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Online Pretest for Chapter 20 - Obstetrics and Gynecological Emergencies
1:  During the first stage of labor, you should usually:
A: prepare for an emergency delivery at home.
B: have time to transport the woman to the hospital.
C: help the woman to walk around between contractions.
D: hold the woman's legs together to slow down delivery.
2:  A woman who is having her third baby tells you that she must move her bowels. The most appropriate step would be to:
A: provide prompt transport because there is still plenty of time before the delivery.
B: ask her whether she is about to deliver, and if she says no, provide prompt transport.
C: provide immediate transport because it is always safer to deliver at the hospital.
D: prepare to deliver the baby at the scene, because delivery is about to occur.
3:  If a woman's abdomen remains unusually large after delivery, you should prepare for:
A: severe bleeding.
B: a multiple birth.
C: partial delivery of the placenta.
D: a delay in delivery of the placenta.
4:  A woman in labor appears to have a part of the umbilical cord protruding from the vagina. You should first place the woman in Trendelenburg's position and then carefully:
A: push the cord back into the vagina and provide prompt transport.
B: push the baby's head back into the vagina and provide prompt transport.
C: moisten the cord with sterile saline solution and provide prompt transport.
D: insert your gloved finger into the vagina and gently push the baby's head away from the umbilical cord.
5:  A woman who is having her first child is having contractions 2 minutes apart. You should:
A: prepare to deliver the baby at the scene.
B: examine for crowning before deciding whether to transport.
C: provide slow transport while monitoring the woman's vital signs.
D: place the woman in Trendelenburg's position and provide immediate transport.
6:  What five areas of activity in the newborn are evaluated by the Apgar score?
A: Cardiac rate, eye tracking, muscle tone, color, strength of cry
B: Grip strength, eye tracking, respiratory effort, muscle tone, color
C: Grip strength, respiratory effort, muscle tone, color, strength of cry
D: Cardiac rate, respiratory effort, muscle tone, reflex irritability, color
7:  The fetus develops inside the:
A: umbilicus.
B: placenta.
C: fundus.
D: uterus.
8:  The fluid-filled, baglike membrane in which the fetus grows is called the:
A: uterine sac.
B: perineal sac.
C: amniotic sac.
D: placental sac.
9:  Delivery of the head during a breech birth must occur within how many minutes to prevent suffocation?
A: 4
B: 10
C: 2
D: 1
10:  Your care of a premature baby should include:
A: keeping the baby cool.
B: removing the clamp on the umbilical cord.
C: keeping the mouth and nose clear of mucus.
D: directing a stream of oxygen directly into the baby's mouth.

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