Midterm Notes

Question 1

Doctors give vaccines because

Answer 1

That’s what they were taught

Question 2

When utilizing the leg lag leg check during WEbster’s technique you are trying to identify

Answer 2

Posterior rotated sacrum

Question 3

At what point during a healthy pregnancy should you become concerned about the babies position in the womb and why

Answer 3

7 months, there may be a limitation of space

Question 4

Caput Succedarum may occur because

Answer 4

The baby’s head was stalled against the cervix

Question 5

Cephalahematoma is defined as

Answer 5

Bleeding between the periosteum and the cranial bones

Question 6

A capput succadaneum will usually clear in

Answer 6

36 hours

Question 7

At what age and why does the rooting reflex disappear in an alert child

Answer 7

4 months - comes under voluntary control

Question 8

If the birth process was not natural, medical intervention was used, what may have been used and or done

Mark all that apply

Answer 8

Forceps
Epidural
Episiotomy

C-section
Vacuum extraction

Question 9

Facial paralysis is more commonly seen during what kind of delivery

Answer 9

Forceps

Question 10

What reflex can you use to diagnose this baby (baby with one eye closed and mouth open)

Answer 10

Blink aka dazzle

Question 11

At what age does the parachute reflex begin to develop

Answer 11

6 months

Question 12

Long bone fractures are more likely to occur during a ____ birth

Answer 12

C-section

Question 13

While performing the plantar babinski reflex on a newborn you should

Answer 13

Stroke the lateral dorsal aspect of the foot

Question 14

The baby’s shoulder becomes lodged behind the pubic bone during delivery; this can result in a significant birth injury. This position is known as

Answer 14

Shoulder dystocia

Question 15

If a pregnant patient comes to you complaining of being clumsy, you should explain to her that it is a result of

Answer 15

An increase in relaxin

Question 16

If you are stroking the skin over the paraspinal muscles of an infant from the top of their spine to the sacrum what reflex did you just perform

Answer 16

Gallant

Question 17

When a child is born premature you gage their milestones according to ____ in reaching their milestones

Answer 17

When their due date, approximation date, was

Question 18

The palmer grasp reflex should be performed

Answer 18

Bilaterally

Question 19

After performing the 3rd and 4th maneuvers of leopold’s you locate a smooth structure on the patients left side and a prominent head palpation on the right side, you just palpated the ____ and _____

Answer 19

Spine and occiput

Question 20

If a child’s head circumference measurement is high on the percentile charts what should you do

Mark all that apply

Answer 20

Look at the family

Measure for a few weeks before making any other decisions

Question 21

You performed webster’s technique on a pt that’s presenting with a transverse breech baby, on her next visit you find the baby is now in a head up breech presentation

Answer 21

This is normal

Question 22

During webster’s technique applying pressure to the trigger points is to relax the ____ ligament

Answer 22

Round ligament

Question 23

A factor that may affect the subluxation pattern in the pregnant patient are/is ____

Mark all that apply

Answer 23

Number of pregnancies
Level of exercise
Past trauma to the pelvis
Demands of daily living/lifestyle

Question 24

External version is one of the ways the medical community tries to turn a breech baby, this procedure may involve

Answer 24

The patient being sedated
The use of an epidural
Inducing labor
An ER ready for stand by

Question 25

If a woman is thinking about having a breast augmentation but she is also concerned about breastfeeding if she chooses to have children. What type of incision should she AVOID

Answer 25

Smile incision around the areola

Question 26

A delivery using forceps is considered more dangerous for the mother than for the baby. T/F

Answer 26

True

Question 27

A birth related injury that may occur from shoulder dystocia is

Answer 27

Erb’s palsy

Question 28

The normal axial pull according to the study done by dr. Towbin, on a baby’s head/neck during delivery in a hospital setting may be between

Answer 28

90-120 pounds of force

Question 29

The walking/stepping reflex will disappear around 6 weeks of age because

Answer 29

The ratio of leg weight to strength

Question 30

When performing the otolith reflex you observe that the baby cannot laterally flex to the right and their head is rotated to the right. This may indicate Mark all that apply

Answer 30

Atlas laterality on the right Torticollis Difficulty breast feeding on the right

Question 31

Applying counter pressure to the lower or upper uterine segment while palpating a fetal component in-utero is known as ____ and is done to determine ____ Mark 2 answers

Answer 31

Ballottment maneuver | If the baby has space

Question 32

The ideal position for a baby in the womb is

Answer 32

Vertex occiput anterior position

Question 33

Undeveloped sutures is known as

Answer 33

Craniosynostosis

Question 34

During an examination of a pregnant patient you take her through the low back ranges of motion, when you bring her into extension she complains about a dully achy pain. This symptom is being caused by

Answer 34

Facet syndrome

Question 35

Milestones are an important gagefor observing development in pediatric patients. T/F

Answer 35

True

Question 36

After adjusting a pregnant patient, she should rest in the supine position for at least 30 minutes. T/F

Answer 36

False

Question 37

When a fetus is in ____ breech this means both hips are in flexion adn one knee is in extension

Answer 37

Incomplete

Question 38

During a vacuum extraction, bruising under the periosteum is common. When the red blood cells break down the baby is likely to become

Answer 38

Jaundice

Question 39

After a feeding, the baby’s rooting reflex will remain unaffected, the response will be the same as it was prior to eating. T/F

Answer 39

False

Question 40

A pregnant patient comes into your office complaining of a shrap pain in her pubic region when she tries to stand up, she is 8 months pregnant. What do you suspect

Answer 40

The baby is in the facial/brow position

Question 41

If the moro reflex aka startle reflex is not present at birth it may be due to Mark all that apply

Answer 41

A fractured clavicle | Erb’s palsy

Question 42

If a baby goes through the birthing canal while in the facial positioin what subluxation are they vulnerable too

Answer 42

AS occiput

Question 43

When a baby is in the ___ position, this means both hips are in flexion and both knees are in extension

Answer 43

Frank breech

Question 44

Sharp pain in flexion with a pregnant patient is caused by

Answer 44

Discs

Question 45

Dull pain in flexion with pregnant patient is caused by

Answer 45

Facet joints

Question 46

Breech presentations may effect the baby and/or the pregnancy how Mark all that apply

Answer 46

Biomechanical stress to the baby Increases the stress on the mother Chance of a prolonged labor

Question 47

When a patient presents with a baby in the transverse position in utero and you perform webster’s technique where will you find the trigger points

Answer 47

Bilaterally

Question 48

The healing time after a healthy vaginal birth is 5-10 days the healing time for c-section is

Answer 48

4-6 weeks

Question 49

The first condition to usually appear during pregnancy is

Answer 49

Intercostal neuralgia

Question 50

When using websters technique, you are adjusting the sacrum to affect the

Answer 50

Uterosacral ligament

Question 51

What position was this baby in utero

Answer 51

Frank breech

Question 52

During pregnancy the pubic symphysis will widen, it starts around .5mm it may widen up to

Answer 52

12 mm