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Chapter 40
Multiple Choice
Multiple Choice
This activity contains 20 questions.
Fertilization of the ovum usually occurs in the:
cervix.
fallopian tubes.
ovaries.
uterus.
perineum.
A change in the reproductive system during pregnancy is that:
mammary glands decrease in number.
secretion of estrogen causes sloughing of the endometrial lining.
the uterus contains about 16 percent of the total maternal blood volume.
uterine connective tissue stiffens to allow for support of the fetus.
dissolution of a mucous plug in the cervix.
The normal duration of pregnancy is ______ from the first day of the mother's last menstrual period.
36 weeks
40 weeks
42 weeks
44 weeks
48 weeks
Fetal heart tones can be detected by the _____ week of gestation.
eighth
twelfth
sixteenth
twentieth
twenty-eighth
By which week of gestation is a baby considered term?
twentieth
twenty-fifth
thirty-second
thirty-eighth
fortieth
Which structure allows for mixing of blood from the fetus's left ventricle and right atrium?
ductus arteriosus
ductus venosus
foramen ovale
umbilical vein
umbilical artery
The ductus arteriosus connects which two structures?
inferior vena cava and aorta
pulmonary artery and aorta
pulmonary vein and aorta
superior vena cava and aorta
superior vena cava and pulmonary artery
All of the following are typical causes of vaginal bleeding during pregnancy EXCEPT:
abortion.
abruptio placentae.
ectopic pregnancy.
placenta previa.
prolapsed umbilical cord.
A naturally occurring expulsion of the fetus prior to viability, generally due to chromosomal abnormalities that may occur before the twelfth week of gestation is:
inevitable abortion.
missed abortion.
spontaneous abortion.
threatened abortion.
term abortion.
Which sign or symptom differentiates eclampsia from preeclampsia?
chronic hypertension
gestational diabetes
seizure
supine hypotensive disorder
none of the above
One way to minimize supine hypotension in the pregnant patient is to:
allow her to sit in the semi-Fowler's position.
place her in a full Trendelenburg position.
position her tilted slightly to the right.
sit her upright with feet dangling.
place her in the left lateral recumbent position.
All of the following may cause preterm labor EXCEPT:
exercise.
infection.
multiple gestation.
placenta previa.
diabetes.
Which of the following medications is considered a tocolytic for preterm labor?
magnesium sulfate
oxytocin
Pitocin
racemic epinephrine
dextran
Crowning of the fetus occurs during the _____ stage.
dilation
expulsion
placental
puerperium
postpartal
After the infant's head has delivered through the birth canal, the paramedic should:
NOT pull the umbilical cord from around the infant's neck.
pull the child out of the canal.
push the baby's head down to facilitate delivery of the shoulders.
suction the mouth and then the nose of the infant.
suction the nose and then the mouth of the infant.
Immediate care of the newborn should include all of the following EXCEPT:
assessing the neonate using APGAR scoring.
drying the infant.
immediately ventilating the infant with 100% oxygen.
repeated suctioning of the mouth and nose.
covering the infant with a dry receiving blanket.
Which of the following is considered a normal delivery?
breech presentation
occiput posterior
prolapsed cord
vertex position
limb presentation
Management of breech presentation delivery includes all of the following EXCEPT:
gently pulling on the infant's legs to facilitate delivery of the head.
inserting a gloved hand into the vagina to allow for unrestricted respirations.
placing the mother in supine position with legs flexed.
supporting the infant's trunk.
rotating the infant's body so that the shoulders are in anterior-posterior position.
The proper position for the expectant mother in the event of a limb presentation is:
flat prone.
prone in a knee to chest fashion.
supine with legs flat and forced together.
supine with legs flexed.
the Trendelenburg position.
The most common cause of postpartum hemorrhage is:
uterine atony.
uterine hypertrophy.
uterine inversion.
uterine rupture.
uterine abscess.
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