EMC 100: Chapter 16 Practice Quiz - Childbirth

In addition to the contents of a standard prepackaged OB kit, you should also have:

oxygen if it is available.

The newborn infant should NOT:

remain blue for up to 30 minutes.

In the absence of a prepackaged OB kit, it is MOST important to remember that you can still assist in delivering an infant with no more than:

gloved hands and common sense.

Which of the following does NOT usually occur during the first stage of labor?

crowning during contractions

Crowning is MOST accurately defined as the:

appearance of the infant's head during a contraction.

The major risk associated with a prolapsed umbilical cord is:

cord compression during a contraction.

As you observe the mother's vagina, you see the infant's buttocks as the presenting part. The MOST important thing that you can do is:

arrange for immediate transport.

All of the following items are included in a prepackaged obstetric (OB) kit, EXCEPT:

an oxygen mask.

The developing infant is also called the:

fetus.

A pregnant patient should be positioned on her left side because:

this will allow venous blood to return to the heart.

Which of the following statements regarding delivery of the placenta is correct?

It usually delivers on its own within 30 minutes after the infant.

The delivery of an incomplete or underdeveloped fetus is MOST appropriately called a:

spontaneous abortion.

If the newborn does not begin to breathe on its own following delivery, you should first:

tilt its head down and to the side to facilitate mucus drainage.

Despite resuctioning the newborn's mouth and nose, it has not taken its first breath. You should:

rub its back or flick the soles of its feet.

As the infant's head emerges from the vagina, you note it is covered with the amniotic sac. You should:

tear it with your fingers and clear it away from the face.

You are dispatched to a residence for a possible miscarriage. Your patient, a 19-year-old woman, is lying on the couch. She tells you that she is 24 weeks pregnant, and that when she went to the bathroom, she passed what looked like a fetus. After confirming her finding, you should:

assess her for signs of shock, provide emotional support, and arrange for prompt transport.

After the umbilical cord stops pulsating, you should:

tie it with gauze between the mother and newborn.

A premature newborn is one that weighs less than ____ pounds or is delivered before ____ weeks of pregnancy.

5, 36

The external opening of the female reproductive system is called the:

vagina.

Which of the following statements regarding the bag of waters is correct?

It usually breaks toward the end of the first stage of labor.

During a breech birth:

the infant's head is not the presenting part.

During a normal delivery:

the upper shoulder delivers before the lower shoulder.

As the infant's head emerges from the vagina, you should:

support the head and advise the mother to stop pushing.

If you are splashed in the face with blood or other fluids during the delivery of an infant, you should:

report the incident to your medical director.

The use of sterile gloves during the delivery of an infant:

protects the mother and infant from infection.

Once released, the egg travels to the uterus via the:

fallopian tube.

The third stage of labor involves:

delivery of the placenta.

You are assisting a woman in labor who is 35 weeks pregnant. After delivering the newborn, you ensure adequate breathing and circulation. You should next:

ensure that the newborn is warm.

The _________ draw(s) nutrients from the wall of the mother's uterus and deliver(s) them to the developing fetus.

placenta

During delivery of the infant, the mother is usually MOST comfortable:

on her back with her knees bent and legs up and apart.

If bleeding continues following delivery of the placenta, you should:

massage the uterus until the bleeding stops.

Which of the following statements regarding pregnancy is correct?

The length of labor is often longer in women who are first-time mothers.

To determine whether the infant's head is crowning, you must:

observe the vaginal opening during a contraction.

During your assessment of a newborn's pulse, you note that it is 50 beats/min. You should:

begin chest compressions.