ch 1-5 quiz

Type III decelerations are caused by which of the following?

Identify which of the following are included in the ballard gestational age assessment.
I. ear recoil
II. presence of edema
III. sole creases
IV. skin appearance
V. presence of lanugo

Which of the following is not a part of the biophysical profile?

The earliest development of the lungs begins at:

Which of the following are possible causes of polyhydramnios?
I. hydrocephalus
II. esophageal atresia
III. chantal atresia
IV. Down syndrome
V. cleft palate

5 hours postpartum following a forceps assisted vaginal delivery, a primigravida 29-year-old patient notices a small amount of frank blood on her pad. The nurse performs a vaginal examination and notices a small tear in the perineum. This is most likely caused by:

A G2P3 45 year old with a 20-pack/ year smoking history is admitted to the hospital at 23 weeks gestation. Her blood pressure is measured at 160/98 and she has 2+ edema in both lower legs. You suspect preeclampsia; however, one additional test needs to be run to confirm the diagnosis. That test is:

Which of the following statements are true regarding fetal movements?
I. Fetal movements show the greatest activity between 28 and 34 weeks.
II. Diminished fetal movements are normal early in gestation.
III. Fetal distress and stillbirth are common findings when the fetus is inactive
IV. Movement has been detected as early as 7 weeks gestation.
V. Fetal movements are very difficult to asses

A high level of alpha-fetoprotein found during amniocentesis indicated which of the following?

A 40-week gestation fetus is found to be in the breech positioning is having severe heart rate decelerations. A vaginal examination is done, and it is found that the cervix is dilated to 10 cm with 100% effacement. The vaginal exam reveals no abnormalities and the amniotic sac ruptured nearly an hour previously. The most likley cause of deceleration is:

The most accurate method of measuring the fetal heart rate is:

Equipment used for resuscitation should be checked at least:

Which of the following statements is correct?

Which of the following factors indicate the need to intubate?
I. prolonged PPV is required
II. bag and mask ventilation is ineffective
III. thick meconium is present
IV. chest excursion is poor
V. breath sounds are absent

Which of the following may occur following Cesarean section?

Which of the following cannot be detected by an ultrasound?

Which of the following is true of secondary apnea?

Which of the following does not appear to accelerate fetal lung maturation?

Which of the following are complications of umbilical artery catheters?
I. thrombus formation
II. perforation of the vessel wall
III. hemorrhage
IV. pneumothorax
V. vasospasm

You are confronted by a worried parent in the waiting room who is concerned that her daughter seems to be taking too long to deliver her first grandchild. Her daughters first contractions started at 2:00 am, she was admitted at 4:00 am, and it is not 11:30 pm of the same day. You arrive at the nurses station and see that the patient is fully effaced and dilated to 8cm. Which of the following is most likely?

Assessment of the fetus in the 1st trimester is facilitated by which technique?

Assign an Apgar score to the following Caucasian neonate: 2150 grams, blue dusky color all over, flaccid, HR 90, weak gasping breaths, and a weak grimace when orally suctioned.

During a resuscitation, positive-pressure ventilation is indicated when:
I. breathing effort is absent
II. PaO2 is less than 60
III. PaCO2 is greater than 50
IV. spontaneously breathing neonate’s heart rate is below 100 bpm
V. neonate is blue all over

Which of the following would best minimize conductive heat loss in a neonate?

Which of the following statements best describes surface tension?

The heart develops from which germ layer(s)?

Dichotomy of the airways occurs during which phase of lung development?

Maternal tocolytic therapy with terbutaline may lead to:

Monitoring of the fetal heart rate during labor and delivery is used to detect:
I. Uterine contractions
II. Placental insufficiency
III. Rupture of the amniotic sac
IV. Compression of the umbilical cord
V. Bradycardia secondary to a vagal stimulus

The embryologic truncus arteriosus develops into:
I. The vena cava
II. The pulmonary artery
III. The atria
IV. The aorta
V. The right and left ventricles

Polyhydramnios is defined as

Following the positioning, suctioning, stimulation, and drying of a neonate, what is the next step in resuscitation?

A common cause of fetal bradycardia is:

Which of the following describes the path of blood that is shunted though the foramen ovale?

During a resuscitation, which of the following are first evaluated?
I. Temperature
II. color
III. heart rate
IV. respirations
weight

Which of the following, when found in amniotic fluid, is the best indicator of fetal lung maturity?

Which of the following are done during the quiet assessment?
I. asses skin color
II. palpate the fontanelles
III. asses patient movement
IV. overall visual inspection
V. auscultation of breath sounds

Which of the following tests done on amniotic fluid is used to help determine fetal kidney maturity?

Of the following, which does not cause fetal asphyxia?

Which of the following physical or biochemical factors initiating the first breath is a baby born via cesarean section likely to miss?

Which of the following are true concerning lung fluid?
I. There is approximately 20 to 30 mL/kg present at birth
II. at term, it is produced at a rate of 3 to 4 mL/kg/hr
III. it has lower pH, protein, and bicarbonate levels than amniotic fluid
IV. it has lower sodium and chloride concentrations than amniotic fluid
V. It maintains the patency of the developing airways

Which of the following are true regarding the anatomic and physiologic differences between adults and infants?
I. infants have a proportionately larger tounge
II. Infants have a proportionately larger epiglottis
III. Infants have a proportionately larger BSA
IV. The infant’s trachea is only a third the diameter of the adult’s
V. infants have a higher oxygen consumption

Which of the following involves removal of a fetal blood sample while still in utero?

At what stage of embryologic development does the ovum enter the uterus?

The ductus arteriosus shunts blood from the:

The persistence of fetal circulation in the presence of asphyxia is secondary to:

In the placenta, the fetal vessels are contained in the

Which of the following factors of maternal history places the fetus at high risk?
I. Maternal age of 37 years
II. Previous miscarriage
III. Previous premature delivery
IV. Asthma
V. Maternal obesity

The respiratory system arises from which of the following germ layers?

Chest compressions are started when: