Nokea
Compared to infants delivered in occiput anterior vertex presentation, infants delivered vaginally in a breech presentation have which of the following risks?
- A. a higher risk of birth trauma
- B. a lower risk of fetal asphyxia
- C. a lower risk of umbilical cord prolapse
Correct Answer: A
Rationale: Breech presentations carry a higher risk of birth trauma due to difficult delivery mechanics.
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The breastfeeding position that is good to relieve plugged milk ducts and engorged breasts is
- A. cradle hold
- B. football hold
- C. side-lying hold
Correct Answer: B
Rationale: The football hold allows better access and drainage of blocked ducts.
The wide upper portion of the uterus is called the cervix.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: B
Rationale: The wide upper portion of the uterus is called the fundus, not the cervix.
A method of heat production unique to newborn infants is the metabolism of
- A. bilirubin
- B. brown fat
- C. prostaglandin
Correct Answer: B
Rationale: Brown fat metabolism generates heat in newborns, helping them maintain body temperature.
The recreational drug that most increases the risk of spontaneous abortion is
- A. marijuana
- B. methamphetamine
- C. MDMA
Correct Answer: B
Rationale: Methamphetamine use poses significant risks to pregnancy, including miscarriage.
All of the following clinical features would be expected with 'postpartum blues' (adjustment reaction with depressed mood) EXCEPT
- A. frequent tearfulness
- B. irritability
- C. suicidal ideation
Correct Answer: C
Rationale: Suicidal ideation is not typical of postpartum blues and may indicate a more serious condition like postpartum depression or psychosis.