More OBGYN Questions and Answers 2023/2024

How many blood vessels does a normal umbilical cord have? - Correct Answer 3 The umbilical cord has two arteries and one vein. The umbilical arteries carry deoxygenated blood from the fetus and the umbilical vein carries oxygenated blood to the fetus. While assisting in the delivery of a child, you notice meconium staining. Your first action would be? - Correct Answer Suction mouth first, then nose while delivery is completed You should gently suction the mouth first, then the nose, which helps the neonate avoid aspirating fluid into their lungs. You arrive on scene to a vehicle vs. bicycle collision at a busy intersection. You note one small child lying face down and quickly remember that the leading cause of death in pediatric patients is? - Correct Answer Head injuries Maternal blood volume can increase by how much during pregnancy? - Correct Answer It increases by as much as 1.5 times normal blood volume The increase in blood volume helps with fetal circulation as well as adjustment for blood loss during and after delivery. Ectopic pregnancies are usually discovered by which month of pregnancy? - Correct Answer Usually by the 2nd month, patients have had complications stemming from the ectopic pregnancy sending them to their PCP or local ER. Where would you expect to locate the fundus in a patient who is 41-weeks pregnant? - Correct Answer Xiphoid Process At 20 weeks, you should be able to palpate the fundus near the umbilicus. At 40 weeks, you should be able to palpate the fundus near the xiphoid process. You are called to the scene for a 38-year-old female complaining of extreme pressure in her pelvic area. The patient stated that she is pregnant with twins, however, she is only about 32 weeks along. Upon assessment, you note a vaginal discharge. Your next course of action would be to? - Correct Answer Prepare for delivery Answer Explanation Involuntary pushing or "pressure" is an sign of imminent delivery. Gestation, especially with twins, may not go all the way to the due date Your newborn patient is going to be receiving blow-by oxygen. The proper rate and delivery of this should be? - Correct Answer 5 L through NRB mask Any higher concentration is likely to dry out the oral and nasal mucosa in infants. You have been dispatched for a 5-year-old male in respiratory distress in late January. The patient's mother states that she originally thought he just had a head cold but his