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Exercises for Lesson 2

INSTRUCTIONS. Complete the following exercises by writing the answer in the space provided. After you have completed all the exercises, scroll down to the solutions at the end of the lesson and check your answers.

1. Pains due to contractions of the uterus following childbirth and after the placenta has been expelled are called _____.

2. The rating system for newborn babies which measures their general condition is called _____.

3. A baby delivering buttocks or feet first is being born in the _____ position.

4. Delivery of the baby and placenta through an incision made into the abdominal wall and the uterus of the mother is called a _____ birth.

5. The thin, yellowish fluid which comes from the mother's breast before breast milk is called _____.

6. The appearance of the baby's head at the opening of the vagina is termed _____

.7. The cord which connects the baby and the placenta is called the _____ cord.

8. The rhythmic, involuntary contractions of the uterus which accomplish the process of birth care are commonly termed _____.

9. The first stage of labor in which the cervix dilates from 1 centimeter to 10 centimeters is called the stage of  _____.

10. The second stage of labor, which is the period from complete dilation of the cervix to delivery of the infant, is called the stage of _____.

11. The third stage of delivery, the placental stage, is the period after delivery, ending with the .

12. List three signs of true labor.

13. If you discover the umbilical cord is wrapped around the baby's neck during delivery, gently try to .

14. Be prepared to hold the newborn baby securely because not only may strong contractions cause the newborn to explode from the birth canal but also a newborn is .

15. A fertilized egg implanted outside the uterus in the fallopian tube or on an ovary is called an pregnancy.

16. An embryo implanted in the lower uterine segment is called _____.

17. List three conditions which can cause excessive bleeding after delivery of a newborn.

18. To be considered premature, a newborn must weigh less than five and one-half pounds or be born before the completion of months of pregnancy.

19. Treat a woman having third-trimester bleeding by administering 100 percent oxygen, transporting her to a medical treatment facility, but NEVER _____

20. An inevitable abortion is _____.

21. Preeclampsia is the first stage of a pregnancy condition which is more commonly called _____.

22. List four signs/symptoms of preeclampsia.

23. You are treating a pregnant woman who has sustained trauma. It is very important for you to remember that you are treating two patients: the woman and _____

24. There is usually time to get a pregnant woman to a hospital for delivery is her contractions are more than _____ apart.

25. List three procedures to follow if the newborn does not breathe spontaneously after you have suctioned his nose and mouth.

26. You have just conducted the five-minute APGAR evaluation of a newborn. These are your findings:

Color -- completely pink.

Heart rate -- More than 100 beats per minute.
Respiratory effort -- Good crying and regular breathing.
Muscle tone -- Active motion with limbs well-flexed.
Reflex irritability -- Grimaces/sneezes in response to nose catheter.

What is the infant's score on the APGAR scale? _____ points
What does the score indicate about the baby's general condition?

27. In a breech delivery, you must create an air passage for the baby if its head does not deliver in three minutes. List the steps to take to create this air passage.

28. of the umbilical cord occurs when the umbilical cord delivers before the baby.

29. List four things you should NOT do when a baby's limb delivers first.

30. The term multigravida refers to a woman who _____.

Solutions to Exercises for Lesson 2

1. After pains.

2. The APGAR scoring system.

3. Breech.

4. Caesarian section.

5. Colostrum.

6. Crowning.

7. Umbilical.

8. Labor pains.

9. Dilation.

10. Expulsion.

11. Expulsion of the placenta or "afterbirth."

12. You are correct if you listed any three of the following:

Uterine contractions happening at regular intervals.
Painful and hard contractions.
Pain in front and at the back of the abdomen.
Cervix dilated completely and effaced.
Fetal head descending.
Fetal head fixed between contractions.
Possible bulging or rupture of cervical membranes.

13. Slip the cord over the baby's shoulder and head.

14. Very slippery.

15. Ectopic.

16. Placenta previa.

17. Some parts of the placenta are still in the uterus.
        Uterine contractions were inadequate.
        The mother has a blood clotting disorder.

18. Seven.

19. Perform a vaginal examination.

20. A spontaneous abortion that cannot be prevented.

21. Toxemia.

22. You are correct if you listed any four of the following:
        High blood pressure.
        Blurred vision.
        Abdominal pain

23. The fetus she carries.

24. Five minutes.

25. Rub the infant's back gently.
    Slap the soles of the infant's feet.
    Start mouth-to-mouth or mouth-to-nose resuscitation.

26. 10 points. The baby is in excellent condition. (Tables 2-1 and 2-2)

27. a. Insert your gloved hand into the vagina.
    b. Create an air passage by placing your fingers on either side of the baby's nose.
    c. Then push the vaginal wall away from the infant's face.

28. Prolapsed.

29. DO NOT attempt to deliver the baby.
    DO NOT pull on the presenting limb.
    DO NOT try to place the limb back in the vagina.
    DO NOT place your hand into the vagina unless there is a prolapsed umbilical cord.

30. Has been pregnant two or more times.

End of Lesson 2

David L. Heiserman, Editor

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All Rights Reserved

Revised: June 06, 2015