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EMT OB-GYN Quiz

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sicenize's version from 2012-12-05 21:45

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Question Answer
Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You shouldpuncture 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 at7:57 p.m.
General treatment guidelines when caring for a woman with traumatic vaginal bleeding includestransporting to an appropriate facility
A placenta previa is MOST accurately defined asdevelopment 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 placentac) Return of contractions following delivery of the baby
Braxton-Hicks contractions are characterized byalleviation of pain with movement or changing positions
The umbilical cordcarries oxygen to the baby via the umbilical vein.
The third stage of labor begins when thethe baby is expelled from the vagina
A nuchal cord is defined as an umbilical cord thatis wrapped around the baby's neck.
Supine hypotensive syndrome occurs whenthe 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 sceneb) A breech presentation occurs when the buttocks are the presenting part.
In contrast to a placenta previa, a placenta abruptio occurs whenthe 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 shouldkeep him warm and provide ventilatory assistance.
If a newborn has gasping respirations after being dried and suctionedfurther 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 fetusc) 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 sacb) Crowning of the baby's head
The onset of labor begins withcontractions of the uterus
An abortion occurs when the fetus and placenta deliver before20 weeks
During delivery, it is MOST important to position your partner at the mother's head becausethe mother may become nauseated and vomit.
The presence of thick meconium in the amniotic fluid indicatesthat the baby's airway may be obstructed.
The amniotic fluid serves toinsulate 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 becausesuctioning the nose first may cause the baby to gasp and aspirate fluid.
An infant is considered to be premature if itweighs less than 5 pounds or is born before 36 weeks' gestation.
The leading cause of maternal death during the first trimester of pregnancy isinternal 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 shouldattempt 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 experiencingan 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 dilatea 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 approximately16 hours
When determining the frequency of contractions, you shouldtime the contractions from the start of one to the start of the next
After a baby is born, it is important toensure it is thoroughly dried and warm
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk foran ectopic pregnancy
The ONLY indications for placing your gloved fingers in the vagina during delivery arebreeched 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 shouldassess 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 withthe 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 is8
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You shouldpush 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 shouldfirmly massage the uterine fundus with a circular motion
The term primipara refers to a woman whohas had only one live birth.
Following delivery of a pulseless and apneic infant that has a foul odor, skin sloughing, and diffuse blistering, you shouldprovide 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 shouldadminister oxygen and transport.
Which of the following occurs during true labor?
A. Uterine contractions last about 10 seconds.
B. The uterus becomes very soft and movable.
C. Uterine contractions decrease in intensity.
D. Uterine contractions become more regular.
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 disturbancesc) 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 includesplacing the mother supine with her head down and pelvis elevated.
The vagina and the neck of the uterus comprise thebirth canal
A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.15-20
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 infantsc) 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 shouldplace her in a left lateral recumbent position.
Compared to full-term infants, premature infants are at a higher risk forinfection
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 becausepregnant 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 depressiona) profound tachycardia
When preparing a pregnant patient for delivery, you should position heron 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 hasgiven birth to 2 live babies
When the mother is experiencing a contraction, you should instruct her to:take quick short breaths
APGARSummarizes the health of a newborn.
A=Appearance P=Pulse G=Grimace A=Activity R=Respirations
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