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The EMT shows that he understands care of the​ post-delivery mother when he​ states: A. ​"If blood is observed coming from the vagina after the baby has been​ delivered, the mother should be placed in the shock​ position." B. ​"We should be concerned if there is any bleeding from the vagina following​ delivery." C. ​"Post-delivery hemorrhage can best be controlled by inserting a bulky dressing into the​ vagina." D. ​"Allowing the baby to nurse immediately after delivery can help to control uterine​ bleeding."

"Allowing the baby to nurse immediately after delivery can help to control uterine​ bleeding."

Assessment of a newborn indicates that she has slow and irregular respirations with a weak cry. You should award her how many points according to the Apgar scoring​ system? A. 0 B. 2 C. 1 D. 3

1

Upon arrival at the home of a woman in​ labor, a midwife on scene tells you the patient is 7 cm dilated and is complaining of painful contractions. Which stage of labor should the EMT​ identify? A. Expulsion B. Uterine C. First stage D. Third stage

First stage

Assessment of a newborn indicates that his heart rate is 120 beats per minute. How many points should he be awarded according to the Apgar scoring​ system? A. 3 B. 0 C. 1 D. 2

2

How many newborns will require a level of care that falls below the top tier of the neonatal resuscitation​ pyramid? A. 20 percent B. Approximately half C. One in twenty D. 80 percent

20 percent

While examining a pregnant patient who has not received prenatal medical​ care, you note that you can palpate the uterine fundus at the level of the umbilicus. What is the approximate gestational age of the​ fetus? A. 12 weeks B. You cannot estimate fetal age using this method C. 20 weeks D. 38 weeks

20 weeks

The EMT is performing CPR on a neonate. What is the correct​ compression-to-ventilation ratio? A. 15 compressions to every 5 ventilations B. 30 compressions to every 2 ventilations C. 3 compressions to every 1 ventilation D. 5 compressions to every 2 ventilations

3 compressions to every 1 ventilation

By the time a fetus reaches full​ term, the tidal volume of the female has increased​ by: A. The tidal volume remains the same but the rate increases by 30 percent B. 15 percent C. 40 percent D. 25 percent

40 percent

When asked by a concerned newborn​ parent, the EMT should indicate that an acceptable respiratory rate for the newborn​ is: A. 52 breaths per minute B. 24 breaths per minute C. 70 breaths per minute D. 12 breaths per minute

52 breaths per minute

The EMT would recognize which neonate as​ premature? A. A baby weighing 7 pounds 4 ounces born at 36 weeks B. A baby weighing 6 pounds 2 ounces born at 38 weeks C. A baby weighing 8 pounds 6 ounces born at 39 weeks D. A baby weighing 8 pounds 6 ounces born at 41 weeks

A baby weighing 7 pounds 4 ounces born at 36 weeks

Which statement regarding limb presentation is true during​ childbirth? A. There is little danger unless the umbilical cord is also protruding B. A cesarean section birth will likely be required C. The EMT can try one time to deliver the baby D. The baby is premature

A cesarean section birth will likely be required

The EMT should recognize a​ full-term pregnancy has occurred in which​ patient? A. A​ 21-year-old woman who is 39 weeks pregnant and feeling dizzy B. A​ 33-year-old woman who is pregnant with twins and in the eighth month of pregnancy C. A​ 40-year-old woman beginning her third trimester but whose water just broke D. A​ 25-year-old woman who is 220 days into pregnancy and complaining of back pain

A​ 21-year-old woman who is 39 weeks pregnant and feeling dizzy

You have been called for a​ 35-year-old female who is experiencing vaginal spotting. The patient states that she has noted the discharge of blood from her vagina and is concerned because she is 36 weeks pregnant. She has also experienced some abdominal​ pain, which she describes as​ "sharp." Your assessment reveals bleeding as noted and tenderness on palpation just right to the midline of her abdomen. Her pulse is 122​ beats/min, respirations are 22​ breaths/min, blood pressure is​ 118/82 mmHg, SpO2 is​ 96%, and oral temperature is 97.3degrees°F. Based on this​ presentation, you​ would: A. Massage the​ abdomen, provide​ high-concentration oxygen, and nonemergently transport the patient B. Administer​ high-concentration oxygen and immediately transport the patient C. Place the patient in a supine position and immediately transport her D. Provide​ low-concentration oxygen and nonemergently transport the patient

