Ch. 34 Flashcards
(20 cards)
A newborn infant will usually begin breathing spontaneously within _____ seconds following birth?
-3 to 5
-15 to 30
-5 to 10
-30 to 60
15 to 30
After a baby is born, it is important to:
-Ensure that it is thoroughly dried and warmed
-Cool the infant to stimulate effective breathing
-Position it so that its head is higher than its body
-Immediately clamp and cut the umbilical cord
Ensure that it is thoroughly dried and warmed
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except:
-Thorough drying with a towel
-Some form of tactile stimulation
-Positive-pressure ventilations
-Suctioning of the upper airway
Positive-pressure ventilations
Eclampsia is most accurately defined as:
-Hypertension in the 20th week of pregnancy
-Seizures that result from severe hypertension
-A blood pressure greater than 140/90 mm Hg
-High levels of protein in the patient’s urine
Seizures that result from severe hypertension
The amniotic fluid serves to:
-Assist in fetal development
-Insulate and protect the fetus
-transfer oxygen to the fetus
-Remove viruses from the fetus
Insulate and protect the fetus
The umbilical cord:
-Carries oxygen to the baby via the umbilical vein
-Separates from the placenta shortly after birth
-Contains two veins and one large umbilical artery
-Carries blood away from the baby via the artery
Carries oxygen to the baby via the umbilical vein
When determining the frequency of contractions, you should time the contractions from the:
-Start of one to the end of the next
-Start of one to the start of the next
-End of one to the end of the next
-End of one to the start of the next
Start of one to the start of the next
Which of the following is an indication of imminent birth?
-Expulsion of the mucus plug from the vagina
-Irregular contraptions lasting 10 minutes
-Rupture of the amniotic sac
-Crowning of the baby’s head
Crowning of the baby’s head
Which of the following occurs during true labor?
-The uterus becomes very soft and moveable
-Uterine contractions become more regular
-Uterine contractions last about 10 seconds
-Uterine contractions decrease in intensity
Uterine contractions become more regular
Which of the following statements regarding a breech presentation is correct?
-Breech deliveries occur rapidly, so the EMT should deliver at the scene
-It is impossible to deliver a breech presentation in the prehospital setting
-A breech presentation occurs when the buttocks are the presenting part
-There is minimal risk of trauma to the infant with a breech presentation
A breech presentation occurs when the buttocks are the presenting part
The first stage of labor ends when:
-The presenting part of the baby is visible
-Contractions are less than 10 minutes apart
-The mother experiences her first contraction
-The amniotic sac ruptures and labor pains begin
The presenting part of the baby is visible
A 23-year-old woman, who is 24 weeks pregnant with her first baby, complains of edema to her hands, a headache, and visual disturbances. When you assess her vitals signs, you note that her blood pressure is 160/94 mm Hg. She is most likely experiencing:
-Eclampsia
-Preeclampsia
-A hypertensive crisis
-Chronic water retention
Preeclampsia
You are transporting a women who is 8 months pregnant. To prevent supine hypotensive syndrome, how should you position this patient?
-On her right side
-Supine
-Semi-fowler’s
-On her left side
On her left side
Immediately after delivery of the infant’s head, you should:
-Suction the baby’s mouth and then nose
-Suction the baby’s nose and then mouth
-Assess the baby’s breathing effort and skin color
-Check the position of the umbilical cord
Check the position of the umbilical cord
Upon delivery of the baby’s head, you note that the umbilical cord is wrapped around its neck. You should:
-Immediately clamp and cut the cord
-Make one attempt to slide the cord over the head
-Keep the cord moist and transport as soon as possible
-Give the mother high-flow oxygen and transport rapidly
Make one attempt to slide the cord over the head
The need for and extend of newborn resuscitation is based on:
-The 1-minute Apgar score
-The gestational age of the newborn
-The newborn’s response to oxygen
-Respiratory effort, heart rate, and color
Respiratory effort, heart rate, and color
The 1-minute Apgar score of a newborn reveals that the baby has a heart rate of 90 beats/min, a pink body but blue hands and feet, and rapid respirations. The baby cries when the soles of its feet are flicked and resists attempts to straighten its legs. You should assign an Apgar score of:
-4
-6
-8
-9
8
The most effective way to prevent cardiopulmonary arrest in a newborn is to:
-Rapidly increase its body temperature
-Allow it to remain slightly hypothermic
-Ensure adequate oxygenation and ventilation
-Start CPR if the heart rate is less than 100 beats/min
Ensure adequate oxygenation and ventilation
When assisting a woman in labor, you visualize her vaginal area and see an arm protruding from her vagina. She tells you that she feels the urge to push. You should:
-Cover the arm with a sterile towel and transport immediately
-Encourage her to keep pushing as you prepare for rapid transport
-Insert your gloved fingers into the vagina and try to turn the baby
-Instruct the mother to keep pushing and give her high-flow oxygen
Cover the arm with a sterile towel and transport immediately
A newborn is considered to be “term” if it is born after ___weeks and before ___ weeks.
-34,37
-37,42
-38,44
-39,43
37,42
