Chp 24 EMR

1. Which of the following would you expect to see at the opening of the birth canal if the woman was experiencing a breech birth? Select all that apply.

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Head

Buttocks

Foot

Shoulder

Arm

Buttocks

Foot

Shoulder

Arm

2. Which of the following occurs first during pregnancy?

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Implantation

Development of the embryo

Development of the fetus

Quickening

Implantation

3. Which of the following occurs during the third trimester?

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Morning sickness

Placental development

Majority of the maternal weight gain

Fetal movement

Majority of the maternal weight gain

4. You have just assisted in the delivery of a newborn. You would expect the placenta to be delivered within which time frame?

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5 minutes

30 minutes

45 minutes

60 minutes

30 minutes

5. You are assisting a pregnant woman who is in labor to cope with the discomfort and pain. Which of the following is the least effective?

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Encouraging her to breathe slowly and deeply

Asking her to focus on an object to help her breathing

Telling her that she has to learn to endure the discomfort

Providing her with explanations about what is happening

Telling her that she has to learn to endure the discomfort

6. You are assisting a woman with delivery, and the baby is crowning. Which of the following would you do next?

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Place a hand on top of the baby's head and apply light pressure.

Tell the mother to stop pushing and concentrate on her breathing.

Check for looping of the umbilical cord around the baby's neck.

Guide one shoulder out at a time without pulling on the baby.

Place a hand on top of the baby's head and apply light pressure.

7. You are assessing a newborn immediately after birth to determine the baby's APGAR score. The highest number score given to each area is:

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1

2

3

4

2

8. A newborn has not yet made any sounds. Which method is the most appropriate to stimulate breathing and the cry reflex in a newborn?

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Gently slapping the newborn's back

Placing the newborn with the head lower than the chest

Mechanically suctioning the mouth and nose

Tapping the soles of the newborn's feet

Tapping the soles of the newborn's feet

9. Which of the following would indicate the need to begin resuscitation of the newborn?

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A respiratory rate greater than 30 respirations per minute

1 pulse less than 100 beats per minute

A pink body with bluish limbs

No gasping movements

1 pulse less than 100 beats per minute

10. At which point in the pregnancy do most spontaneous abortions occur?

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During the first trimester

Before 8 weeks

Between 12 and 16 weeks

After 20 weeks

During the first trimester

11. An ectopic pregnancy mostly occurs in which location?

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Abdomen

Ovary

Cervix

Fallopian tube

Fallopian tube

12. Which of the following would lead you to suspect that delivery is imminent?

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Strong contractions occurring every 3 to 4 minutes

The woman's report of a strong urge to push

The absence of crowning at the vaginal opening

A sudden gush of fluid from the vagina

The woman's report of a strong urge to push

13. You would expect to begin resuscitation efforts for a newborn with which APGAR score?

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2

4

5

6

2

14. When providing care to a newborn, which of the following is the least appropriate?

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Positioning the newborn with the had slightly higher than the trunk

Dying the newborn thoroughly

Supporting the newborn's head whenever handling the newborn

Clearing the mouth of secretions before the nose

Positioning the newborn with the had slightly higher than the trunk

15. Which of the following is considered to be the most common complication of childbirth?

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Breech birth

Prolapsed umbilical cord

Postpartum hemorrhage

Premature birth

Postpartum hemorrhage

16. Which of the following would you expect to find in a woman with placenta previa?

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Abdominal pain

Abdominal rigidity

Painless vaginal bleeding

Uterine tenderness

Painless vaginal bleeding

17. While interviewing a pregnant woman, a history of which of the following would lead you to identify her as having an increased risk for uterine rupture?

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Prior cesarean section

Young maternal age

First prgenancy

Previous vaginal deliveries

Prior cesarean section

18. Which of the following would be noted with shoulder dystocia?

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Heavy vaginal bleeding

Turtle sign

Signs of shock

Back pain

Turtle sign