Ch31 EMT Obstetrics and Neonatal Care OB-GYN Quizrename
tusixaje's version from 2015-04-28 04:05
|1. Which of the following statements regarding the placenta is correct? |
A. The placenta allows oxygen, Carbon dioxide, and other products to transfer between the mother and the fetus but does not allow blood to mix between the mother and the fetus.
B. The placental barrier consists of two layers of cells and allows the mother's blood that contains high concentrations of oxygen to directly mix with the blood of the fetus.
C. The placenta, also referred to as the afterbirth, provides oxygen and nutrients to the fetus and is expelled from the vagina about 30 minutes before the baby is born.
D. The placenta allows for the transfer of oxygen and carbon dioxide between the mother and fetus but prevents most medications from passing between the mother and fetus.
|A. The placenta allows oxygen, Carbon dioxide, and other products to transfer between the mother and the fetus but does not allow blood to mix between the mother and the fetus.|
|2. A mother who is pregnant with her first baby is typically in the first stage of labor for approximately ... |
A. 4 hours B. 8 hours C. 10 hours D. 16 hours
|D 16 hours|
|3. After the fetus has descended into the pelvis at the end of the third trimester, many mothers, experience... |
A. Midback pain B. A bloated feeling C. An urge to push D. Easier breathing
|D Easier breathing.|
|4. Signs and symptoms of preeclampsia include... |
A. Headache and edema B. Marked hypoglycemia C. Dyspnea and bradycardia D. Dysuria and constipation.
|A. headache and edema|
|5. Abruptio placenta occurs when... |
A. the placenta prematurely separates from the uterine wall.
B. A tear in the placenta causes severe internal hemorrhage.
C. The placenta affixes itself to the outer layer of the uterus.
D. The placenta develops over and covers the cervical opening.
|A. the placenta prematurely separates from the uterine wall.|
|6. When preparing a pregnant patient for delivery, you should position her...|
A. in a supine position with her legs spread
B. On her left side with the right leg elevated.
C. In a sitting position with her hips elevated 12"
D. On a firm surface with her hips elevated 2" to 4"
|D. On a firm surface with her hips elevated 2" to 4"|
|7. When the mother is experiencing a contraction, you should instruct her to... |
A. Hold her breath. B. Push for 30 seconds. C. Take quick short breaths. D. Rest and breathe deeply.
|C. Take quick short breaths.|
|8. During delivery of a baby's head, you should suction the mouth before the nose because... |
A. Suctioning the nose first may cause the baby to gasp and aspirate fluid.
B. It is easier to suction larger volumes of fluid from the baby's oropharynx.
C. Babies are primarily mouth breathers and do not breathe through their nose.
D. The mucosa of the nose is fragile and is easily damaged by vigorous suctioning.
|A. Suctioning the nose first may cause the baby to gasp and aspirate fluid.|
|9. A newborn infant will usually begin breathing spontaneously within ______ seconds. A. 3 to 5 B. 5 - 10 C. 15 - 30 D. 30 - 60||C 15-30|
|10. The ONLY indications for placing your gloved fingers in the vagina during delivery are...|
A. Breech presentation and prolapsed umbilical cord.
B. Limb presentation and severe vaginal hemorrhage.
C. Vertex presentation and delivery of the placenta
D. Nuchal cord and presentation of an arm or leg.
|A. Breech presentation and prolapsed umbilical cord.|
|Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should||puncture the sac and suction the baby's mouth and nose.|
|If a baby is born at 7:52 p.m., the second APGAR score should be calculated at||7:57 p.m.|
|General treatment guidelines when caring for a woman with traumatic vaginal bleeding includes||transporting to an appropriate facility|
|A placenta previa is MOST accurately defined as||development of the placenta over the cervical opening|
|Which of the following is NOT considered an obstetrical emergency? a) Failure of the placenta to deliver after 30 minutes b) More than 500 mL of blood loss before placental delivery c) Return of contractions following delivery of the baby d) Significant bleeding after delivery of the placenta||c) Return of contractions following delivery of the baby|
|Braxton-Hicks contractions are characterized by||alleviation of pain with movement or changing positions|
|The umbilical cord||carries oxygen to the baby via the umbilical vein.|
|The third stage of labor begins when the||the baby is expelled from the vagina|
|A nuchal cord is defined as an umbilical cord that||is wrapped around the baby's neck.|
|Supine hypotensive syndrome occurs when||the gravid uterus compresses the inferior vena cava|
|Which of the following statements regarding a breech presentation is MOST correct? a) It is impossible to deliver a breech presentation in the prehospital setting b) A breech presentation occurs when the buttocks are the presenting part c) There is minimal risk of trauma to the infant with a breech presentation d) Breech deliveries occur rapidly so the EMT-B should deliver at the scene||b) A breech presentation occurs when the buttocks are the presenting part.|
|In contrast to a placenta previa, a placenta abruptio occurs when||the placenta prematurely separates from the uterine wall.|
|You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should||keep him warm and provide ventilatory assistance.|
|If a newborn has gasping respirations after being dried and suctioned||further stimulation is not likely to improve ventilation.|
|Which of the following statements regarding the placenta is MOST correct? a) The placenta, also referred to as the afterbirth, provides oxygen and nutrients to the fetus and is expelled from the vagina about 30 minutes before the baby is born b) The placenta allows for the transfer of oxygen and carbon dioxide between the mother and fetus but prevents most medications from passing between the mother and fetus c) The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus d) The placental barrier consists of two layers of cells and allows the mother's blood that contains high concentrations of oxygen to directly mix with the blood of the fetus||c) The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.|
|Which of the following is an indication of imminent birth? a) Irregular contractions lasting 10 minutes b) Crowning of the baby's head c) Expulsion of the mucus plug from the vagina d) Rupture of the amniotic sac||b) Crowning of the baby's head|
|The onset of labor begins with||contractions of the uterus|
