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Worksheets

OB Ch 10, 11, & 12

Total questions: 61

Worksheet time: 5hrs 5mins

Name
Class
Date
1.

What medication relaxes smooth muscled decreases uterine activity?

a)

indomethacin

b)

magnesium sulfate

c)

nifedipine

d)

diphenhydramine

2.

What refers to a patient who is 37 weeks gestation or later and whose membranes rupture before the onset of labor?

a)

PROM

b)

fFN

c)

PPROM

d)

LMP

3.

The rupture of membranes before 37 weeks gestation.

a)

PROM

b)

fFN

c)

PPROM

d)

LMP

4.

What are some signs and symptoms that a patient will experience with PROM? (select all that apply)

a)

leakage of fluid

b)

vaginal discharge

c)

pelvic pressure but no conttrtactions

d)

vaginal bleeding

5.

With chorioamnionitis what is the mother at risk for? (select all that apply)

a)

endometritis

b)

sepsis

c)

death

d)

fluid overload

6.

What is the neonate at risk for with chorioamnionitis? (select all that apply)

a)

fetal distress

b)

respiratory depression

c)

infection

d)

death

7.

What type of pregnancy extends past 42 weeks gestation?

a)

pre-term

b)

post-term

c)

normal term

8.

Fetal consequences of post-term pregnancy include which of the following? (select all that apply)

a)

placental insufficiency

b)

increased risk of being still born

c)

increased mortality

d)

macrosomia

9.

Maternal risks of post-term pregnancy include which of the following? (select all that apply)

a)

slower more difficult labor

b)

increased perineal injury because of large size of fetus

c)

increased rate of c-section

d)

postpartum hemorrhage

10.

An abnormally high level of fluid is termed what?

a)

polyhydraminos

b)

oligohydraminos

c)

macrosomia

d)

endometritis

11.

An abnormally low level of amniotic fluid is called?

a)

polyhyrdraminos

b)

oligohydraminos

c)

endometritis

d)

macrosomia

12.

What are some reasons women have anxiety during labor? (select all that apply)

a)

past experiences

b)

sexual abuse

c)

lack of knowledge

d)

first pregnancy

13.

What are the three types of breech position? (select all that apply)

a)

frank breech

b)

footling breech or incomplete breech

c)

complete breech

d)

transverse breech

14.

What term refers to a newborn that is significantly larger than average for gestational age?

a)

large for gestational age

b)

macrosomia

c)

small for gestational age

15.

An obstetric emergency that occurs when the umbilical cord passes through the cervix at the same time or before the presenting part is what?

a)

placenta acreta

b)

placenta abruptio

c)

umbilical cord prolapse

d)

occult prolapsed cord

16.

What is the term for a prolapsed cord that passes through the cervix at thee same time as the presenting part but cannot be felt or seen?

a)

occult

b)

overt

c)

placenta acreta

d)

placenta abruptio

17.

What is the term for a prolapsed cord that is visible and palpable in the birth canal or extending beyond the vagina?

a)

occult

b)

placenta acreta

c)

overt

d)

placenta abruptio

18.

What is the primary cause of cord prolapse?

a)

rupture of membranes

b)

prematurity

c)

small for gestational age

d)

multiple gestations

19.

What factors may predispose a woman to precipitous delivery? (select all that apply)

a)

a multiparous woman with relaxed perineal floor muscles

b)

a multiparous woman with unusually strong and forceful contractions

c)

a woman with a high pain threshold

d)

a multiparous woman with a history of Shortt labors

20.

For which birth complication is the McRoberts maneuver performed?

a)

shoulder dystocia

b)

uterine inversion

c)

retained placenta

d)

uterine rupture

21.

What are the signs of a uterine inversion? (select all that apply)

a)

postpartum hemorrhage

b)

sudden appearance of a vaginal mass

c)

signs of shock

d)

vaginal bleeding

22.

What are the stages of grief? (select all that apply)

a)

denial and guilt

b)

anger

c)

depression

d)

acceptance

23.

The artificial rupture of membranes is known as what?

a)

amniotomy

b)

amnioinfusion

c)

episiotomy

d)

external cephalic version

24.

In a term patient how long does an amniotomy usually tattle to stimulate labor?

a)

8 hours

b)

2 hours

c)

12 hours

d)

4 hours

25.

what is it called when a HCP attempts to move a malpositioned fetus after 37 weeks gestation?

a)

external cephalic version

b)

amniotomy

c)

amnioinfusion

d)

McRoberts maneuver

26.

What are some risks of external cephalic version? (select all that apply)

a)

twisting of the umbilical cord

b)

rupture of membranes and uterus

c)

placental abruptio

d)

bleeding

27.

Which of the following are teaching points for an external version? (select all that apply)

a)

it is not always successful

b)

time contractions if they begin

c)

may stimulate labor

d)

signs of ruptured membranes

28.

What tool is used to evaluate cervical ripening and is predictive of the readiness for the induction of labor?

(a)  

29.

