Thursday, May 1, 2008

Obstetrics and Newborn Care Quiz

Chapter 37 Quiz
Write the letter of the best answer in the space provided.

__________ 1. The organ that contains the developing fetus is called the
A. cervix. C. uterus.
B. vagina. D. placenta.

__________ 2. The disk-shaped inner lining of the uterus that begins to develop after
the ovum attaches itself to the uterine wall is the
A. cervix. C. uterus.
B. vagina. D. placenta.

__________ 3. The fetus floats in a bag of waters containing _____ fluid.

A. placental C. umbilical
B. amniotic D. CSF

__________ 4. The 9-month period of pregnancy is divided into

A. quarters. C. trimesters.
B. months. D. halves.

__________ 5. A delivery in which the babys buttocks present first at the vaginal
opening is called a _____ presentation.
A. breech C. normal
B. cephalic D. prolapsed
__________ 6. All of the following are examples of abnormal deliveries except
A. breech presentation. C. prolapsed presentation.
B. cephalic presentation. D. abruptio placenta.

__________ 7. The term used to describe the point at which the presenting part of the
baby first bulges from the vaginal opening is
A. staining. C. placentae preview.
B. a bloody show. D. crowning.

__________ 8. The third stage of labor ends with the

A. birth of the baby.
B. full dilation of the cervix.
C. expulsion of the placenta.
D. entry of the baby into the birth canal.

__________ 9. The second stage of labor begins when

A. regular contractions start. C. birth of the baby is complete.
B. dilation of the cervix occurs. D. the baby enters the birth canal.

__________ 10. Meconium staining may be an indication of

A. breech birth. C. fetal distress.
B. a premature birth. D. bleeding in the uterus.
__________ 11. The placenta is usually delivered after the baby and is called the
A. afterbirth. C. bloody show.
B. womb. D. postpartum.

__________ 12. Delivery of the baby may be imminent if contractions last _____ and
are _____ apart.
A. 12 minutes; 68 minutes
B. 23 minutes; 56 minutes
C. 6090 seconds; 23 minutes
D. 45 seconds1 minute; 34 minutes

__________ 13. The EMT should clamp, tie, and cut the umbilical cord after
A. it appears. C. the placenta is delivered.
B. the baby is delivered. D. its pulsations have ceased.

__________ 14. If this is the womans first delivery, she is not straining, and there is
no crowning, then
A. birth will probably occur too soon for transport.
B. you will probably have time to transport to a medical facility for delivery.
C. birth will probably occur during transport in the ambulance.
D. a surgical delivery will probably be necessary.

__________ 15. The EMT must assist in the delivery of the infant in all of the following
cases except when
A. you have no suitable transportation.
B. the hospital or physician cannot be reached due to bad weather.
C. the mother requests your assistance.
D. delivery is imminent.

__________ 16. If the pregnant mother gets dizzy and has a drop in blood pressure
when she is in a supine position, the condition is called
A. supine hypotensive syndrome. C. eclampsia.
B. supine hypertensive crisis. D. abruptio placentae.
_

_________ 17. The Apgar score of a newborn who can be expected to need only
routine care would be
A. -3 to 0. C. 4 to 6.
B. 0 to 3. D. 7 to 10.

__________ 18. Which one of the following statements is true about the afterbirth?
A. Pull on the umbilical cord to encourage its delivery.
B. It usually delivers in about 20 minutes.
C. It may be discarded as soon as it is delivered.
D. It can remain in the uterus and pose no serious problem.

__________ 19. To control vaginal bleeding after birth

A. massage the uterus.
B. have the mother squeeze her legs together.
C. pack the vagina with gauze dressings.
D. dont allow the mother to nurse the baby.

__________ 20. If the umbilical cord presents first during delivery

A. provide the mother with oxygen and transport immediately because the problem
can be handled only at the hospital.
B. keep pressure off the cord by placing your gloved hand in the vagina and
transport immediately.
C. immediately clamp and cut the cord.
D. place a mask with high-concentration oxygen at the vaginal opening.