SOLVED

11) A newborn has blue extremities, a pink torso, a strong and active cry, a heart rate of 104, and some flexion of its extremities. What is this newborn’s APGAR score? A) 9 B) 5 C) 7 D) 8 12) You are assisting in the delivery of an infant after an extremely prolonged labor. During delivery of the head, you note the presence of thick, green meconium in the patient’s airway. What should your next course of action be? A) Suction the nose and mouth with a bulb syringe, complete the delivery, then suction the hypopharynx and trachea using an endotracheal tube and a meconium aspirator. B) Do not suction the nose and mouth; complete the delivery, then suction the hypopharynx and trachea using an endotracheal tube and a meconium aspirator. C) Do not suction the nose and mouth, complete the delivery, maintain routine care D) Immediately suction the hypopharynx and trachea before completing the delivery using an endotracheal tube and a meconium aspirator. 13) Which of the following is part of the mother’s routine postpartum care? A) Encouraging the mother to bear down to deliver the placenta B) 500 to 1,000 mL normal saline infusion C) Fundal massage D) Oxytocin administration 14) Which of the following statements regarding meconium is NOT true? A) The presence of meconium staining is often difficult to determine. B) The presence of meconium is often associated with prolonged labor. C) Thin and light meconium does not require aggressive suctioning of the airway. D) Meconium-stained fluid indicates a fetal hypoxic incident. 15) Which of the following statements about the delivery of the placenta is TRUE? A) It should be placed in a biohazard bag and brought to the ED with the patient. B) Transport should be delayed until delivery of the placenta is complete. C) Gentle traction should be applied to the placenta to facilitate delivery. D) Fundal massage is contraindicated until the placenta is delivered. 16) Your patient is 34 weeks pregnant, complaining of a headache and nausea. Her blood pressure is 150/92, and she tells you that her doctor told her she has protein in her urine. You note that her face, hands, and feet are edematous. Which of the following is most likely? A) Preeclampsia B) Hyperemesis gravidarum C) Gestational diabetes D) Eclampsia 17) Which of the following is indicated first for a pregnant patient with no medical history who is experiencing seizures? A) Diazepam B) Calcium gluconate C) Magnesium sulfate D) Naloxone 18) Which of the following statements about changes in maternal physiology during pregnancy is TRUE? A) Renal blood flow decreases. B) The mother’s respiratory rate increases significantly. C) Maternal blood volume decreases. D) Progesterone causes a decrease in airway resistance. 19) When measuring the distance from the symphysis pubis to the uterine fundus, each centimeter is roughly equal to ________ of gestation. A) one week B) one month C) two weeks D) ten days 20) Which stage of gestation begins at eight weeks and continues until delivery? A) Fetal B) Perinatal C) Prenatal D) Embryonic