Question 1

How should the therapist interpret a fetal biophysical profile score of 7?

Accepted Answer

A) The fetus requires careful evaluation and possibly immediate delivery. 
B) The fetus requires another biophysical profile in 24 hours. 
C) The fetus appears to be normal. 
D) The data are inconclusive and the profile needs to be redone immediately. 
A) The fetus requires careful evaluation and possibly immediate delivery. 
B) The fetus requires another biophysical profile in 24 hours. 
C) The fetus appears to be normal. 
D) The data are inconclusive and the profile needs to be redone immediately. C

Question 2

A therapist is resuscitating a term newborn.The heart rate falls to 55 beats per minute.What is the best course of action?

Accepted Answer

A) Intubate and provide positive airway pressure 
B) Administer IV or ET epinephrine 
C) Apply bag-mask ventilation 
D) Continue compressions until heart rate is greater than 60 
A) Intubate and provide positive airway pressure 
B) Administer IV or ET epinephrine 
C) Apply bag-mask ventilation 
D) Continue compressions until heart rate is greater than 60 B

Question 3

Once preterm labor is diagnosed,which of the following medications should be considered as tocolytic?

Accepted Answer

A) Magnesium sulfate 
B) Sodium bicarbonate 
C) Calcium carbonate 
D) Epinephrine 
A) Magnesium sulfate 
B) Sodium bicarbonate 
C) Calcium carbonate 
D) Epinephrine A

Question 4

A fetus is undergoing a contraction stress test.Uterine contractions are stimulated by the intravenous infusion of oxytocin into the mother.The fetal PO₂ drops below 12 mm Hg and causes the fetal heart rate to slow.Which of the following conditions is likely indicated by this occurrence?

Accepted Answer

A) Placenta abruption 
B) Oligohydramnios 
C) Uteroplacental insufficiency 
D) Nuchal cords 
A) Placenta abruption 
B) Oligohydramnios 
C) Uteroplacental insufficiency 
D) Nuchal cords

Question 5

A therapist treating a newborn with hypoxemia due to hypothermia should also be aware of which of the following conditions?

Accepted Answer

A) Hypercarbia 
B) Hypoglycemia 
C) Hypocalcemia 
D) Left-to-right shunt 
A) Hypercarbia 
B) Hypoglycemia 
C) Hypocalcemia 
D) Left-to-right shunt

Question 6

Which of the following microorganisms often affect pregnancy outcome?

Accepted Answer

A) Group B Streptococcus 
B) Haemophilus influenzae 
C) Mycobacterium tuberculosis 
D) Hepatitis C virus 
A) Group B Streptococcus 
B) Haemophilus influenzae 
C) Mycobacterium tuberculosis 
D) Hepatitis C virus

Question 7

A woman 41-weeks pregnant is at high risk for complication in the postpartum period.Which of the following agents will be more appropriate to induce labor?

Accepted Answer

A) Magnesium sulfate 
B) Aspirin 
C) Terbutaline 
D) Oxytocin 
A) Magnesium sulfate 
B) Aspirin 
C) Terbutaline 
D) Oxytocin

Question 8

How should the therapist interpret an amniotic fluid index of 5 cm?

Accepted Answer

A) Polyhydramnios 
B) Multihydramnios 
C) Oligohydramnios 
D) Anhydramnios 
A) Polyhydramnios 
B) Multihydramnios 
C) Oligohydramnios 
D) Anhydramnios

Question 9

Which of the following conditions is a significant problem in postterm pregnancy?

Accepted Answer

A) Infection 
B) Fetal anencephaly 
C) Meconium aspiration 
D) Obesity 
A) Infection 
B) Fetal anencephaly 
C) Meconium aspiration 
D) Obesity

Question 10

The respiratory therapist is attending a term labor of a woman diagnosed with gestational diabetes.The baby is very large for gestational age.What other metabolic disturbances should be considered?
I.Hyperglycemia
II.Hypocalcemia
III.Hyperkalemia
IV.Hypoglycemia

Accepted Answer

A) II and IV only 
B) I,II,and III only 
C) I and III only 
D) II,III,and IV only 
A) II and IV only 
B) I,II,and III only 
C) I and III only 
D) II,III,and IV only

Question 11

In lieu of obtaining a scalp blood gas sample,what can the therapist do to conduct intrapartum assessment of the fetus?

Accepted Answer

A) Fetal scalp stimulation 
B) Umbilical cord blood sampling 
C) Placental blood sampling 
D) Biophysical profile 
A) Fetal scalp stimulation 
B) Umbilical cord blood sampling 
C) Placental blood sampling 
D) Biophysical profile

Question 12

The respiratory therapist is called to assist in the labor of a pregnant woman whose NST reported two accelerations in fetal heart rate,each of at least 15 beats per minute and lasting at least 15 seconds,associated with maternal perception of fetal movement over a period of 20 minutes.What is the best course of action?

Accepted Answer

A) A C-section should be scheduled as soon as possible. 
B) No action is required because this reactive NST is associated with normal uteroplacental function. 
C) A CST should be performed before fetal stress is confirmed. 
D) Oxytocin should be to be administered to prevent more fetal stress. 
A) A C-section should be scheduled as soon as possible. 
B) No action is required because this reactive NST is associated with normal uteroplacental function. 
C) A CST should be performed before fetal stress is confirmed. 
D) Oxytocin should be to be administered to prevent more fetal stress.

Question 13

Which of the following maternal complications is associated with cesarean section?

