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41) You have just assisted in the birth of an infant. After suctioning the airway and cutting the cord, you determine that the APGAR score is 7. Which of the following is MOST appropriate in the care of this infant? A) Dry, ventilation with 100 percent oxygen, keep warm B) Dry, blow-by oxygen and tactile stimulation to encourage breathing, keep warm C) Dry, tactile stimulation, wrap in warm blankets, lay on the mother’s chest, reassess APGAR in 5 minutes while en route to ED D) Dry, ventilation with 100 percent oxygen, chest compressions, keep warm 42) Meconium staining indicates: A) gestational diabetes. B) fetal hypoxic incident. C) prematurity. D) eclampsia. 43) Which of the following refers to the time interval prior to birth? A) Postpartum B) Prenatal C) Intrapartum D) Perinatal 44) Which of the following is NOT a method of encouraging tocolysis? A) Administration of magnesium sulfate B) Administration of a beta agonist C) Fluid administration D) Administration of oxytocin 45) When assisting with delivery, which of the following sequences is correct after instructing the mother to stop pushing when the baby’s head has delivered? A) As warranted, suction the mouth, direct the baby’s head downward to deliver the anterior shoulder, direct the baby’s head upward to deliver the posterior shoulder B) Direct the baby’s head downward to deliver the anterior shoulder, direct the baby’s head upward to deliver the posterior shoulder, suction the mouth first then the nose C) Suction the nose first then the mouth, direct the baby’s head downward to deliver the anterior shoulder, direct the baby’s head upward to deliver posterior shoulder D) Direct the baby’s head downward to deliver the posterior shoulder, direct the baby’s head upward to deliver the anterior shoulder, suction the mouth first then the nose 46) EDC, or estimated date of confinement, refers to the: A) due date. B) date of conception. C) date of the last menstrual period. D) date at which the fetus is viable. 47) Which of the following is expected by the 24th week of pregnancy? A) The fetal lungs are producing sufficient surfactant. B) Fetal heart tones are audible with stethoscope. C) Fingernails and toenails are present. D) The fetal head is engaged in the pelvis. 48) Which of the following is most likely regarding the fetus in a mother with diabetes? A) The fetus will be small for gestational age. B) The neonate is likely to be born in diabetic ketoacidosis. C) The neonate will require dextrose immediately after delivery. D) The fetus will be large for gestational age. 49) You can palpate the uterine fundus at the level of the umbilicus in your pregnant patient. You estimate the length of gestation to be ________ weeks. A) 14 to 18 B) 18 to 22 C) 22 to 26

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