Administer​ high-concentration oxygen and immediately transport the patient

Despite the increase in maternal blood​ volume, the pregnant patient is​ typically: A. Bradycardic B. Anemic C. Prone to early signs of shock D. Hypertensive

Anemic

What would the expected preductal SpO2 reading be at 5 minutes after​ birth? A. Over​ 94% B. ​70% to​ 75% C. At least​ 80% D. ​85% to​ 90%

At least​ 80%

A female patient tells you that she is 38 weeks pregnant. Where would you expect to palpate the top of the uterus during your​ exam? A. At the level of the umbilicus B. At the level of the iliac crest C. At the level of the twelfth rib D. At the level of the xiphoid process

At the level of the xiphoid process

While delivering a​ baby, you note that the umbilical cord is wrapped around the​ baby's neck. You​ would: A. Attempt to slip the cord over the​ baby's shoulders or head B. Stop the delivery and transport C. Contact medical direction for directions D. Clamp and cut the cord to prevent strangulation of the newborn

Attempt to slip the cord over the​ baby's shoulders or head

Which patient should the EMT be most suspicious of having a spontaneous​ abortion? A. A​ 32-year-old woman, in the third​ trimester, passing​ foul-smelling and bloody vaginal discharge B. A​ 38-year-old woman, 36 weeks​ pregnant, having abdominal pain with painless vaginal bleeding C. A​ 21-year-old woman, 6 weeks​ pregnant, passing vaginal blood clots D. A​ 16-year-old woman, 24 weeks​ pregnant, with painless contractions

A​ 21-year-old woman, 6 weeks​ pregnant, passing vaginal blood clots

Which action shows that the EMT is properly caring for the umbilical cord after​ delivery? A. The cord is cut 1 inch from the​ baby's abdomen B. A​ 6-inch segment of cord is still connected to the baby C. The cord is clamped but not cut until arrival at the hospital D. The clamps are removed from the cord after cutting

A​ 6-inch segment of cord is still connected to the baby

In a normal​ fertilization, the egg and the sperm meet in which​ structure? A. Cervix B. Uterus C. Fallopian tube D. Vaginal canal

Fallopian tube

A​ newborn's first Apgar score was 6. His second Apgar score is 9. What does this information mean to the​ EMT? A. Need for extensive resuscitation B. Total score of 15 C. Poor heart and lung function D. Improvement

Improvement

When do most women experience a decrease in the nausea and vomiting associated with hyperemesis​ gravidarum? A. Between 14 and 20 weeks B. About 2 weeks postpartum C. During the first trimester D. At term

Between 14 and 20 weeks

You have been called to a residence for a​ 21-year-old female in labor. On​ arrival, you immediately see that the head of the baby is out of the vagina. While delivering the​ head, the mother tells you that she is having twins. The EMT should​ immediately: A. Place the patient on her left side B. Call for another EMS crew C. Provide​ blow-by oxygen to the baby D. Place the patient on the stretcher for transport

Call for another EMS crew

You are in the process of performing a field delivery and have just delivered the​ baby's head. What should you do​ next? A. Suction the​ baby's nose, and then the mouth B. Check the neck for the umbilical cord C. Turn the baby clockwise and continue delivery D. Suction the​ baby's mouth, and then the nose

Check the neck for the umbilical cord

You arrive at the side of a pregnant patient in her third trimester who has had vaginal bleeding for several hours. Observation reveals several​ blood-soaked towels on the bed. She is alert and oriented with a patent airway and adequate breathing. Her pulse is 88 beats per minute and her blood pressure is​ 104/66 mmHg. In caring for this patient you​ would: A. Prepare her for the possibility that she may have miscarried the baby B. Provide rapid transport in a supine position C. Collect all towels with blood and transport them with the patient D. Clean the outside of the vagina with sterile water and peroxide

Collect all towels with blood and transport them with the patient

It has been 30 minutes and the placenta has yet to deliver. The EMT​ should: A. Apply gentle traction to the protruding umbilical cord B. Place the mother in a​ knee-chest position C. Move the mother into a​ side-lying position D. Continue to monitor the mother and baby

