54. Julia wants to learn Lamaze breathing techniques. What is a principle of Lamaze birth?

*a. Pain can be interrupted before it registers in the brain as pain

b. Labor contractions are not pain; the are muscle inflammation
c. “Brown Pain” like labor contractions can be lessened
d. labor contractions are intensified by abdominal massage
59. Angelina had tuberculosis as a teenager. What is a danger of this during pregnancy?
*a. Calcium deposits that wall off old tuberculosis lesions can break down
b. Tuberculosis can turn to pneumonia if a woman has a folic acid deficit
c. PPD tests are negative during pregnancy so TB goes undetected
d. If tuberculosis spreads to the stomach, it can cause stomach ulcers
61. Angelina uses an insulin pump to administer insulin for gestational diabetes. Why is night time a particularly
hazardous time for her fetus with pump therapy?
a. The fetus can develop hyperglycemia from excessive insulin administration
*b. Continous insulin administration with no food can lead to hypoglycemia
c. the mothers lack of exercise at night tends to lead to hyperglycemia
d. The pump’s needle can migrate inward and possibly pierce the fetus
63. Beverly Muzuki, the woman you met at the beginning of the chapter, had a miscarriage when she was younger.
What would be the best advice to give a woman who tells you she is miscarrying?
a. Lie down and don’t move for 24 hours to stop the bleeding
b. Don’t do anything special; early miscarriage happen all the time
*c. Save any clots or material passed for your health care provider
d. Use a tight tampon to put pressure on your cervix and stop the bleeding
65. Suppose Beverly develops a placenta previa. What would be an important assessment to make with her after her
baby’s birth?
a. Whether she recognizes that this is inherited and will probably happen again
*b. Asessment of vaginal bleeding, as she is prone to have more than usual
c. Whether she appears “Jittery” from the prebirth drugs she received
d. Whether she understands that her uterus has a scar and so will always be weakened
66. Beverly is in preterm labor. When you see her in the emergency room, what should be your first action?
a. keep her walking so the fetal heads puts harder pressure on the cervix
*b. Ask her to lie down on a side lying position and assess her contraction
c. Obtain blood for Hcg hormone assessment.
d. Caution her not to allow anyone to start IV fluid dehydration halts contractions.
68. if a patient developed a HELLP syndrome, what symptoms would be most important to assess for?
a. rapid, anxious breathing
*b. Ecchymosis or petechiae
c. Blink reflex
d. Enlarged thyroid
73. Mindy carson is still an adolescent. What is a task of adolescence, according to Erikson, that she needs to
complete to be ready to be a mother?
*a. establish a value system
b. Grow to her final height
c. prepare clothes for the baby
d. Finish her education
74. Mindy was placed on an iron supplement because her hemoglobin level was below normal. What is a usual test
to demonstrate an adherence to an iron supplement?
a. Assessing if her skin appears darker
*b. Assessing her blood reticulocyte count
c. Analyzing her urine for iron deposits
d. Measuring if she has grown in height
76. Women with high thoracic spinal cord injury can develop autonomic dysreflexia during labor. The best action to
take for this would be
a. Ask her to lie flat and take deep breathes
b. Elevate her legs to restore her blood pressure
*c. Give a prescribed hypotensive medicine
d. Talk to her calmly to reduce her anxiety
77. mindy carson tells you she takes methamphetamine almost daily. A fetus of a drug addicted mother receives
approximately what percentage of a mothers drug concentration?
a. 20%
*b. 50%
c. 70%
d. 100%
81. you assess Celeste’s uterine contractions. In relation to the contraction, when does a late deceleration begin?
a. Forty five seconds after the contraction is over
*b. Thirty seconds after the start of a contraction
c. After every tenth or more contraction
d. After a typical contraction ends
85. Johnny chooses to have epidural anesthesia. What are two risks associated with this?
*a. Hypotension and prolonged second stage of labor
b. Severe headache and coldness of all extremities
c. Continued back pain and short first stage of labor
d. Hypertension and a reduced red blood cell count
87. Jonny reports in early labor she isn’t having much pain. You assess that her contractions are also not strong.
What position usually promotes efficient uterine contractions in early labor?
*a. Sitting or standing
b. Lying supine
c. Lying prone
d. Side lying
90. Moja Hamma asks you how big her scar will be after cesarean birth. Your best answer would be:
a. The incision is big and runs vertically across your abdomen
b. The incision is made through the vagina so doesn’t leave a scar
*c. Most cesarean birth incisions are so low they don’t show over a bikini
d. it is so large that it will always show, but think of it as a mark of pride
92. Suppose a woman experiences a uterine inversion and the placenta is still attached. What would be your best
action?
a. Remove the placenta manually so that the uterus contracts.
b. Attempt to replace the uterus so that it becomes compressed
*c. Increase women’s intravenous fluid to help restore blood loss
d. Give an emergency bolus of an oxytocin such as Pitocin IV
97. Suppose Mary Blackhawk has a retained placental fragment that is causing extensive postpartal bleeding. What
hormone test would you anticipate being ordered to detect whether placenta is still present?
a. Placental and cord blood estrogen
b. Progesterone from the placenta
*c. human chorionic gonadotropin hormone
d. Systemic prolactin (a pituitary hormone)