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1 | |
In the introductory story to Chapter 5, as Tanner Roberts is about to be born, for the past hour his mother's contractions have been coming every two minutes and lasting a full minute. This indicates: |
| | A) | she is having an unusually difficult delivery. |
| | B) | she is experiencing Braxton-Hicks contractions. |
| | C) | the compressions from the contractions will help press fluid from his lungs and prepare him to breathe on his own. |
| | D) | the child is in danger of developing anoxia. |
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2 | |
Mrs. Peters is bearing down hard with each contraction. She is in the __________ stage of labor. |
| | A) | first |
| | B) | second |
| | C) | third |
| | D) | final |
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3 | |
Rajni has just given birth to a baby girl and is now in the process of expelling the placenta, umbilical cord, and other membranes. This indicates she: |
| | A) | is going through afterbirth. |
| | B) | is in the fourth stage of childbirth. |
| | C) | is in danger of hemorrhaging. |
| | D) | has delivered by cesarean section. |
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4 | |
Which of the following can lead to anoxia during birth? |
| | A) | if the delivery takes too long |
| | B) | use of forceps to help ease the infant through the birth canal |
| | C) | an episiotomy (surgically widening the vaginal opening) |
| | D) | a cesarean delivery |
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5 | |
When Tanner Roberts was born, he was covered with vernix caseosa. This: |
| | A) | indicates his mother may likely have had a vaginal infection during pregnancy. |
| | B) | is a normal, protective skin covering for a newborn. |
| | C) | requires immediate attention to avoid infection. |
| | D) | is a good indicator that he will have a lot of hair |
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6 | |
A woman in the United States is ________ likely than women in other countries around the world to give birth at home. |
| | A) | equally as |
| | B) | more |
| | C) | less |
| | D) | only slightly more |
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7 | |
Eleni is a caregiver who provides ongoing physical, emotional, and educational support for mothers before, during, and after the birth of their children. Eleni is a: |
| | A) | physician. |
| | B) | midwife. |
| | C) | physician's assistant. |
| | D) | doula. |
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8 | |
Epidural blocks have recently been criticized because: |
| | A) | babies have been noted to go through withdrawal symptoms if their mothers received this treatment. |
| | B) | they have been associated with fever, extended labor, and increased risk for cesarean delivery. |
| | C) | most practitioners believe it is healthier for mother and child to have natural delivery. |
| | D) | they can lead to dependence and withdrawal symptoms for the mother. |
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9 | |
Amanda was given oxytocin during delivery. It is most likely because: |
| | A) | her contractions stopped. |
| | B) | she was bleeding vaginally. |
| | C) | she stopped ovulating. |
| | D) | her placenta became partially detached. |
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10 | |
Which statement about the influence on newborns of drugs used during birth is the most accurate? |
| | A) | Experiments on the effects of drugs on childbirth raise few ethical questions. |
| | B) | There is no exact way to predict how drugs may affect the baby because drugs affect each person differently. |
| | C) | Except for low-birthweight babies, drugs affect most infants in pretty much the same way. |
| | D) | Most mothers choose natural childbirth, so researchers are unable to learn about how drugs affect labor. |
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11 | |
Grantley Dick-Read believed that _______ is an important dimension of reducing the mother's perception of pain during childbirth. |
| | A) | the type of drug administered |
| | B) | the age of the mother |
| | C) | the doctor's relationship with the mother |
| | D) | the use of forceps |
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12 | |
Aisha and Malcolm have chosen to use a childbirth method that includes a special breathing technique to control pushing in the final stages of labor. They also learned a great deal about anatomy and physiology in preparing for the birth. Most likely they are using which method? |
| | A) | medical |
| | B) | natural |
| | C) | LeBoyer |
| | D) | prepared |
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13 | |
The main premise of prepared childbirth is summarized by the phrase: |
| | A) | "knowledge is power." |
| | B) | "always say 'no' to drugs." |
| | C) | "it takes two to tango." |
| | D) | "easy does it." |
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14 | |
Cesarean deliveries are usually performed when the: |
| | A) | head is the first part of the baby to come out of the birth canal. |
| | B) | baby has an unusually small head. |
| | C) | mother is under the age of 18. |
| | D) | baby is in a breech position. |
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15 | |
Compared to the number of cesarean deliveries in the 1980s, in the 1990s the rate: |
| | A) | remained pretty much the same. |
| | B) | increased. |
| | C) | decreased. |
| | D) | The figures have not yet been analyzed. |
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16 | |