Continue to monitor the mother and baby

A female patient is 34 weeks​ pregnant, and you are delivering the baby. As soon as the baby is completely​ delivered, you should​ immediately: A. Check the​ baby's breath sounds B. Clamp and cut the cord C. Administer​ high-concentration oxygen to the baby D. Dry the baby with a warm towel

Dry the baby with a warm towel

A young female complains of sharp pain to the left lower quadrant of her abdomen. She states that her last period was seven weeks ago. With this​ information, the EMT should be suspicious​ of: A. Placenta previa B. Ectopic pregnancy C. Appendicitis D. Abruptio placentae

Ectopic pregnancy

A​ 32-year-old female complains of the sudden onset of sharp pain to the left side of her abdomen. She denies any medical history and when​ asked, admits to being sexually active. Her last menstrual period was two months ago. As an​ EMT, you should immediately​ suspect: A. Pelvic inflammatory disease B. Mittelschmerz C. Abruptio placentae D. Ectopic pregnancy

Ectopic pregnancy

When should the EMT instruct his partner to cut the umbilical​ cord? A. After the​ 1-minute Apgar score has been obtained B. Immediately after delivery of the placenta C. Following delivery and after the baby has been dried off D. Just prior to passage of the legs through the vaginal canal

Following delivery and after the baby has been dried off

You are assessing a​ 29-year-old pregnant female who has signs of imminent delivery. Her past medical history includes HIV infection. Compared to a patient with no infectious​ disease, how will standard precautions differ for this​ patient? A. ​Gloves, a​ gown, and eye protection should be worn for both the patient with HIV and the noninfectious patient B. Gloves are needed for a noninfectious patient in​ labor; goggles and gloves must be worn for the patient with HIV C. ​Gloves, a​ gown, and goggles will be used for this​ patient; only gloves and a gown are required for a healthy patient in labor D. A HEPA filter mask should be used for the patient with​ HIV, but not for the noninfectious patient

Gloves, a​ gown, and eye protection should be worn for both the patient with HIV and the noninfectious patient

You are assessing a female patient who informs you that she has been pregnant four times before but delivered only once. What would be a correct way to document that information on the prehospital care​ report? A. Para​ IV; gravida I B. Gravida​ IV; para I C. Gravida​ III; para I D. Para​ III; gravida I

Gravida​ IV; para I

After the EMT observes that secretions are interfering with the​ baby's breathing, which action indicates that the EMT is properly suctioning the​ newborn? A. He inserts the bulb syringe deep into the oropharynx to get thick secretions B. He suctions the nose​ first, followed by the mouth C. He squeezes the bulb syringe prior to placing it in the​ baby's nose D. He uses the portable suction unit on the​ "high" setting

He squeezes the bulb syringe prior to placing it in the​ baby's nose

Which single assessment finding is most consistent with a stable​ newborn? A. Heart rate of 100 beats per minute B. Facial grimace when irritated C. Respirations of 28 breaths per minute D. Heart rate of 140 beats per minute

Heart rate of 140 beats per minute

Which assessment finding best indicates that the newborn is significantly​ distressed? A. Heart rate of 92 beats per minute B. Apgar score of 8 C. Loud crying D. Respiratory rate of 50 breaths per minute

Heart rate of 92 beats per minute

The components of the Apgar scoring system​ include: A. Heart​ rate, spontaneous​ activity, and respirations B. ​Grimace, movement, and skin moisture C. ​Airway, breathing, and level of consciousness D. ​Airway, breathing, and circulation

Heart​ rate, spontaneous​ activity, and respirations

When treating a patient whom you believe has an ectopic​ pregnancy, you know that the primary threat to the​ patient's life​ is: A. Pelvic organ damage B. Infection C. Hemorrhage D. Severe pain

Hemorrhage

You arrive at the residence of a physician who informs you that his pregnant wife requires immediate transport to the hospital because she is bleeding and has a history of abruptio placentae. As a knowledgeable​ EMT, you should recognize that the greatest threat to the baby​ is: A. Maternal shock B. Fluid loss C. Infection D. Hypoxia

Hypoxia

As soon as the baby is delivered from the vaginal​ canal, it is critical that the EMT​ immediately: A. Initiate drying and warming of the newborn B. Clamp and cut the umbilical cord C. Obtain a pulse oximetry reading from the​ newborn's right hand D. Perform the Apgar assessment

