OEC 6th Edition Chapter 17

The function of the uterus in pregnancy is to:

A) permit the excretion of wastes from the baby to the mother.

B) protect the abdominal organs during fetal growth.

C) manufacture specific blood cells needed for fetal survival.

D) provide an environment for the ovum to develop into a fetus.

D) provide an environment for the ovum to develop into a fetus.

Which of the following statements concerning the functions of the vagina is true?

A) The vagina allows the passage of a baby during delivery and the outflow of urine from the bladder.

B) The vagina permits the outflow of menstrual blood and is the site at which a sperm fertilizes an egg.

C) The vagina serves as a passageway for the fetus during delivery and an outlet for blood during menstruation.

D) The vagina allows the excretion of urine from the bladder and the outflow of menstrual blood.

C) The vagina serves as a passageway for the fetus during delivery and an outlet for blood during menstruation.

Which of the following statements about the umbilical cord is true?

A) It connects the placenta and the mother's uterus.

B) It detoxifies blood reaching the baby before delivery.

C) It transmits nourishment from the placenta to the fetus.

D) It always connects to the top side of the uterus.

C) It transmits nourishment from the placenta to the fetus.

Which of the following findings should be of greatest concern when assessing a 33-year-old woman who is 8 months pregnant?

A) Shortness of breath when lying flat

B) Recent onset of a fever of 99.3°F

C) Daily contractions that are irregular and painful

D) Vaginal bleeding and abdominal pain

D) Vaginal bleeding and abdominal pain

The most common cause of fetal death due to trauma to a pregnant woman's abdomen is:

A) abruptio placentae.

B) a crushing injury to the fetus.

C) penetration of the uterus.

D) premature labor.

A) abruptio placentae.

In abruptio placentae, the greatest threat to the baby is:

A) infection.

B) maternal shock.

C) hypoxia.

D) pain.

C) hypoxia.

Hypotension can occur after 20 weeks of gestation when a pregnant woman is in a supine position. Which of the following actions by an OEC technician will not prevent hypotension?

A) Placing her in the left lateral recumbent position

B) Elevating her right hip approximately 1-2 inches

C) Elevating her feet 6-12 inches

D) Tipping the spine board so that she is slightly tilted onto her left side

C) Elevating her feet 6-12 inches

The second stage of labor ends with:

A) contractions that become regular and occur every 3-4 minutes.

B) delivery of the placenta.

C) delivery of the baby.

D) rupture of the amniotic sac.

C) delivery of the baby.

At what point during a delivery should you consider using suction to clear the airway of the baby?

A) After the baby's head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing

B) Before the cord has been cut but after the baby has been assessed and determined to be stable and if there is obvious obstruction to spontaneous breathing

C) When the baby has been delivered and has been dried and warmed

D) When the baby's chest has been delivered but before the legs are free of the vaginal canal

A) After the baby's head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing

Ectopic pregnancy

Occurs following fertilization of egg which normally is in fallopian tube and implants into uterine wall. If the egg implants in fallopian tube or somewhere outside uterus, ectopic pregnancy, as fetus grows in tube, severe pain. Symptoms are severe abdominal pain, hemorrhagic shock, death

Ovarian cyst

Fluid filled sac or pocket in an ovary or on its surface. Symptoms are pelvic pain, fullness in abdomen, bloating. If fever, vomiting, severe pain, rapid medical follow up needed. When internal bleeding occurs from an ovarian cyst, shock can occur

Pelvic inflammatory disease

It’s an infection of the organs of a woman’s reproductive system. It is usually caused by a sexually transmitted infection like chlamydia or gonorrhea, treated with antibiotics. Can present with severe abdominal pain but usually condition is painless

Treating abdominal issues

SAMPLE, OPQRST, palpate abdomen looking for trauma, distention, bulging, discoloration, physically compress four quadrants, transport to higher level care often needed

Miscarriage

Loss of pregnancy prior to 20 weeks

Placentia Previa

Placenta implants abnormally low, covering opening of cervix. Initially presents with painless, dark red vaginal bleeding. Can result in termination of pregnancy and severe maternal bleeding

Uterine rupture

Trauma to abdomen during pregnancy, muscular wall of uterus tears, massive bleeding results and fetus usually dies, mother’s life in jeopardy

Abruptio placentae

Premature separating of placenta from uterine wall. Symptoms include vaginal bleeding, abdominal pain, uterine contractions, expanding uterine height from bleeding inside

Preeclampsia

pregnancy induced hypertension or toxemia, form of high blood pressure that develops during pregnancy. Usually develops after the 20th week of gestation. Include blood pressure greater than 140/90 mm/Hg or edema of face/hands