EMT chapter 33

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

"Have you had a sonogram?"

A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.

15 to 30

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:

16 hours.

An abortion occurs when the fetus and placenta deliver before:

20 weeks.

If a baby is born at 7:52, the second Apgar score should be calculated at:

7:57.

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

Which of the following is NOT a component of the Apgar score?

Body size

Which of the following statements regarding gestational diabetes is correct?

In some cases, women with gestational diabetes require insulin injections.

Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?

Increased respiratory rate and decreased respiratory reserve

Which of the following statements regarding twins is correct?

Most twins are born within 45 minutes of each other.

Which of the following is NOT generally considered an obstetrical emergency?

Return of contractions following delivery of the baby

Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct?

Suctioning is indicated prior to cutting the cord if respiratory distress is present.

Which of the following occurs during true labor?

Uterine contractions become more regular.

Spina bifida is a developmental defect in which:

a portion of the spinal cord or meninges protrudes outside of the vertebrae.

Braxton-Hicks contractions are characterized by:

alleviation of pain with movement or changing positions.

A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:

an ectopic pregnancy.

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 standard precautions, you should:

assess her for crowning.

The third stage of labor begins when the:

baby is expelled from the vagina.

The vagina and the neck of the uterus comprise the:

birth canal.

The onset of labor begins with:

contractions of the uterus.

After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:

easier breathing.

If a pregnant patient requires spinal immobilization, you should secure her to the backboard and then:

elevate the right side of the board with rolled towels or blankets.

After a baby is born, it is important to:

ensure that it is thoroughly dried and warmed

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.

A precipitous labor and delivery is MOST common in women who:

have delivered a baby before.

The amniotic fluid serves to:

insulate and protect the fetus.

The leading cause of maternal death during the first trimester of pregnancy is:

internal bleeding caused by a ruptured ectopic pregnancy.

The term primigravida refers to a woman who:

is pregnant for the first time.

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 ventilate with a BVM.

CPR is in progress on a pulseless and apneic 29-year-old woman who is 37 weeks pregnant. When treating this patient, the EMT should:

manually displace the patient's uterus to the left.

In contrast to abruptio placenta, placenta previa:

may not present with heavy vaginal bleeding.

Most medical models base a pregnant woman's due date:

on the first day of her last menstrual cycle.

A 33-year-old woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. You should:

place her in a left lateral recumbent position.

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.

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

positive-pressure ventilations.

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:

pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.

Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should:

provide emotional support to the mother.

If a newborn's heart rate is less than 60 beats/min following delivery, you should:

provide ventilations for 30 seconds.

Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect:

pulmonary embolism.

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.

Eclampsia is MOST accurately defined as:

seizures that result from severe hypertension.

The presence of meconium in the amniotic fluid indicates:

that the baby's airway may be obstructed.

Abruptio placenta occurs when:

the placenta prematurely separates from the uterine wall.

Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because:

the production of oxytocin caused uterine contraction.

An infant is considered to be premature if it:

weighs less than 5 lb or is born before 36 weeks' gestation.