Today more fathers participate in childbirth because: |
| | A) | they need to do this to bond with their infants. |
| | B) | they are the best possible support for their wives. |
| | C) | health professionals believe that childbirth should be an intimate, shared moment between the two people who are creating a new life. |
| | D) | more and more physicians are requiring fathers to be present. |
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17 | |
All of the following are appropriate ways to prepare a child for the birth of a sibling, EXCEPT: |
| | A) | providing the child with information about pregnancy. |
| | B) | announcing the pregnancy early to explain her tiredness and vomiting. |
| | C) | waiting to tell a younger child about the pregnancy until the mother begins to look "fat." |
| | D) | insisting that the child participate in the birth process when the new baby comes. |
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18 | |
Three-year-old Jeremy had been toilet trained and had stopped sucking his thumb. Once his baby sister was brought home from the hospital, he started bed-wetting and sucking his thumb again. This behavior is: |
| | A) | natural. |
| | B) | an indicator of unresolved emotional problems that need therapy. |
| | C) | serious, but should be ignored if his parents want it to go away. |
| | D) | a sign that he is jealous and may cause harm to himself or to the baby. |
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19 | |
How does the United States fare in relation to other countries in the percentage of low-birthweight infants born each year? |
| | A) | It has the lowest percentage. |
| | B) | It is on par with most other industrialized nations. |
| | C) | It has a higher percentage than many European countries and Canada, but lower than impoverished countries such as Bangladesh. |
| | D) | It has one of the highest percentages of low-birthweight infants in the world. |
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20 | |
A "preterm" baby cannot have gestated for more than _________ weeks. |
| | A) | 25 |
| | B) | 30 |
| | C) | 35 |
| | D) | 40 |
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21 | |
Which of the following statements about a shortened gestation period is MOST accurate? |
| | A) | It usually occurs for low-birthweight infants. |
| | B) | It often leads to organ malformation. |
| | C) | It is almost always devastating. |
| | D) | It alone does not necessarily harm an infant. |
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22 | |
Low-birthweight infants are more likely than normal-birthweight infants to have all of the following problems, EXCEPT: |
| | A) | brain damage. |
| | B) | eating disorders. |
| | C) | lung diseases. |
| | D) | liver diseases. |
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23 | |
Intervention with a preterm infant should: |
| | A) | bear in mind that "more is better." |
| | B) | be organized in the form of an individualized developmental plan. |
| | C) | include the parents, but should exclude most other family members. |
| | D) | avoid stimulating the baby. |
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24 | |
Evidence suggests that ________ can lead to weight gain in preterm infants. |
| | A) | a strong parental bond |
| | B) | exercise and massage |
| | C) | fat-free infant formulas |
| | D) | exposure to parental voices |
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25 | |
In contrast to the Brazelton scale, the Apgar primarily assesses a newborn's: |
| | A) | psychological status. |
| | B) | reflexes. |
| | C) | physiological health. |
| | D) | responsivity to people. |
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26 | |
Two-day-old Terry's very low score on the Brazelton Neonatal Behavioral Assessment Scale may be a good indicator that: |
| | A) | he has brain damage. |
| | B) | his mother took heroin while she was pregnant. |
| | C) | he will develop a "difficult" temperament. |
| | D) | he is unlikely to bond with his primary caregiver. |
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27 | |
Xanath is going through the postpartum period. We would expect her to experience: |
| | A) | a great deal of adjustment and adaptation. |
| | B) | major depression. |
| | C) | the greatest happiness of her life. |
| | D) | anger toward her husband and her newborn. |
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28 | |
Which of the following terms refers to a physical process by which the uterus returns to its prepregnant size? |
| | A) | decompensation |
| | B) | decompression |
| | C) | involution |
| | D) | menarche |
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29 | |
All of the following signs may indicate a need for professional counseling about postpartum adaptation, EXCEPT: |
| | A) | fatigue. |
| | B) | depression. |
| | C) | crying spells. |
| | D) | extreme changes in appetite. |
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30 | |
Which statement about close contact between mothers and newborns has been supported by the research? |
| | A) | The newborn must have close contact with the mother in the first few days of life to develop optimally. |
| | B) | Close contact between infant and mother can occur only after standard childbirth. |
| | C) | Close contact with mothers is helpful to preterm infants. |
| | D) | Close contact with the mother is more important than close contact with the father. |
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2003 McGraw-Hill Higher Education