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Book 2: Maternal and Fetal Care
UNIT 12: IMMINENT DELIVERY AND PREPARATION FOR MATERNAL/FETALTRANSPORT
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
If the head of a baby delivers and the woman gives several strong pushes but the shoulders do not deliver, you should
If the head of a baby delivers and the woman gives several strong pushes but the shoulders do not deliver, you should
Yes
No
Move the woman immediately to the operating room.
Ask the woman to grasp her legs behind the knees and pull them to her chest .
Tell the woman to rest and try pushing again in several minutes.
Put the head of the bed flat.
Press down on the woman's abdomen, just above the pubic symphysis, while a second person places gentle downward traction on the baby's head.
All of the following signs indicate delivery of a baby is imminent, except
A. A sudden gush of blood
B. The anus dilates, and the anterior wall of the rectum becomes visible.
C. The perineum bulges.
D. The woman states the baby is coming
Which of the following actions is appropriate when imminent delivery is recognized?
Which of the following actions is appropriate when imminent delivery is recognized?
Yes
No
Tell the woman that she will need to push, or stop pushing, as you direct.
Ask the woman to assume the knee-chest position until her physician arrives .
Call for help, but do not leave the woman.
Assist the woman to deliver where she is.
Move the woman immediately to a delivery room .
When a woman with a known placenta previa, at 30 weeks of gestation, and on bed rest in your hospital begins to have bright red spotting, she should be transferred immediately to the regional perinatal center for delivery
True
False
A gush of blood from the vagina normally follows placental separation.
True
False
If a baby is in breech presentation, you should wrap a dry towel around the baby's legs and hips and begin to pull gently but steadily.
True
False
The first thing to do after the baby's head delivers is to
A. Begin delivery of the shoulders.
B. Suction the baby's nose.
C. Tell the mother to stop pushing.
D. Check for a nuchal cord.
If the placenta does not separate within 30 minutes after the birth of a baby and there is no bleeding, which of the following actions should you take first?
A. Pull gently but steadily on the umbilical cord.
B. Do nothing while you wait for spontaneous separation.
C. Call for anesthesia staff and start an intravenous line.
D. Insert a gloved hand into the vagina, through the cervix, and into the uterus to remove the placenta.
Immediately after a baby is born, you should tug firmly on the placental end of the umbilical cord to begin delivery of the placenta.
True
False
It is best to transport a woman with severe preeclampsia for delivery at a regional perinatal center as soon as her blood pressure increase to 190/110 mm Hg is noted.
True
False
It would generally be considered safe to transport a woman in early labor at 32 weeks of gestation, 4 cm dilated, and 80% effaced to a regional perinatal center 1 hour away for delivery at the center.
True
False
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