As we grapple with the first question, we have two pretty
simple explanations for our existence.
One explanation is that we exist due to a cosmic accident
of unbelievable proportions, wherein atoms started
moving and spinning at such an incredible rate that, in
MATERNAL NEWBORN
bumping together, the sun, the earth, and intelligent life
forms were eventually created.
You might believe in the cosmic accident theory, and you
1. Question
are 1entitled to possess this opinion, just as I am entitled
to believe that someday, Tom Brady will stop playing
1 point(s)
football. Unfortunately, there are problems with both of
our logics.
At what stage of labor and delivery does a primigravida differ mainly from
The issue with believing in the cosmic accident theory is
a multigravida?
that we have to confront the problem of the atoms.
Where did they come from? Who put them there?
o A.Everything
Stage 1 that exists had to come from somewhere, at
o B.some
Stagepoint, right? Without answering this question, this
2
line of reasoning is left unresolved.
o C.AsStage 3
we grapple with the first question, we have two pretty
simple explanations for our existence.
o D.One
Stage 4
explanation is that we exist due to a cosmic accident
Answer of unbelievable proportions, wherein atoms started
moving and
Correct Answer: A.spinning
Stage at 1 such an incredible rate that, in
bumping together, the sun, the earth, and intelligent life
In stage 1 during normal vaginal delivery of a vertex presentation, the
forms were eventually created.
multigravida may believe
You might have about 8 hoursaccident
in the cosmic of labor while
theory, the
and youprimigravida may
have up are
to 12 hours
entitled to labor.
possess this opinion, just as I am entitled
Option B:
to• believe that The second
someday, stage
Tom Brady willofstop
labor commences with
playing
football. Unfortunately, there are problems
complete cervical dilation to 10 centimeters with both of and ends with the
our logics.
delivery of the neonate. In women who have delivered
The issue with believing in the cosmic accident theory is
vaginally
that we have to previously, whose bodies
confront the problem have acclimated to
of the atoms.
Where delivering
did they comea fetus,
from?theWhosecond
put themstage may only require a brief
there?
trial, whereas
Everything that existsahadlonger duration
to come may be required
from somewhere, at for a
somenulliparous
point, right? female.
Without answering this question, this
line of reasoning is left unresolved.
• Option C: The third stage of labor commences when the fetus
As we grapple with the first question, we have two pretty
is delivered and concludes with the delivery of the placenta.
simple explanations for our existence.
Separationisof
One explanation the
that weplacenta
exist due from the uterine
to a cosmic accidentinterface is
hallmarked
of unbelievable by three wherein
proportions, cardinalatomssignsstarted
including a gush of blood
movingat the
and vagina,
spinning lengthening of therate
at such an incredible umbilical
that, in cord, and a
bumping together,
globular the sun,
shaped the earth,
uterine and intelligent
fundus on palpation.life
forms were eventually created.
• Option D: During the fourth stage of labor, the baby is born,
You might believe in the cosmic accident theory, and you
the placenta
are entitled to possesshasthis
delivered, and
opinion, just as the
I amwoman
entitled and her partner
will probably
to believe that someday,feel Tom
joy, Brady
relief,will
and stopfatigue.
playingMost babies are ready
football. Unfortunately, there are problems with both of
our logics.
The issue with believing in the cosmic accident theory is
that we have to confront the problem of the atoms.
Where did they come from? Who put them there?
Everything that exists had to come from somewhere, at
some point, right? Without answering this question, this
, to nurse within a short period after birth. Others wait a little
longer. If the woman is planning to breastfeed, it is strongly
encouraged to try to nurse as soon as possible after the baby
is born. Nursing right after birth will help the uterus to
contract and will decrease the amount of bleeding.
