the literature about how childbirth procedures have changed over the years and is a little less enthused.Which of the following statements about childbirth in the past is FALSE?

A)The prospective father assisted the midwife in the delivery.
B)Women sat up in bed or perhaps in a stable.
C)Cracks in walls were plugged to keep out evil spirits.
D)A local doctor was always present.

Question 14

The placenta is expelled from the mother's body during the _____ stage of childbirth.

A)first
B)second
C)third
D)fourth

Question 15

A fetus whose feet are below his or her head in the uterus is in a __________ position.

A)normal
B)transverse
C)breech
D)cesarean

Question 16

The most common method of childbirth is a _____ delivery.

A)vaginal
B)medicated
C)cesarean
D)forceps

Question 17

The series of uterine and cervical changes that occur two weeks before delivery are called

A)contractions.
B)labor.
C)parturition.
D)quickening.

Question 18

A set of uterine,cervical,and other changes that is the act,or process,of giving birth is called

A)organosis.
B)effacement.
C)milla.
D)parturition.

Question 19

Kathleen is in labor and is told by her physician that the baby's feet,rather than his head,are moving down the birth canal first.What type of delivery is likely to be performed?

A)Lamaze delivery
B)Vaginal delivery
C)Cesarean delivery
D)Natural delivery

Question 20

Women who have given birth during the past 50 years have benefited from a dramatic reduction in risks surrounding pregnancy and childbirth.This is due to

A)use of antibiotics.
B)use of anesthesia.
C)implementation of prenatal care.
D)all of the above.

Question 21

In the first few days of life,newborns typically

A)have small heads in proportion to their bodies.
B)acquire lanugo.
C)lose weight.
D)appear very dark.

Question 22

A criticism of the use of anesthesia during childbirth is that it

A)does not relieve the mother's discomfort.
B)is too expensive and therefore only available to affluent women.
C)may slow infants' motor and physiological development.
D)contributes to the high rate of maternal death during childbirth.

Question 23

A doula is a

A)physician in South America who specializes in delivering babies.
B)nurse certified to assist at births.
C)woman who gives emotional support during childbirth.
D)home-like birth center.

Question 24

The neonatal period is the first _____ of life.

A)4 weeks
B)8 weeks
C)6 months
D)year

Question 25

Which of the following is NOT necessarily one of the benefits of having a doula present at childbirth?

A)Shorter labor
B)Less anesthesia
C)Lower insurance premiums
D)Less use of forceps

Question 26

A method of childbirth whereby mothers are trained to make breathing and muscular responses to sensations of uterine contractions is called

A)prepared childbirth.
B)silent childbirth.
C)doula birth.
D)cesarean response training.

Question 27

Patrick and Lacey attend prepared childbirth classes where they are taught breathing and muscular responses designed to

A)speed up the birth.
B)minimize the fear and pain associated with labor.
C)bring about a hypnotic state during delivery.
D)slow down contractions during labor.

Question 28

A criticism of medicated births is that

A)it reduces the pain that is essential to a normal delivery.
B)women who choose medicated births experience a longer recovery period.
C)babies' motor responsiveness and development may be slowed.
D)it leads to a risk of infection in the mother.

Question 29

The first four weeks after a baby is born is known as the _____ period.

A)prepartum
B)neonatal
C)prenatal
D)neopartum

Question 30

Which of the following statements about the use of prepared childbirth is FALSE?

A)It involves delivering babies in dimly lit,isolated rooms.
B)It allows the mother to participate actively in birth.
C)It allows the father to be involved in labor and delivery.
D)It uses breathing and muscular responses to overcome fear and pain.

Question 31

Jim and Heather are delivering their first child.Jim is coaching Heather in her breathing and encouraging her to practise her relaxation techniques.This is an example of

A)a cesarean delivery.
B)doula-assisted childbirth.
C)stillbirth.
D)the Lamaze method.

Question 32

If a woman decides to have her baby at home,the birth is usually attended by a

A)physician's assistant.
B)nursing assistant.
C)physician.
D)doula.

Question 33

Places in the neonate's skull where the bones are not completely fused are called the

A)fontanels.
B)vernix.
C)apex.
D)hyaline commissure.

Question 34

An experienced helper who provides emotional support to a woman during labor is referred to as a(n)

A)maternity nurse.
B)doula.
C)labor facilitator.
D)adjunct.

Question 35

Though Elaine has no formal medical training,she has given birth to five children and has exceptionally good interpersonal skills.She would like to receive training that would enable her to help other women emotionally during the birthing process.Which of the following roles should she look into?

A)Midwife
B)Doula
C)Sherpa
D)Shaman

Question 36

A neonatal toxicologist's primary research interest is the first _____ of life.

