Chapter 20- Gynecology and Obstetrics
Exam with Answers
The fetus develops inside a fluid-filled, bag-like membrane called the amniotic sac or
bag of waters, and contains:
A: 200-250 mL of fluid.
B: 250-359 mL of fluid.
C: 350-500 mL of fluid.
D: 500-1,000 mL of fluid. - Correct Answer D: 500-1,000 mL of fluid.
As the time for delivery nears, certain complications can occur, preeclampsia or
pregnancy-induced hypertension, a condition that can develop after the:
A: 10th week of gestation.
B: 20th week of gestation.
C: 24th week of gestation.
D: 28th week of gestation. - Correct Answer B: 20th week of gestation.
Prompt hospital treatment should be provided for a pregnant woman with vaginal
bleeding. Which of the following should NOT be done in this emergency?
A: Place a sanitary pad or trauma dressing in the vagina
B: Have her on her left side during the transport
C: Give her high-flow oxygen
D: Save any tissue that may be passed from the vagina. - Correct Answer A: Place
a sanitary pad or trauma dressing in the vagina
An enraptured amniotic sac may contain a foul smelling greenish color fluid. This
information must be:
A: included in your narrative report only.
B: given to the parents to pass along to their pediatrician.
C: relayed in your report to medical control.
D: ignored, this is normal in 50% of births. - Correct Answer C: relayed in your
report to medical control.
As soon as the head is delivered, use the index finger of your other hand to feel
whether the umbilical cord is wrapped around the neck, this is commonly called:
A: a nuchal cord.
B: a blue cord.
C: a tightly wound cord.
D: a suffocative cord. - Correct Answer A: a nuchal cord.
Post-delivery care includes drying the baby off and wrapping it immediately in a
blanket or towel, and placing it on one side, with:
, A: the head slightly lower than the rest of the body.
B: the head slightly higher than the rest of the body.
C: more face down than face up.
D: a high flow of oxygen. - Correct Answer A: the head slightly lower than the rest
of the body.
Once the infant is born, the umbilical cord is of no further use to the mother or infant.
Post-delivery care of the umbilical cord is important because:
A: the tissue of the cord is very tough and must be cut quickly.
B: infection is easily transmitted through the cord to the baby.
C: a moot situation, it is of no further value.
D: it will quickly detach itself from the placenta. - Correct Answer B: infection is
easily transmitted through the cord to the baby.
To slow bleeding, you can massage the mother's abdomen in a firm, circular motion
after the baby is delivered, stimulating the uterus to contract. You can also:
A: administer two tablespoons of oxytocin , if the mother has it available.
B: raise the upper half of the mother's body.
C: place the infant on the mother's breast to nurse.
D: place one or two sanitary napkins into the vagina, approximately four inches. -
Correct Answer C: place the infant on the mother's breast to nurse.
Excessive bleeding occurs when the bleeding exceeds:
A: 350 mL.
B: 500 mL.
C: 750 mL.
D: 900 mL. - Correct Answer B: 500 mL.
When transporting a premature infant, keep the temperature of the vehicle
(ambulance) at what temperature?
A: 80 to 85 degrees
B: 85 to 90 degrees
C: 90 to 95 degrees
D: 95 degrees or higher - Correct Answer C: 90 to 95 degrees
You are dispatched to a woman having a baby. Upon arrival at a private residence,
you find a 22-year-old woman lying on the bathroom floor with a small puddle of
blood under her buttocks. A 2-year-old child is crying in a playpen across the hall.
The patient tells you that she has been having contractions for the last hour but
thought that she and her husband could get to the hospital in time. However, she
states that her water "broke," and she estimates that her contractions are now only 2
to 3 minutes apart. She also says that because of financial difficulties, she has not
seen a physician since she first found out that she was pregnant again. You check
and find the baby's head at the vaginal opening. While you are getting the history
and checking the patient, your partner obtains baseline vital signs, including a pulse
Exam with Answers
The fetus develops inside a fluid-filled, bag-like membrane called the amniotic sac or
bag of waters, and contains:
A: 200-250 mL of fluid.
