Question 1

Janet lives in the first province in Canada to regulate and legislate midwives. Where does she live?

Accepted Answer

Ontario was the first province in Canada to regulate and legislate midwives, doing so in 1994. This allowed midwives to be recognized as regulated health professionals under the Regulated Health Professions Act.

Question 2

Which type of crying tends to signify that an infant is experiencing more distress?

Accepted Answer

High-pitched crying in infants is often associated with a higher level of distress or discomfort, possibly indicating more serious concerns such as pain or neurological issues.

Question 3

The Canadian Foundation for the Study of Infant Deaths has made recommendations to help young parents reduce the risk factors associated with sudden infant death syndrome. What is the name of the educational campaign?

Accepted Answer

The "Back to Sleep" campaign is an educational initiative aimed at reducing the risk of sudden infant death syndrome (SIDS) by advising parents to place infants on their backs to sleep.

Question 4

The newborn fans her toes in response to stroking of the foot from heel to toes. What is this response an example of?

Accepted Answer

The response described is the Babinski reflex, which is a normal reflex in infants where stroking the sole of the foot from heel to toes causes the toes to fan out. This reflex typically disappears as the child grows older.

Question 5

Approximately what percentage of babies in Canada can expect to be born with the help of a midwife?

Accepted Answer

The answer of Approximately what percentage of babies in Canada...

Question 6

What procedure happens to the baby soon after birth?

Accepted Answer

The umbilical cord is clamped and severed soon after birth to separate the baby from the placenta. This is a standard procedure in the delivery of a newborn.

Question 7

How soon after birth do most healthy babies attain high Apgar scores?

Accepted Answer

Most healthy babies attain high Apgar scores within 1 minute after birth, as the test is designed to quickly assess the newborn's physical condition and determine any immediate need for extra medical or emergency care.

Question 8

The Smiths are expecting a child but the doctors suspect some complications will occur during delivery. What type of delivery can the couple expect for their child?

Accepted Answer

A cesarean section is often recommended when complications are expected during delivery to ensure the safety of both the mother and the child.

Question 9

Alice's baby has "crowned"? What has occurred?

Accepted Answer

Crowning during childbirth refers to the moment when the baby's head is visible at the vaginal opening, indicating that the baby is very close to being born. This occurs when the head starts to emerge from the birth canal.

Question 10

Which statement best describes a baby who is considered "small for dates"?

Accepted Answer

A baby considered "small for dates" is one who is born at full-term but has a lower birth weight than what is expected for their gestational age, indicating that they may not have grown at the expected rate while in the womb.

Question 11

Brenda is in the second stage of labour with her first child and has heard that she should expect to have an episiotomy. What is the current thinking about the benefits of performing an episiotomy?

Accepted Answer

Current medical consensus suggests that the primary benefit of an episiotomy may be to speed up delivery when medically necessary, but routine use is not supported due to lack of evidence for other benefits and potential for complications.

Question 12

Anya was given an injection into her spinal canal, which temporarily numbed her body below the waist. What type of anesthesia was Anya given?

Accepted Answer

Anya was given a local anesthesia, specifically a type of regional anesthesia known as spinal anesthesia, which numbs a large region of the body by targeting the spinal nerves in the spinal canal.

Question 13

A new mother is experiencing a break with reality and is having hallucinations. What is most likely to be the cause?

Accepted Answer

The correct answer is C) postpartum depression with psychotic features. This condition is characterized by a severe form of postpartum depression that includes a break with reality, hallucinations, or delusions. It is a serious mental health condition that requires immediate medical attention.

Question 14

In Canada C-sections account for what percentage of all births?

Accepted Answer

The answer of In Canada C-sections account for what percentage...

Question 15

Fetal monitors are electronic sensing devices. Which of the following do they measure?

Accepted Answer

Fetal monitors are primarily used to measure the mother's contractions and the fetal heart rate during labor and delivery to assess the fetus's well-being.

Question 16

Jack is concerned that his wife may need an episiotomy. Which of the following is the physician most likely to say?

Accepted Answer

Episiotomy, a surgical cut made at the opening of the vagina during childbirth, has become controversial and its routine use has declined over time due to concerns about its necessity, potential complications, and the recovery process. Current medical practice favors more judicious use, reserving episiotomy for specific situations rather than employing it routinely.

Question 17

Janet works at the prenatal clinic. Of the four expectant women she has seen today, three are at risk for having a baby small for dates. Which woman is at risk for having a baby small for dates?

Accepted Answer

Smoking during pregnancy is a known risk factor for having a baby that is small for gestational age (SGA) or small for dates. Smoking can restrict fetal growth due to reduced oxygen and nutrients supply to the fetus.

Question 18

What type of physical response is a reflex?

Accepted Answer

Reflexes are automatic responses to stimuli that often have survival value, such as pulling your hand away from something hot to avoid getting burned.

Question 19

What is assessed by the Apgar scale?

Accepted Answer

The Apgar scale assesses the health of newborns immediately after birth, focusing on five critical criteria: heart rate (pulse), respiratory effort, muscle tone, reflex response, and skin coloration. Weight, gender, and brainwave activity are not assessed by the Apgar scale.

Question 20

Which statement characterizes the Lamaze method?

Accepted Answer

The Lamaze method is known for its focus on breathing, relaxation exercises, and techniques to help women cope with labor pain, rather than speeding up delivery, reducing its duration, or affecting infant trauma.

Quiz 3: Birth and the Newborn Baby: in the New World