A)week
B)month
C)3 months
D)6 months

Question 37

The average newborn weighs _____ pounds.

A)5
B)7½
C)8½
D)9

Question 38

When Billy's mother brings his new baby sister home from the hospital,the first thing that he asks her is if he can touch her.His mother says yes,but to be careful not to touch the soft spot on her head.Billy's mother is referring to the

A)fontanels.
B)vernix.
C)apex.
D)corpus callosum.

Question 39

Linda is in labor.If she is having a typical birth,which of the following is she most likely to receive to lessen her pain?

A)Over-the-counter pain killers
B)Catecholamine
C)A regional epidural
D)A general anesthetic

Question 40

If a pregnant woman learns to use certain breathing techniques and muscle relaxation in response to a "coach," she is using the childbirth method developed by

A)Fernand Lamaze.
B)the American Academy of Pediatrics.
C)Benjamin Spock.
D)Jerome Kagan.

Question 41

If breathing has not begun within 5 minutes after birth,the baby is at risk of developing

A)phenylketonuria.
B)neonatal jaundice.
C)sickle-cell anemia.
D)brain damage.

Question 42

The Petris,new parents of a healthy son John,were at first concerned about the newborn's stringy,greenish-black waste called

A)physiologic jaundice.
B)meconium.
C)lanugo.
D)vernix caseosa.

Question 43

When Henna and Thomas first see their new granddaughter,they are surprised to find her body covered with dark hair.This fuzzy prenatal hair is called the

A)vermis.
B)follicle caseosa.
C)meconium.
D)lanugo.

Question 44

Which of the following newborns would have the highest Apgar score?

A)Ann,who is listless and blue,with limp muscle tone
B)Billy,who is pink with blue extremities,a slow pulse,and slow breathing
C)Carmela,who is coughing and crying,is pink,and has a rapid pulse
D)David is blue,with a slow pulse,and irregular breathing

Question 45

Upon seeing her newborn baby brother,Wanda exclaims,"He looks all oily and shiny!" Wanda has noticed the

A)fontanels.
B)lanugo.
C)meconium.
D)vernix caseosa.

Question 46

The condition of a baby whose Apgar score is 3 is

A)very healthy.
B)within normal range.
C)slightly below normal.
D)dangerous;the baby needs immediate resuscitation.

Question 47

The _____ is a test that assesses five aspects of behavior in order to measure a newborn's response to the environment.

A)Apgar scale
B)Brazelton Neonatal Behavioral Assessment Scale
C)Bayley scale
D)PKU screen

Question 48

The oily covering on the skin of a newborn is called the

A)witch's milk.
B)lanugo.
C)vernix caseosa.
D)fontanels.

Question 49

Which of the following statements about the first few days of life is FALSE?

A)Newborns initially have very little variance in their complexions.
B)Babies lose as much as 10% of their body weight.
C)The baby's nose is likely to look flattened.
D)The baby's head may be misshapen.

Question 50

The highest score on the Apgar scale is 10;more than 90% of normal infants receive a score of at least

A)8.
B)7.
C)6.
D)5.

Question 51

A healthy newborn can receive a maximum score of _____ on the Apgar scale.

A)10
B)8
C)6
D)4

Question 52

Most babies begin to breathe

A)as soon as they are exposed to air.
B)about 30 seconds after birth.
C)about 4 minutes after birth.
D)only after a sharp slap on the bottom.

Question 53

Anthony was born with neonatal jaundice,which

A)must be treated quickly with antibiotics.
B)is most common in postmature babies.
C)occurs in about 50% of neonates.
D)usually occurs about 10 to 14 days after birth.

Question 54

Freda loves listening to her neonate daughter's _____ heartbeat as she nurses her in the quiet of the night.

A)slow and steady
B)slow and irregular
C)fast and irregular
D)fast and steady

Question 55

The Apgar scale does NOT measure

A)pulse.
B)gross motor ability.
C)respiration.
D)activity.

Question 56

Waste matter formed in the fetal intestinal tract and secreted after birth is called

A)meconium.
B)witch's milk.
C)lanugo.
D)vernix.

Question 57

A few days after birth,a baby develops a yellowish tinge to the skin and the eyeballs.These symptoms indicate _____,which is due to immaturity of the _____.

A)anoxia;liver
B)anoxia;kidneys
C)neonatal jaundice;liver
D)neonatal jaundice;kidneys

Question 58

Fontanels are present in the neonate's skull

A)to allow for rapid postnatal brain expansion.
B)to prevent calcium deposits from damaging cartilage.
C)to ease the passage of the skull through the birth canal.
D)until 6 months of age.