B: 250-359 mL of fluid.
C: 350-500 mL of fluid.
D: 500-1,000 mL of fluid. - Correct Answer D: 500-1,000 mL of fluid.
As the time for delivery nears, certain complications can occur, preeclampsia or
pregnancy-induced hypertension, a condition that can develop after the:
A: 10th week of gestation.
B: 20th week of gestation.
C: 24th week of gestation.
D: 28th week of gestation. - Correct Answer B: 20th week of gestation.
Prompt hospital treatment should be provided for a pregnant woman with vaginal
bleeding. Which of the following should NOT be done in this emergency?
A: Place a sanitary pad or trauma dressing in the vagina
B: Have her on her left side during the transport
C: Give her high-flow oxygen
D: Save any tissue that may be passed from the vagina. - Correct Answer A: Place
a sanitary pad or trauma dressing in the vagina
An enraptured amniotic sac may contain a foul smelling greenish color fluid. This
information must be:
A: included in your narrative report only.
B: given to the parents to pass along to their pediatrician.
C: relayed in your report to medical control.
D: ignored, this is normal in 50% of births. - Correct Answer C: relayed in your
report to medical control.
As soon as the head is delivered, use the index finger of your other hand to feel
whether the umbilical cord is wrapped around the neck, this is commonly called:
A: a nuchal cord.
B: a blue cord.
C: a tightly wound cord.
D: a suffocative cord. - Correct Answer A: a nuchal cord.
Post-delivery care includes drying the baby off and wrapping it immediately in a
blanket or towel, and placing it on one side, with:
, A: the head slightly lower than the rest of the body.
B: the head slightly higher than the rest of the body.
C: more face down than face up.
D: a high flow of oxygen. - Correct Answer A: the head slightly lower than the rest
of the body.
Once the infant is born, the umbilical cord is of no further use to the mother or infant.
Post-delivery care of the umbilical cord is important because:
A: the tissue of the cord is very tough and must be cut quickly.
B: infection is easily transmitted through the cord to the baby.
C: a moot situation, it is of no further value.
D: it will quickly detach itself from the placenta. - Correct Answer B: infection is
easily transmitted through the cord to the baby.
To slow bleeding, you can massage the mother's abdomen in a firm, circular motion
after the baby is delivered, stimulating the uterus to contract. You can also:
A: administer two tablespoons of oxytocin , if the mother has it available.
B: raise the upper half of the mother's body.
C: place the infant on the mother's breast to nurse.
D: place one or two sanitary napkins into the vagina, approximately four inches. -
Correct Answer C: place the infant on the mother's breast to nurse.
Excessive bleeding occurs when the bleeding exceeds:
A: 350 mL.
B: 500 mL.
C: 750 mL.
D: 900 mL. - Correct Answer B: 500 mL.
When transporting a premature infant, keep the temperature of the vehicle
(ambulance) at what temperature?
A: 80 to 85 degrees
B: 85 to 90 degrees
C: 90 to 95 degrees
D: 95 degrees or higher - Correct Answer C: 90 to 95 degrees
You are dispatched to a woman having a baby. Upon arrival at a private residence,
you find a 22-year-old woman lying on the bathroom floor with a small puddle of
blood under her buttocks. A 2-year-old child is crying in a playpen across the hall.
The patient tells you that she has been having contractions for the last hour but
thought that she and her husband could get to the hospital in time. However, she
states that her water "broke," and she estimates that her contractions are now only 2
to 3 minutes apart. She also says that because of financial difficulties, she has not
seen a physician since she first found out that she was pregnant again. You check
and find the baby's head at the vaginal opening. While you are getting the history
and checking the patient, your partner obtains baseline vital signs, including a pulse