Initiate drying and warming of the newborn

You have completed the assessment of a​ 32-year-old patient who is starting her seventh month of pregnancy. During your​ assessment, which finding should you be most concerned​ about? A. Intermittent vaginal bleeding B. Increased weight over the past month C. Several painless contractions D. Increased desire to eat

Intermittent vaginal bleeding

During a continuing education session on​ OB/GYN topics, the EMT would recognize which statement about the umbilical cord as​ true? A. It detoxifies blood before its delivery to the baby B. It produces hormones for the baby C. It connects the placenta and the uterus D. It contains one vein and two arteries

It contains one vein and two arteries

Why is the uterus essential to a healthy pregnancy and​ childbirth? A. It powerfully contracts to force the fetus from the​ mother's body following gestation B. It manufactures specific blood cells needed for fetal immunity C. It permits the excretion of waste from the baby to the mother D. It protects abdominal organs during fetal growth

It powerfully contracts to force the fetus from the​ mother's body following gestation

A female patient has acute onset of​ right-sided abdominal​ pain, describes it as​ sharp, and rates it as​ 9/10. The primary survey reveals no life​ threats, but her skin is cool and diaphoretic. She states that she has been going to the bathroom more and is worried because her father has diabetes. Her last period was nine weeks​ ago, and she has a history of irregular periods. Her heart rate is 122​ beats/min, respirations are 20​ breaths/min, blood pressure is​ 138/68 mmHg, and SaO2 is​ 97%. In this​ scenario, which bit of information is of most concern to the​ EMT? A. Family history of diabetes B. Increased urination C. Last period nine weeks ago D. Periods irregular in nature

Last period nine weeks ago

When cutting the umbilical​ cord, how should the baby be​ positioned? A. Upright and on the​ mother's chest​ (if possible) B. Prone and in a​ head-down position C. Level with the​ mother's uterus D. Six inches below the vaginal opening

Level with the​ mother's uterus

When should the EMT use the Apgar scoring system on a​ newborn? A. Before and after the baby is dried and warmed B. Ten minutes after birth and then at 20​ minutes, if needed C. Just prior to delivery and then five minutes after delivery D. One and five minutes after the baby has been delivered

One and five minutes after the baby has been delivered

Which action demonstrates that the EMT is correctly performing uterine​ massage? A. She uses the lower palms of both hands to firmly press downward on the uterus B. She places her hands on the upper abdomen and pushes the uterus toward the pelvis C. One hand cups the top of the​ uterus, with one of the hands positioned just above the symphysis pubis D. Both hands are positioned at the symphysis pubis and she pushes with an upward motion

One hand cups the top of the​ uterus, with one of the hands positioned just above the symphysis pubis

A female patient who is eight and a half months pregnant states that she does not feel well and is weak with clammy skin. She denies chest​ pain, shortness of​ breath, and dizziness. She states that she did vomit earlier in the morning and still feels somewhat nauseated. She is alert and oriented and has a patent airway. She is breathing 18 times per minute and has a heart rate of 88 beats per minute. Her blood pressure is​ 116/70 mmHg and her SpO2 reading is​ 95% on room air. The most appropriate care for this patient should​ include: A. Oxygen at 15 lpm via a nonrebreather face mask B. Rapid transport to a hospital with specialized obstetric services C. ​Refusal-of-transport form signed with suggested​ follow-up with her obstetrician D. Quiet and calm transport in the supine position

Oxygen at 15 lpm via a nonrebreather face mask

After​ delivery, you note blood still escaping from the​ mother's vagina. The sanitary pads that you placed earlier between her legs continue to become soaked. Your next action would be​ to: A. Perform a uterine massage B. Insert sterile gauze into the vaginal canal C. Place the mother on her left side D. Transport with lights and sirens

Perform a uterine massage

You have been called to assist another crew with the birth of a baby. On​ scene, another EMT informs you that the​ mother's perineum tore and is bleeding heavily. You​ would: A. Apply a sterile gauze dressing with gentle pressure above the vagina B. Place a cold pack on the​ mother's abdomen just below the umbilicus C. Insert sterile gauze into the vagina and leave it in place until the bleeding stops D. Place a sterile dressing between the​ mother's vagina and rectum

