Obstetric & Neonatal Care / Pediatric Emergencies EMT Quiz

13. When assessing an 8-year-old child, you should: A) refrain from taking a blood pressure. B) talk to the child, not just the caregiver. C) use a toe-to-head assessment approach. D) rely solely on the parent for information.

B

4. The amniotic fluid serves to: A) transfer oxygen to the fetus. B) insulate and protect the fetus. C) remove viruses from the fetus. D) assist in fetal development.

B

6. Supine hypotensive syndrome occurs when: A) a supine position kinks the ascending aorta. B) the pregnant uterus compresses the inferior vena cava. C) the superior vena cava is compressed by the uterus. D) blood pressure decreases as a result of hypovolemia.

B

15. You are dispatched to a residence for a child with respiratory distress. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this child includes: A) requesting a paramedic ambulance to insert an advanced airway device. B) separating the child from her mother and providing ventilatory assistance. C) administering blow-by oxygen and transporting the child with her mother. D) allowing the child to remain with her mother and applying a nasal cannula.

C

3. The umbilical cord: A) separates from the placenta shortly after birth. B) carries blood away from the baby via the artery. C) carries oxygen to the baby via the umbilical vein. D) contains two veins and one large umbilical artery.

C

5. Eclampsia is MOST accurately defined as: A) high levels of protein in the patient's urine. B) hypertension in the 20th week of pregnancy. C) seizures that result from severe hypertension. D) a blood pressure greater than 140/90 mm Hg.

C

7. The leading cause of maternal death during the first trimester of pregnancy is: A) massive brain damage secondary to a prolonged seizure. B) unrecognized or untreated supine hypotensive syndrome. C) internal bleeding caused by a ruptured ectopic pregnancy. D) blunt trauma to the abdomen during a motor vehicle crash.

C

10. Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should: A) immediately clamp and cut the umbilical cord. B) give 100% oxygen to the mother and transport at once. C) provide free-flow oxygen to the infant and transport. D) attempt to slip the cord gently over the infant's head.

D

9. Placenta previa is MOST accurately defined as: A) delivery of a portion of the placenta before the baby. B) premature placental separation from the uterine wall. C) abnormal development and functioning of the placenta. D) development of the placenta over the cervical opening.

D

1. The term "bloody show" is defined as: A) the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug. B) mild vaginal bleeding that occurs within the first 30 minutes after the onset of the second stage of the labor process. C) the normal amount of vaginal bleeding that occurs within the first 24 hours following delivery of the baby and placenta. D) any volume of blood that is expelled from the vagina after the amniotic sac has ruptured and contractions have begun.

A

11. The first month of life after birth is referred to as the: A) neonatal period. B) toddler period. C) start of infancy. D) premature phase.

A

12. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: A) at the feet. B) at the head. C) in the ambulance. D) en route to the hospital.

A

14. The components of the PAT are: A) appearance, work of breathing, and skin circulation. B) mental status, heart rate, and systolic blood pressure. C) skin condition, respiratory rate, and level of alertness. D) activity, respiratory quality, and level of consciousness.

A

2. 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 fetus but does not allow blood to mix between the mother and 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

8. 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