Deck 35: Normal Pregnancy

Question 1

Any fetal heart rate less than 120 beats per minute is cause for concern and the patient needs further medical evaluation.

Answer 1

False

Question 2

The Paramedic should consider palpating for the fetal outline if the patient is at least 24 weeks' pregnant and birth may be imminent.

Answer 2

False

Question 3

The EDD can be calculated by Naegle's rule, which is based on the first day of the last menstrual period.

Answer 3

True

Question 4

A patient's syncope may have nothing to do with her pregnancy, but may instead relate to some preexisting medical condition.

Question 5

It is estimated that up to ____ of women have some spotting in the first trimester.

A) 25%
B) 50%
C) 75%
D) 100%

Question 6

Magnesium sulfate can be administered intramuscularly, but it is painful and its uptake can be erratic.

Question 7

Over half the pregnancies in the United States are unplanned.

Question 8

Toxoplasmosis is a parasitic disease whose primary host is the common house cat.

Question 9

By the seventh week of development, the embryonic period is completed.

Question 10

A Pfannenstiel incision is a vertical scar along the midline of the abdomen.

Question 11

Typically, it is easiest to hear the fetal heart tones over the fetus's back.

Question 12

The second trimester starts at the second month and continues to the end of the fifth month.

Question 13

Abdominal pain is uncommon during pregnancy.

Question 14

Hormonal changes contribute to nausea and vomiting in up to 70% to 85% of women in their first trimester of pregnancy.

Question 15

For women with regular menstrual cycles, the absence of menstruation, or ____, is an indication of possible pregnancy.

A) menorrhagia
B) dysmenorrhea
C) oligomenorrhea
D) amenorrhea

Question 16

Women who are pregnant are prone to hypoglycemia.

Question 17

Pregnancy is divided into trimesters, each lasting approximately ____ weeks.

A) 4
B) 13
C) 17
D) 20

Question 18

During a normal pregnancy the woman's blood volume decreases markedly from about the sixth week of pregnancy until weeks 32 to 34.

Question 19

The ____ is a vital organ with three main functions: metabolism, transfer of nutrients and waste, and endocrine functions.

A) pancreas
B) placenta
C) liver
D) appendix

Question 20

The ovum implants itself into the uterine wall during the ____ trimester.

A) first
B) second
C) third
D) either the first or second

Question 21

A combination of pruritis and soft popular lesions found on the hands and feet is known as ____ of pregnancy.

A) dermatitis
B) anemia
C) prurigo
D) edema

Question 22

The long axis of the fetus in line with the long axis of the mother is known as fetal ____.

A) attitude
B) station
C) presentation
D) lie

Question 23

A woman who has never been pregnant would be classified as ____.

A) primipara
B) nulligravida
C) primigravida
D) multigravida

Question 24

The pregnant patient should be transported in a(n) ____ position whenever possible in order to avoid supine hypotensive syndrome, maximize blood flow to the uterus, and for comfort.

A) fetal
B) prone
C) left lateral
D) sitting

Question 25

Fetal heart beat is not detectable by auscultation with a Doppler stethoscope until approximately ____ weeks in an average weight woman.

A) 4
B) 12
C) 18
D) 20

Question 26

The fetal circulation to the placenta is via two ____________________, which remove deoxygenated blood and waste products from the fetus to the maternal circulation.

Question 27

Because of their smooth muscle relaxation properties, certain beta/agonists are used to slow labor, a procedure called ____.

A) tocolysis
B) episiotomy
C) oophorectomy
D) foley catheterization

Question 28

Excessive vomiting of the pregnant woman is called ____,

A) common gastroenteritis
B) hyperemesis gravidarum
C) supine hypotensive syndrome
D) diastasis recti

Question 29

As a condition of pregnancy, ____________________ occurs, resulting in a pooling of blood in the pregnant womans' lower extremities.

Question 30

____ contractions are nonrhythmic, sporadic, generally not painful, and increase in frequency, intensity, duration, and regularity starting at the midpoint in the second trimester.

A) Isometric
B) Eccentric
C) Quickening
D) Braxton-Hicks

Question 31

During an examination, the pregnant woman should be allowed to lie ____.

A) in a semireclined position
B) in a fetal position
C) on her abdomen
D) on her right side

Question 32

Maternal perception of fetal movement, called the ____________________, is one of the most useful methods of fetal surveillance.

Question 33

The fetal heart sounds are usually between ____ beats per minute.

A) 100 and 120
B) 120 and 160
C) 160 and 190
D) 190 and 210

Question 34

Some women experience abdominal cramping, as well as ____________________ (breakthrough vaginal bleeding), as their hormonal levels adjust to the pregnancy.

Question 35

To facilitate absorption of needed nutrients, the hormone ____ slows gastrointestinal motility, allowing for more time for absorption.

A) insulin
B) progesterone
C) glucagon
D) adrenaline

Question 36

The position of the fetus head, as either flexed or extended, is known as fetal ____.

A) lie
B) station
C) attitude
D) presentation

Question 37

Imbalance of plasma volume to hematocrit is referred to as the ____ of pregnancy.

A) ketoacidosis
B) gastroenteritis
C) anemia
D) hypoxia

Question 38

____ refers to the number of pregnancies that ended in the birth of a baby that reached the point of viability.

A) Gravida
B) Para
C) Primi
D) Abortus

Question 39

____ refers to the number of times a woman has been pregnant.

A) Para
B) Abortus
C) Mara
D) Gravida

Question 40

Fetal growth is considered to be within normal limits if the ____________________ measurement agrees with the number of weeks' gestation within two centimeters.

Question 41

____________________ is caused by the weight of the uterus and its contents compressing on the inferior vena cava and aorta, decreasing venous return to the heart, which in turn causes arterial hypotension.

Question 42

A(n) ____________________ is any substance, agent, or environmental factor that has an adverse effect on the fetus, and may include alcohol, occupational exposures, cytomegalovirus, prescribed medications, and toxoplasmosis.

Question 43

The ____________________ period encompasses the time from the first day of the last menstrual period (LMP) to the start of true labor.

Question 44

____________________ is a pregnancy-induced convulsion that complicates about two percent of pregnancies

Question 45

If eclampsia is suspected, then ____________________ should be administered intravenously.