Place a sterile dressing between the​ mother's vagina and rectum

You have been dispatched for a young female in labor. On​ arrival, you find an arm protruding from the vagina. What should you do​ next? A. Place the mother in a​ knee-chest position B. Insert a gloved hand into the vagina to locate the​ baby's head C. Have the mother push when she feels a contraction D. Attempt to replace the arm into the vaginal cana

Place the mother in a​ knee-chest position

A​ 31-year-old female is in labor. After ensuring her​ airway, breathing, and​ circulation, you assess her perineum and observe the umbilical cord protruding from the vagina.​ However, the baby is not visible. Your next action would be​ to: A. Place a​ saline-soaked dressing over the cord B. Carefully place the cord back inside the vagina C. Place the patient in a​ knee-chest position D. Gently pull the cord to assist in delivery

Place the patient in a​ knee-chest position

Assessment of a pregnant patient in labor reveals what appears to be the​ baby's buttocks presenting at the vaginal opening. The EMT would​ immediately: A. Put the patient in​ semi-Fowler's position on the stretcher and immediately transport B. Place the patient in​ supine, head-down​ position, with hips​ elevated, and administer supplemental oxygen C. Place both hands on the abdomen and attempt to turn the baby into a​ head-down position D. Lay the patient on her left side and administer​ high-concentration oxygen

Place the patient in​ supine, head-down​ position, with hips​ elevated, and administer supplemental oxygen

You have arrived at the side of a​ 35-year-old female who is 37 weeks pregnant and in labor. Your exam reveals crowning with contractions 60 seconds apart. Your immediate action would be​ to: A. Obtain vital​ signs, and then move the patient to the ambulance for a nonemergency transport B. Place the patient on her​ back, and then open and prepare the OB kit C. Have the patient hold her legs​ together, and then move her to the ambulance for delivery of the baby D. Place the patient on the cot in the left lateral recumbent​ position, and then proceed with emergency transport

Place the patient on her​ back, and then open and prepare the OB kit

A​ 22-year-old female, who is eight months​ pregnant, calls 911 for vaginal bleeding. Your primary assessment reveals no acute life​ threats, but the patient does have some evidence of blood in her underwear. The patient denies abdominal pain. Her vital signs are normal. Given these​ findings, the EMT should be suspicious​ of: A. Placenta previa B. Uterine rupture C. Pelvic inflammatory disease D. Ectopic pregnancy

Placenta previa

If the placenta attaches over the​ cervix, the patient and fetus would be at risk for which​ condition? A. Placental abruption B. Placenta previa C. Uterine tear D. Ectopic pregnancy

Placenta previa

Five minutes after delivering a​ baby, the mother feels the sudden urge to push and a gush of blood comes from the vagina. Given that the mother is not delivering​ twins, which stage of labor should the EMT​ recognize? A. Expulsion B. Placental C. Fourth D. Second

Placental

Prior to​ delivery, the EMT prepares to create a sterile field around the​ patient's vaginal opening. This is best accomplished​ by: A. Using a sheet from the​ patient's bed to cover her abdomen and groin B. Using towels from the​ patient's residence to wrap each leg and cover her abdomen C. Placing a sheet from the OB kit under the​ patient's hips and another over her abdomen and legs D. Placing sheets from the OB kit over both the​ patient's legs and her abdomen

Placing a sheet from the OB kit under the​ patient's hips and another over her abdomen and legs

Despite positive pressure​ ventilation, a term​ newborn's heart rate has decreased from 80 beats per minute to 40 beats per minute. He is breathing spontaneously but shallowly at 40 breaths per minute and has a mottled appearance. Your next action would be​ to: A. Start external chest compressions B. Attach an AED with pediatric pads C. Suction the nose and mouth D. Continue positive pressure ventilation

Start external chest compressions

After successfully delivering a​ baby, the EMT notes that the protruding umbilical cord is lengthening and a small gush of blood came out of the vagina. The appropriate action would be​ to: A. Apply a sanitary pad over the vaginal opening B. Open the vaginal canal using obstetric forceps C. Massage the​ patient's uterus D. Prepare for delivery of the placenta

