Test Bank For Comprehensive Perinatal and Pediatric Respiratory Care, 4th Edition

Name: Class: Date: chapter 2 Indicate the answer choice that best completes the statement or answers the question. 1. An expectant mother has amniocentesis performed and alpha-fetoprotein (AFP) levels are abnormally high. This could indicate a. a neural tube defect b. Down syndrome c. Rh incompatibility d. fetal lung immaturity 2. A 24-hour urine sample was collected from a pregnant woman and her results indicate an elevated level of estriol. This likely indicates a. a normal, healthy fetus b. growth retardation c. fetal distress d. placental insufficiency 3. A pregnant woman visits a clinic for prenatal care. Which of the following high-risk factors represent a socioeconomic factor? a. minority status b. BMI greater than 31 c. previous ectopic pregnancy d. maternal age under 16 4. Which type of deceleration would result from the umbilical cord being wrapped around an infant’s neck? a. Type III b. Type I c. Type II d. Type IV 5. Vibroacoustic stimulation is performed on an expectant mother. What is the normal fetal response? a. acceleration of heart rate b. deceleration of heart rate c. no change in heart rate d. increase in heart rate variability 6. Electrodes placed on the mother’s abdomen can pick up the electrical activity of a. both the maternal and fetal heart b. the maternal heart only c. the fetal heart only d. fetal blood vessels 7. Which of the following factors indicate a high-risk pregnancy? a. unwed status, especially adolescent b. maternal age over 16 c. height greater than 5 feet Copyright Cengage Learning. Powered by Cognero. Page 1 Name: Class: Date: chapter 2 d. non-smoker 8. A fetus displayed a positive CST with a negative NST. What condition might the fetus have? a. prolonged hypoxia b. brief hypoxia c. hypercapnea d. acidosis 9. Increased levels of bilirubin in amniotic fluid may indicate a. Rh incompatibility b. kidney immaturity c. the presence of meconium d. Down syndrome 10. The acronym EDC stands for a. estimated date of confinement b. estimated date of conception c. estimated delivery and conception d. expected date of confinement 11. A mother first senses fetal movement a. between 16 and 20 weeks gestation b. as early as 7 weeks c. between 28 and 34 weeks d. between 20 and 26 weeks gestation 12. A fetus has aspirated meconium into the trachea and airways. This condition is referred to as a. meconium aspiration syndrome b. meconium airway syndrome c. meconium staining d. pneumonia 13. Sympathomimetic drugs, such as ritodrine, salbutamol, and terbutaline, are administered to a pregnant woman to a. stop contractions b. induce contractions c. reduce maternal blood pressure d. reduce fetal heart rate 14. The fundus of a woman’s uterus is 19 centimeters above the symphysis pubis. What is the gestational age of the fetus? a. 19 weeks b. 20 weeks c. 38 weeks d. 40 weeks Copyright Cengage Learning. Powered by Cognero. Page 2 Name: Class: Date: chapter 2 15. A 25-year-old pregnant woman at 31 weeks gestation has a blood sample drawn for measurement of human placental lactogen (HPL). The result is 3.6 µg/ml. This could indicate a. fetal compromise b. a normal result c. a neural tube defect d. a properly functioning fetal liver 16. A 28-year-old pregnant woman sees her doctor for an ultrasound to determine fetal age. Which of the following methods might be utilized during her ultrasound to determine this? a. biparietal diameter b. doppler velocimetry c. fetal heart rate determination d. abdominal length 17. During routine visits to her obstetrician, a pregnant woman’s fetal heart rate (FHR) was near 140 bpm; however, as she neared delivery, the FHR dropped to approximately 120 bpm. What course of action should be taken? a. Nothing – this is a normal response. b. She should be scheduled for a Caesarian section as soon as possible. c. Labor should be induced as soon as possible. d. Preparations should be made for the delivery of twins. 18. A fetus is experiencing bradycardia due to asphyxia. Which of the following treatments may reduce the severity of the asphyxia? a. oxygen administration to the mother b. oxygen administration to the fetus c. sympathomimetic drug administration d. administration of beta-blockers to the mother 19. A pregnant woman is being seen at her physician’s office for a midtrimester amniocentesis. At what stage of pregnancy is this woman? a. second or third trimester b. first trimester c. 30 days before delivery d. within the first 15 weeks following the last menstrual period 20. Baseline heart rate can be determined by watching the rate tracing for at least a. 10 minutes b. 5 minutes c. 1 hour d. 24 hours 21. A biophysical profile includes results from which of the following tests? a. Fetal breathing, gross body movement, fetal tone, reactive NST, amniotic fluid volume b. Fetal breathing, gross body movement, fetal tone, non-reactive NST, amniotic fluid volume c. Fetal breathing, gross body movement, fetal tone, estriol measurement, amniotic fluid volume Copyright Cengage Learning. Powered by Cognero. Page 3 Name: Class: Date: chapter 2 d. Fetal breathing, meconium staining, fetal tone, reactive NST, amniotic fluid volume 22. Fetal scalp pH was measured and the result was 7.22. This result indicates a. slight asphyxia b. severe asphyxia c. a normal result d. an inconclusive result 23. Which of the following is a contraindication to the performance of the contraction stress test (CST)? a. previous uterine rupture b. a history of miscarriage c. previous stress test d. There are no contraindications for the CST. 24. Which method of FHR monitoring is the most accurate? a. placement of an electrode into the fetal scalp b. external abdominal transducer c. placement of electrodes on the mother’s abdomen d. use of a stethoscope 25. The first day of a woman’s last menstrual period was March 25. What is the estimated date of confinement (EDC)? a. January 1 b. February 1 c. January 25 d. April 25 Copyright Cengage Learning. Powered by Cognero. Page 4 Name: Class: Date: chapter 2 Answer Key 1. a 2. a 3. a 4. a 5. a 6. a 7. a 8. a 9. a 10. a 11. a 12. a 13. a 14. a 15. a 16. a 17. a 18. a 19. a 20. a 21. a 22. a 23. a 24. a 25. a Copyright Cengage Learning. Powered by Cognero. Page 5 Name: Class: Date: chapter 2 Copyright Cengage Learning. Powered by Cognero. Page 6