Blueprints Obstetrics & Gynecology, 7th Edition by Tamara Callahan, 9781975134877, Covering Chapters 1-32 | Includes Rationales
Blueprints Obstetrics & Gynecology, 7th Edition by Tamara Callahan, 9781975134877, Covering Chapters 1-32 | Includes Rationales
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Test Bank for Blueprints Obstetrics & Gynecology, 7th Edition
by Tamara Callahan, 9781975134877, Covering Chapters 1-32
| Includes Rationales
All of the following are signs of adequate breathing and circulation in the newborn except:
A. heart rate greater than 100.
B. cyanosis of only the hands and feet.
C. vigorous crying.
D. relaxation of the extremities. - ANSWER: D. relaxation of the extremities.
Which of the following is NOT advisable following complete birth of the infant?
A. Keep the infant at the level of the mother's vagina until the cord is clamped and cut.
B. Hold the infant by the ankles to allow the airway to drain.
C. Place the infant on his side with his head slightly lower than his body.
D. Dry the infant and wrap him in a blanket. - ANSWER: B. Hold the infant by the ankles to allow the
airway to drain.
While treating a patient of sexual assault, your treatment should follow which of the following
sequences?
A. Maintain scene safety, treat immediate life threats, allow the patient to shower if the patient is
capable to help treat psychological needs, and transport.
B. Maintain scene safety, treat immediate life threats, and treat only the secondary injuries that may
become life threats to protect criminal evidence.
C. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and
protect criminal evidence.
D. Treat immediate life threats, treat psychological needs, and protect criminal evidence. - ANSWER:
C. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and
protect criminal evidence.
While treating a pregnant trauma patient, which of the following is the BEST way to keep the fetus
alive?
A. Transport the patient to the closest pediatric center.
B. Do an emergency cesarean section of the fetus.
C. Do not put the patient on a spine board to prevent supine hypotensive syndrome.
D. Treat the patient as any other trauma patient. - ANSWER: D. Treat the patient as any other trauma
patient.
When performing chest compressions on a pregnant patient that has gone into cardiac arrest, what
change do you need to make in the placement of your hands?
A. 1 to 2 inches lower on the sternum
B. .5 to 1 inch lower on the sternum
C. 1 to 2 inches higher on the sternum
D. 0.5 to 1 inch higher on the sternum - ANSWER: C. 1 to 2 inches higher on the sternum
Which of the following is NOT relevant in determining whether or not delivery is imminent for a
woman in labor?
A. Phoning the patient's obstetrician for advice
B. Asking how long ago the contractions began
C. Determining if the patient feels as if she needs to move her bowels
D. Finding out how many pregnancies the patient has had - ANSWER: A. Phoning the patient's
obstetrician for advice
, When clamping the umbilical cord, the clamp closest to the baby should be approximately ________
inch(es) from the infant's body.
A. 10
B. 1
C. 3
D. 12 - ANSWER: A. 10
You have responded to a woman who has possible premature labor. She is 8 months pregnant and is
experiencing labor pains. During your assessment, you note that the baby is not yet crowning. You
need to determine whether delivery is imminent or not. You should next:
A. check the level of the fundus.
B. complete a set of vital signs.
C. time her contractions.
D. check for cervix dilation. - ANSWER: C. time her contractions.
You have been called for a 32-year-old female who is in active labor. During your assessment and
interview, you note that she is 37 weeks along, this is her first child, and her contractions are 5
minutes apart. She also tells you that her pregnancy is considered "high risk." Your first concern
should be:
A. assembling your delivery kit.
B. getting to the hospital.
C. completing a thorough secondary exam.
D. calling for a back-up unit. - ANSWER: B. getting to the hospital.
Which of the following conditions should be present before the umbilical cord is cut?
A. The infant is breathing on his or her own.
B. The cord is clamped in two places.
C. The cord is no longer pulsating.
D. All of the above - ANSWER: D. All of the above
What is the temporary organ of pregnancy, which functions to supply the developing fetus with
oxygen and nutrients?
A. Placenta
B. Uterus
C. Amnion
D. Cervix - ANSWER: A. Placenta
You are called for a woman with severe abdominal pain. During your assessment and interview, she
tells you that she is sexually active and there is a chance she could be pregnant. Her vital signs are
pulse 122, respirations 22, blood pressure 96/62, and skin cool and pale. You should immediately
suspect:
A. appendicitis.
B. ectopic pregnancy.
C. placenta previa.
D. internal bleeding. - ANSWER: B. ectopic pregnancy.
You are called for a possible imminent delivery. Your patient is a 15-year-old girl who is in your
estimation about 8 months pregnant. She tells you that she has been hiding her pregnancy. You are
especially concerned about problems she might have during the delivery. Which of the following are
findings that may indicate the need for neonatal resuscitation?
A. Young mother who has not had prenatal care
B. Patient whose water has already broken
C. Patient with a blood pressure of 130/82
D. Mother who has had five previous births - ANSWER: A. Young mother who has not had prenatal
care
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