Accepted Answer

A) Intraoperative bladder or bowel injuries 
B) Endomyometriosis 
C) Failure to progress in labor 
D) Placenta previa 
A) Intraoperative bladder or bowel injuries 
B) Endomyometriosis 
C) Failure to progress in labor 
D) Placenta previa

Question 14

Which of the following conditions are associated with preeclampsia?
I.Multiparity
II.Proteinuria
III.Generalized edema
IV.Hypertension

Accepted Answer

A) II and III 
B) I,II,and III 
C) I,III,and IV 
D) II,III,and IV 
A) II and III 
B) I,II,and III 
C) I,III,and IV 
D) II,III,and IV

Question 15

A pregnant woman at 30 weeks of gestation with premature rupture of membranes has been admitted to the hospital with preterm labor.The physician has ordered betamethasone.When does the maximal benefit of antenatal corticosteroid occur to reduce RDS?

Accepted Answer

A) After 12 hours 
B) After 24 hours 
C) After 48 hours 
D) After 1 week 
A) After 12 hours 
B) After 24 hours 
C) After 48 hours 
D) After 1 week

Question 16

Which of the following conditions is responsible for up to 40% of the preterm births in the United States?

Accepted Answer

A) Cervical insufficiency 
B) Premature rupture of the fetal membranes 
C) Obstetrical intervention mandated by fetal jeopardy 
D) Hormonal treatment during pregnancy 
A) Cervical insufficiency 
B) Premature rupture of the fetal membranes 
C) Obstetrical intervention mandated by fetal jeopardy 
D) Hormonal treatment during pregnancy

Question 17

A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn.If necessary,what FiO₂ should be used to start positive pressure ventilation?

Accepted Answer

A) 100% and wean as needed 
B) 21% and make changes utilizing preductal oximetry 
C) 50% and wean for SPo₂ > 88% 
D) Any Fio₂ as long as peak pressures do not exceed 20 cm H₂O 
A) 100% and wean as needed 
B) 21% and make changes utilizing preductal oximetry 
C) 50% and wean for SPo₂ > 88% 
D) Any Fio₂ as long as peak pressures do not exceed 20 cm H₂O

Question 18

A pregnant woman has been diagnosed with pregestational diabetes.Which of the following risk factors should the therapist be aware at the time of delivery?

Accepted Answer

A) Unexplained abruption placenta 
B) Oligohydramnios 
C) Microcephaly 
D) Fetal malformations 
A) Unexplained abruption placenta 
B) Oligohydramnios 
C) Microcephaly 
D) Fetal malformations

Question 19

A woman with a long history of smoking is now in the last part of the third trimester of her pregnancy.She is at high risk for which of the following conditions?
I.Premature rupture of membranes
II.Placental abruption
III.Placenta previa
IV.Sudden infant death syndrome

Accepted Answer

A) II and IV only 
B) I,II,and III only 
C) I and III only 
D) I,II,III,and IV 
A) II and IV only 
B) I,II,and III only 
C) I and III only 
D) I,II,III,and IV

Question 20

A therapist is resuscitating a term newborn.What should be the rate of ventilation?

Accepted Answer

A) 20 to 30 breaths per minute 
B) 30 to 40 breaths per minute 
C) 40 to 60 breaths per minute 
D) 60 to 100 breaths per minute 
A) 20 to 30 breaths per minute 
B) 30 to 40 breaths per minute 
C) 40 to 60 breaths per minute 
D) 60 to 100 breaths per minute

Exam 3: Antenatal Assessment and High Risk Delivery

How should the therapist interpret a fetal biophysical profile score of 7?

A therapist is resuscitating a term newborn.The heart rate falls to 55 beats per minute.What is the best course of action?

Once preterm labor is diagnosed,which of the following medications should be considered as tocolytic?

A fetus is undergoing a contraction stress test.Uterine contractions are stimulated by the intravenous infusion of oxytocin into the mother.The fetal PO₂ drops below 12 mm Hg and causes the fetal heart rate to slow.Which of the following conditions is likely indicated by this occurrence?

A therapist treating a newborn with hypoxemia due to hypothermia should also be aware of which of the following conditions?

Which of the following microorganisms often affect pregnancy outcome?

A woman 41-weeks pregnant is at high risk for complication in the postpartum period.Which of the following agents will be more appropriate to induce labor?

How should the therapist interpret an amniotic fluid index of 5 cm?

Which of the following conditions is a significant problem in postterm pregnancy?

The respiratory therapist is attending a term labor of a woman diagnosed with gestational diabetes.The baby is very large for gestational age.What other metabolic disturbances should be considered? I.Hyperglycemia II.Hypocalcemia III.Hyperkalemia IV.Hypoglycemia

In lieu of obtaining a scalp blood gas sample,what can the therapist do to conduct intrapartum assessment of the fetus?

Which of the following maternal complications is associated with cesarean section?

Which of the following conditions are associated with preeclampsia? I.Multiparity II.Proteinuria III.Generalized edema IV.Hypertension

A pregnant woman at 30 weeks of gestation with premature rupture of membranes has been admitted to the hospital with preterm labor.The physician has ordered betamethasone.When does the maximal benefit of antenatal corticosteroid occur to reduce RDS?

Which of the following conditions is responsible for up to 40% of the preterm births in the United States?

A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn.If necessary,what FiO₂ should be used to start positive pressure ventilation?

A pregnant woman has been diagnosed with pregestational diabetes.Which of the following risk factors should the therapist be aware at the time of delivery?

A woman with a long history of smoking is now in the last part of the third trimester of her pregnancy.She is at high risk for which of the following conditions? I.Premature rupture of membranes II.Placental abruption III.Placenta previa IV.Sudden infant death syndrome

A therapist is resuscitating a term newborn.What should be the rate of ventilation?

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