A Bishop's Score of _____ or more is significant for successful induction of labor?

a)

6

b)

8

c)

5

d)

3

30.

What is the most common mechanical method for cervical ripening?

a)

oxytocin infusion

b)

hygroscopic dilators

c)

Foley catheter

d)

pitocin

31.

How soon do most women deliver after Foley catheter insertion?

a)

12 hours

b)

6 hours

c)

24 hours

d)

48 hours

32.

How many mL is the Foley catheter ballon filled with?

a)

10-15

b)

15-20

c)

20-30

d)

30-50

33.

What size catheter is normal used to stimulate cervical ripening?

a)

12F

b)

14F

c)

16F

d)

18F

34.

An assisted delivery involving the use of a cup-like device that attaches to the fetal head with suction is referred to as what?

a)

Vacuum extraction

b)

forceps

c)

c-section

d)

natural

35.

How much suction is applied in a vacuum extraction- assisted birth?

a)

100-200 mm Hg

b)

400-500 mm Hg

c)

450-600 mm Hg

d)

500-700 mm Hg

36.

What should be done to prepare for a scheduled c-section? (select all that apply)

a)

discuss the birth plan with HCP

b)

obtain preoperative lab work

c)

preregistration with the hospital

d)

arranging for help at home and packing for 3-5 days in the hospital

37.

What are the risks for a c-section? (select all that apply)

a)

hemorrhage and shock

b)

anesthesia complications

c)

venous thromboembolism

d)

cardiac arrest

38.

What are some indications that a woman could have a successful VBAC? (select all that apply)

a)

had a prior vaginal delivery

b)

had a prior VBAC

c)

spontaneous labor

d)

cephalic presentation

39.

Nursing carre for a patient undergoing a TOLAC includes which of the following? (select all that apply)

a)

providing routine care of a laboring patient

b)

conducting a vaginal cervical exam

c)

observing closely for signs of uterine rupture

d)

monitoring pain

40.

Oxytocin being released causing the uterus to contract and begin shrinking down to a non pregnant size is called what?

a)

afterpains

b)

involution

c)

ovulation

d)

exfoliation

41.

The intermittent uterine contractions that some women describe as cramping are called what?

a)

afterpains

b)

fundus

c)

involution

d)

ovulation

42.

Which of the following are part of a uterine assessment? (select all that apply)

a)

palpate the fundus

b)

note the fundal position

c)

assess the consistency of the mass

d)

massage the uterus

43.

Lack of muscle tone is known as what?

a)

atony

b)

diastasis

c)

diaphoresis

d)

atrophy

44.

Lochia assessment resulting in dark red blood is called?

a)

lochia rubra

b)

lochia serosa

c)

lochia alba

45.

Lochia assessment resulting in brownish red and then a lighter color is called?

a)

lochia rubra

b)

lochia alba

c)

lochia serosa

46.

Lochia assessment resulting in a yellowish color is called?

a)

lochia rubra

b)

lochia serosa

c)

lochia alba

47.

less than 1 inch of lochia on the pad

a)

scant

b)

light

c)

moderate

d)

heavy

48.

less than 4 inches of lochia on the pad

a)

scant

b)

light

c)

moderate

d)

heavy

49.

less than 6 inches of lochia on the pad

a)

scant

b)

light

c)

moderate

d)

heavy

50.

when the pad is saturated with lochia within an hour

a)

scant

b)

light

c)

moderate

d)

heavy

51.

BUBBLE LE stands for what?

(a)  

52.

Who is at higher risk for postpartum depression?

a)

adolescent

b)

someone over age 35

c)

post-term pregnancy

d)

pre-term pregnancy

53.

Which of the following should you say to a woman relinquishing her infant for adoption? (select all that apply)

a)

what can I do to help you?

b)

share with me your plan for the baby

c)

tell me how you're feeling today

d)

why are you giving up the baby?

54.

In which phase is the mother centered on her own needs?

a)

taking-in phase

b)

taking-hold phase

c)

letting-go phase

d)

attachment phase

55.

In which phase does the mother initiate care of the baby?

a)

taking in phase

b)

taking hold phase

c)

letting go phase

d)

attachment phase

56.

In which phase does the mother adjust to being out of her previous childless more independent role?

a)

taking in phase

b)

taking hold phase

c)

letting go phase

d)

attachment phase

57.

During this phase the new mother often wants to review her labor and delivery experience to help her integrate with the reality of her baby being born.

a)

taking in phase

b)

taking hold phase

c)

letting go phase

d)

attachment phase

58.

During what phase will the mother experience postpartum blues?

a)

taking in

b)

taking hold

c)

letting go

d)

attachment

59.

During which phase does the mother experience attachment to her baby?

a)

taking in

b)

taking hold

c)

letting go

d)

attachment

60.

New parents who are observant of their newborn for extended periods of time are experiencing which of the following?

a)

engrossment

b)

en face position

c)

bonding

d)

attachment

61.

When does the true diagnosis of labor occur?

(a)