Question 59

The Costellos' baby daughter did not begin to breathe within 5 minutes after birth,and doctors are concerned that she may have suffered brain damage due to

A)hypothermia.
B)anoxia.
C)hyperphagia.
D)oxidation.

Question 60

Neonatal jaundice is caused by

A)incomplete development of the circulatory system.
B)immaturity of the liver.
C)incomplete development of the respiratory system.
D)an inability to regulate body temperature.

Question 61

Troy was born 38 weeks after conception and weighs 4 1/2 pounds.Troy is

A)premature.
B)preterm.
C)postterm.
D)small-for-date.

Question 62

The most serious risk for low-birth-weight babies is that they may

A)be stillborn.
B)die in infancy.
C)be very sick during the first year of life.
D)have severe physical deformities.

Question 63

If an infant inherits the gene for PKU,and it is left untreated,the result will be

A)neonatal jaundice.
B)a hormonal imbalance.
C)neurological damage.
D)mental retardation.

Question 64

Jaedyn was born five days before her due date.She weighed 5 pounds at birth.Jaedyn would be classified as a _____ infant.

A)normal full-term
B)premature
C)preterm
D)small-for-date

Question 65

One-week-old Cody's eyes are open,and he is quietly looking around the room.Cody's is in a state called

A)alert inactivity.
B)active sleep.
C)waking activity.
D)drowsiness.

Question 66

PKU-phenylketonuria-is

A)a form of neonatal jaundice.
B)rare and untreatable.
C)routinely screened for in all states.
D)found in about 1 in 100 newborns.

Question 67

Dr.Smith informs a mother that her newborn suffers from hyaline membrane disease.The baby is having problems with

A)the membranes that cover the fontanels.
B)the control of eye muscles.
C)urination.
D)respiration.

Question 68

Low-birth-weight newborns are usually placed in a warmed crib called a(n)

A)warming machine.
B)isolette.
C)heat bed.
D)oxygen tent.

Question 69

Gannon and his twin brother Garrett have just been evaluated for their responses to stress,ability to calm down,reflexes,hand-mouth coordination,alertness,and response to cuddling.Which test have they been given?

A)Apgar scale
B)Brazelton Neonatal Behavioral Assessment Scale
C)Denver Development Screening Test
D)PKU screen

Question 70

Newborn babies sleep an average of _____ hours per day.

A)10
B)15
C)18
D)20

Question 71

The major cause of high infant mortality rates among African Americans is

A)older maternal age.
B)chronic maternal illness.
C)higher rates of low-birth-weight babies.
D)all of the above.

Question 72

By _____ of age,more than half the baby's sleep takes place at night.

A)1 week
B)1 month
C)3 months
D)6 months

Question 73

Betty was born after a 30-week gestation period.She is called a _____ infant.

A)postterm
B)preterm
C)high-risk
D)small-for-date

Question 74

Who is most likely to have a low-birth-weight baby?

A)Adele,who is 25,in good health,and has had one normal delivery
B)Bianca,who is 40,in generally good health but has high blood pressure,and has had no previous pregnancies
C)Carol,who is 17,pregnant for the first time,and in good health
D)Dana,who is 37,underweight,smokes,and has had five previous pregnancies

Question 75

A newborn's air sacs keep collapsing,making it very difficult for her to breathe.A likely diagnosis for this infant's problem is

A)hyaline membrane disease.
B)respiratory dystrophy.
C)postmaturity syndrome.
D)pulmonary incompetence.

Question 76

Baby Joey is in the state of active sleep.This state of arousal corresponds most closely to _____ in adults.

A)quiet sleep
B)drowsiness
C)rapid eye movement sleep
D)interactive sleep

Question 77

Periodic variations in an infant's cycle of wakefulness,sleep,and activity are known as the various _____ of infancy.

A)temperaments
B)states of arousal
C)periods
D)moods

Question 78

Just moments ago,Anna was lying quietly with her eyes closed and she was breathing regularly.Now her breathing has become more irregular,and some slight muscle twitches are occurring.Anna has passed from a state of _____ to a state of _____.

A)drowsiness;alert inactivity
B)regular sleep;apnea
C)regular sleep;irregular sleep
D)irregular sleep;drowsiness

Question 79

Often,a neonate is assessed using the the Brazelton Neonatal Behavioral Assessment Scale,which examines

A)the oxygen content of the blood.
B)color,pulse,and breathing.
C)responses to the environment,such as alertness,reflexes,and control.
D)neurological maturity.

Question 80

Dan and Diane are exhausted because 4-week-old Jake wakes three to four times each night.What is the most probable explanation for Jake's behavior?

A)He is not eating enough and wakes when he is hungry.
B)He is not getting enough attention from his parents when he is awake.
C)He lacks a sense of security.
D)His sleep pattern is typical of newborn babies.