|An abortion occurs when the fetus and placenta deliver before||20 weeks|
|During delivery, it is MOST important to position your partner at the mother's head because||the mother may become nauseated and vomit.|
|The presence of thick meconium in the amniotic fluid indicates||that the baby's airway may be obstructed.|
|The amniotic fluid serves to||insulate and protect the fetus.|
|You have just delivered a full-term infant. His respirations are rapid and irregular and he has a strong cry. What should you do next?||Assess the brachial or umbilical pulse.|
|During delivery of the baby's head, you should suction the mouth before the nose because||suctioning the nose first may cause the baby to gasp and aspirate fluid.|
|An infant is considered to be premature if it||weighs less than 5 pounds or is born before 36 weeks' gestation.|
|The leading cause of maternal death during the first trimester of pregnancy is||internal bleeding caused by a ruptured ectopic pregnancy|
|Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should||attempt to slip the cord gently over the infant's head|
|A 26-year-old woman complains of a stabbing pain in the right lower quadrant of her abdomen. She states that her last menstrual period was 7 weeks ago and that she had pelvic inflammatory disease approximately 3 months ago. You should be MOST suspicious that this patient is experiencing||an ectopic pregnancy|
|All of the following questions are pertinent to ask a mother when determining whether or not her baby will deliver within the next few minutes, EXCEPT (Needs options)||Have you had a sonogram?|
|When the cervix begins to dilate||a mucus plug is expelled from the vagina|
|A mother who is pregnant with her first baby is typically in the first stage of labor for approximately||16 hours|
|When determining the frequency of contractions, you should||time the contractions from the start of one to the start of the next|
|After a baby is born, it is important to||ensure it is thoroughly dried and warm|
|A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for||an ectopic pregnancy|
|The ONLY indications for placing your gloved fingers in the vagina during delivery are||breeched presentation and prolapsed umbilical cord|
|You are assessing a 25-year-old woman who is 39 weeks' pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the appropriate BSI precautions, you should||assess her for crowning.|
|A 35-year-old woman who is 30 weeks' pregnant presents with a severe headache and swelling in her hands and feet. She is conscious and alert with a blood pressure of 148/94 mm Hg, a pulse of 100 beats/min, and respirations of 24 breaths/min. During transport, you should be MOST concerned with||the possibility that she may experience a seizure|
|You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His APGAR score is||8|
|While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should||push the infant's head away from the cord|
|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 note that the mother is experiencing moderate vaginal bleeding. You should||firmly massage the uterine fundus with a circular motion|
|The term primipara refers to a woman who||has had only one live birth.|
|Following delivery of a pulseless and apneic infant that has a foul odor, skin sloughing, and diffuse blistering, you should||provide emotional support to the mother|
|You are assessing a 30-year-old woman who is 35 weeks' pregnant. She tells you that her amniotic sac has not ruptured, but she is experiencing irregular contractions that “come and go.” Upon visual inspection, you note a small amount of brown mucus draining from her vagina. You should||administer oxygen and transport.|
|Which of the following occurs during true labor? (Needs options)||Uterine contractions become more regular|
|Signs and symptoms of pregnancy-induced hypertension (preeclampsia) include all of the following, EXCEPT: a) headache and anxiety b) swelling of the hands c) blood in the urine d) visual disturbances||c) blood in the urine|
|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||placing the mother supine with her head down and pelvis elevated.|
|The vagina and the neck of the uterus comprise the||birth canal|
|A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.||15-30|
|Which of the following statements regarding twins is MOST correct? a) Fraternal twins have two cords coming from one placenta b) Identical twins are typically of different gender c) Most twins are born within 45 minutes of each other d) Twins are typically larger than single infants||c) Most twins are born within 45 minutes of each other.|
|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||place her in a left lateral recumbent position.|
|Compared to full-term infants, premature infants are at a higher risk for||infection|
|During your visual inspection of a 19-year-old patient in labor, you see the baby's head crowning at the vaginal opening. What should you do?||apply gentle pressure to the baby's head as it delivers.|
|A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because||pregnant patients have an overall increase in blood volume.|
|Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT: a) profound tachycardia b) premature delivery c) low birth weight d) respiratory depression||a) profound tachycardia|
|When preparing a pregnant patient for delivery, you should position her||on a firm surface in a semi-Fowler's position.|
|A 30-year-old pregnant female is gravida-3 and para-2. This means that she has||given birth to 2 live babies|
|When the mother is experiencing a contraction, you should instruct her to:||take quick short breaths|
|APGAR||Summarizes the health of a newborn.|
A=Appearance P=Pulse G=Grimace A=Activity R=Respirations
|A precipitous labor and delivery is MOST common in women who||have delivered a baby before|
|Which of the following statements regarding gestational diabetes is correct: A. Diet and exercise are typically ineffective in controlling gestational diabetes. B. The onset of gestational diabetes typically manifests with hypoglycemia. C. Gestational diabetes results in permanent diabetes mellitus after delivery. D. In some cases, women with gestational diabetes require insulin injections.||D. In some cases, women with gestational diabetes require insulin injections.|
|Most medical models base a pregnant woman's due date: A. two weeks after her last menstrual cycle. B. two weeks before her last menstrual cycle. C. on the last day of her last menstrual cycle.D. on the first day of her last menstrual cycle.||D. on the first day of her last menstrual cycle.|