2. 2. Question
1 point(s)
The first thing that a nurse must ensure when the baby’s head comes out is
o A. The cord is intact
o B. No part of the cord is encircling the baby’s neck
o C. The cord is still attached to the placenta
o D. The cord is still pulsating
Answer
Correct Answer: B. No part of the cord is encircling the baby’s neck
The nurse should check right away for possible cord coil around the neck
because if it is present, the baby can be strangled by it and the fetal head
will have difficulty being delivered.
• Option A: In a newborn who was born a few hours ago, the
cord may look plump and pale yellow. One of the umbilical
arteries may be visible and protruding from the cut edge. A
normal cord has two arteries and one vein.
• Option C: The cord is expelled from the mother within a half-
hour after birth. It is still attached to the placenta, which is
commonly called “the afterbirth.” With its function completed,
it is no longer needed and so is discarded by the mother’s
body.
• Option D: Some cords may pulsate (the pulsation assists the
transfer of your baby’s blood back into their body) for as long
as 30 minutes or more, where others may stop pulsating at 5
minutes or less after the baby is born.
3. 3. Question
1 point(s)
To ensure that the baby will breathe as soon as the head is delivered, the
nurse’s priority action is to
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o A. Slap the baby’s buttocks to make the baby cry.
o B. Suction the nose and mouth to remove mucous secretions.
o C. Clamp the cord about 6 inches from the base.
o D. Check the baby’s color to make sure it is not cyanotic.
Answer
Correct Answer: B. Suction the nose and mouth to remove mucous
secretions.
Suctioning the nose and mouth of the fetus as soon as the head is
delivered will remove any obstruction that may be present allowing for
better breathing. Also, if mucus is in the nose and mouth, aspiration of the
mucus is possible which can lead to aspiration pneumonia. (Remember
that only the baby’s head has come out as given in the situation.)
• Option A: Earlier, many doctors would hold the baby upside
down firmly around his legs and then slap the butt gently. This
not only causes slight pain to the child, but the motion also
helps loosen any residues that might be obstructing the
airways. Constantly doing so can irritate the child enough to
begin crying.
• Option C: Late cord clamping (performed approximately 1–3
min after birth) is recommended for all births while initiating
simultaneous essential neonatal care. Early umbilical cord
clamping (less than 1 min after birth) is not recommended
unless the neonate is asphyxiated and needs to be moved
immediately for resuscitation.
• Option D: When a baby is first born, the skin is a dark red to
purple color. As the baby starts to breathe air, the color
changes to red. This redness normally starts to fade on the
first day. A baby’s hands and feet may stay bluish in color for
several days. This is a normal response to a baby’s
underdeveloped blood circulation. But blue coloring of other
parts of the body isn’t normal.
4. 4. Question
1 point(s)
When doing perineal care in preparation for delivery, the nurse should
observe the following, except?
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o A. Use up-down technique with one stroke.
o B. Clean from the mons veneris to the anus.
o C. Use mild soap and warm water.
o D. Paint the inner thighs going towards the perineal area.
Answer
Correct Answer: D. Paint the inner thighs going towards the perineal
area
Painting of the perineal area in preparation for delivery of the baby must
always be done but the stroke should be from the perineum going
outwards to the thighs. The perineal area is the one being prepared for the
delivery and must be kept clean
• Option A: Wipe the perineum in one stroke to prevent the
transfer of infectious microorganisms from the anal area to the
perineum.
• Option B: Always wash from front to back to prevent
spreading fecal matter from the anal area to the vagina or
urethra.
• Option C: Use mild soap and warm water. Mild soap would
avoid killing the normal flora that lives in and around the
perineum.
5. 5. Question
o point(s)
What are the important considerations that the nurse must remember after
the placenta is delivered? Select all that apply.
• A. Check if the placenta is complete including the membranes
• B. Check if the cord is long enough for the baby
• C. Check if the umbilical cord has 3 blood vessels
• D. Check if the cord has a meaty portion and a shiny portion
Answer
Correct Answer: A & C
The nurse after delivering the placenta must ensure that all the cotyledons
and the membranes of the placenta are complete. Also, the nurse must
