OBSETRICS AND NEONATAL HEALTH CLINICAL SCENARIOS PAPER WITH ANSWERS 100% ACCURATE GAURANTED A+
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Course
Medicine
Institution
Medicine
This document provides a series of questions related to obstetric emergencies, particularly focused on labor and delivery scenarios, aimed at medical stud ents. Each question presents a clinical scenario followed by multiple-choice options for the appropriate management or action. Topics covered in...
1.. Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's
leg is protruding from the vagina. Appropriate management of this situation includes:
A. placing the mother supine with her head down and pelvis elevated.
B. gently pulling on the infant's leg in an attempt to facilitate delivery.
C. placing the mother in a recumbent position and rapidly transporting.
D. carefully attempting to push the infant's leg off of the umbilical cord.
2.You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second
child. The patient has apparently fallen and sustained an injury to her upper right arm. When
you ask about the incident history, the patient is reluctant to explain what happened and
becomes very quiet. Based on this information, you should:
a. immediately remove the patient from the environment and transport
b. contact police and remain at the scene until they arrive and escort you to the hospital
c. ask more detailed questions and press the issue until you have a more detailed understanding
of the incident
d. continue your care in a private area, document any details regarding the scene and the
incident, and reassure her as you provide care
3. A 33-year-old woman who is 36 weeks pregnant is experiencing scant vaginal bleeding.
During transport, you note that she suddenly becomes diaphoretic, tachycardic, and
hypotensive. In addition to administering 100% oxygen, you should:
A. place her in a left lateral recumbent position.
B. position her supine and elevate her legs 12″.
C. carefully place sterile gauze into her vagina.
D. assist her ventilations with a bag-mask device.
4. During delivery, it is MOST important to position your partner at the mother's head because:
A. the mother may become nauseated and vomit.
B. the mother needs to be apprised of the situation.
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,C. she may need emotional support during the delivery.
D. mothers often need assisted ventilation during delivery.
5.A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells
you that her blood pressure has been high and that she had been complaining of a headache for
the past few days. You should:
a. elevate her legs to improve brain perfusion and keep her warm
b. administer oral glucose for presumed hypoglycemia and transport
c. insert an oral airway and ventilate her with a BVM
d. place her on her side, administer high flow oxygen, and transport
6.You and your partner are both male and are attending to a 28 yo female patient complaining
of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient
refuses to allow you to examine her, and her husband informs you that their culture does not
allow males to examine or care for pregnant women. You should:
a. call for the police to ensure that patient assessment is carried out
b. respect the patient's wishes, ensure that the appropriate documentation is completed, and
transport the patient
c. insist that the patient requires proper care and that requires an adequate physical
assessment and that you cannot be responsible for the outcome
d. inform the patient that by calling for an ambulance, she is agreeing to the care provided and
continue with your assessment and management
7.During your visual inspection of a 25 yo women in labor, you see the baby's head crowning at
the vaginal opening. What should you do?
a. apply gentle pressure to the baby's head as it delivers
b. tell the mother not to push and transport her immediately
c. place your fingers in the vagina to assess for a nuchal cord
d. maintain firm pressure to the head until it completely delivers
8.Following delivery of a full-term baby, you have properly cared for the baby and have clamped
and cut the umbilical cord. During transport, you not that the mother is experiencing moderate
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, vaginal bleeding. You should:
a. elevate her legs 6 to 8 inches and cover her with a blanket
b. firmly massage the uterine fundus with a circular motion
c. carefully insert a sterile trauma dressing into her vagina
d. place her legs together and position her on her left side
10.Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:
A. iron makes the blood clot faster, which protects the mother from excessive bleeding during
delivery.
B. the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding.
C. white blood cells decrease during pregnancy, which increases the mother's risk of an
infection.
D. pregnancy causes a decreased number of red blood cells, which predisposes the mother to
anemia.
11.Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and
diffuse blistering, you should:
A. begin full resuscitation and transport.
B. report the case to the medical examiner.
C. provide emotional support to the mother.
D. dry the infant off to stimulate breathing.
12.By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A. belly button.
B. pubic bone.
C. xiphoid process.
D. superior diaphragm.
13.The term "bloody show" is defined as:
A. the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of
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