Prepare for delivery of the placenta

You have been called for a​ 27-year-old female who is 32 weeks pregnant. She states that she is experiencing uterine contractions but feels no pain with​ them, just a tightening in her abdomen. The contractions began three days ago and seem to be increasing in frequency today. She denies discharge or rupture of her membranes. Given this​ presentation, you should​ recognize: A. Probable false​ labor, and should have the patient follow up with her obstetrician B. True​ labor, so you should assess the vaginal canal for possible crowning C. Probable false​ labor, but have the patient transported to the hospital for evaluation D. Possible placental​ abruption, and immediately must transport the patient with lights and sirens

Probable false​ labor, but have the patient transported to the hospital for evaluation

During which abnormal birth presentation is it permissible for the EMT to place a gloved hand into the vaginal​ canal? A. Placenta previa B. Prolapsed umbilical cord C. Limb presentation D. Multiple birth delivery

Prolapsed umbilical cord

While en route for a call involving a pregnant​ patient, an Emergency Medical Responder​ (EMR) on scene contacts you and reports that the patient is actively seizing. The EMR reports that she is seven months pregnant and has not been feeling well for the past three days​ (per family). Which instruction is critical for you to relay to the​ EMR? A. Provide oxygen at 15 liters per minute B. Restrain the patient on her back or left side C. Determine if the patient has a seizure history D. Place a tongue blade in the​ patient's mouth

Provide oxygen at 15 liters per minute

You are completing the delivery of a near term baby boy when you notice that the fluid expelled with the baby is​ greenish-brown. At this point you​ should: A. Suction the nose and mouth B. Quickly suction the nose and mouth only if the​ newborn's condition is depressed C. Administer​ high-concentration oxygen D. Immediately begin positive pressure ventilation

Quickly suction the nose and mouth only if the​ newborn's condition is depressed

You are delivering a baby in the​ patient's house. As the​ baby's head appears at the opening of the​ vagina, you notice that the amniotic membrane is still intact. You​ would: A. Cut the sac with the sterile scissors in the OB kit B. Continue with the delivery of the baby C. Rip open the amniotic sac with your fingers D. Transfer the patient to the stretcher for immediate transport

Rip open the amniotic sac with your fingers

You have been dispatched to a residence for a female patient who is dizzy and​ "passing out." An Emergency Medical Responder meets you at the door and reports that the patient is lying in bed and is nine months pregnant. Her pulse rate is 112 beats per minute and her blood pressure is​ 84/50 mmHg. Respirations are 24 breaths per minute and she has a room air pulse oximetry reading of​ 97%. What should you do as soon as you reach the​ patient's side? A. Recheck the blood pressure B. Start positive pressure ventilation C. Roll her onto her left side D. Determine any complications of the pregnancy

Roll her onto her left side

You are by the side of a​ 19-year-old female who is 36 weeks pregnant. When assessing this​ patient, which finding best indicates that she is in preterm​ labor? A. Rupture of the amniotic sac B. Contractions 12 minutes apart C. Complaint of lower back pain D. Feeling nauseated with each contraction

Rupture of the amniotic sac

You have been called to a home for a female in labor. On​ scene, the family tells you that the​ 37-year-old patient is 42 weeks pregnant and wanted to have her baby at home naturally. The patient has been in labor for more than 24​ hours, but suddenly began complaining of severe and tearing abdominal pain. Which condition should the EMT​ suspect? A. Placenta previa B. Ruptured uterus C. Preeclampsia D. Ectopic pregnancy

Ruptured uterus

A female patient is described as primigravida.​ Consequently, the EMT would recognize​ that: A. She has been pregnant before but miscarried B. She has only one child C. She is pregnant for the first time D. She has never been pregnant

She is pregnant for the first time

You are responding to a​ low-income apartment complex for a​ 16-year-old female who is five weeks pregnant with vaginal bleeding. When mentally reviewing possible causes of hemorrhage for this​ patient, which condition are you most likely to encounter given the information provided thus​ far? A. Spontaneous abortion B. Drug addiction C. Dysfunctional placenta D. Ruptured uterus

Spontaneous abortion

Assessment indicates that a term​ newborn's respiratory rate is 38 breaths per minute and his heart rate is 80 beats per minute after administration of supplemental​ blow-by oxygen. The EMT​ should: A. Start positive pressure ventilation with supplemental oxygen B. Administer​ high-concentration oxygen via a pediatric nonrebreather mask C. Start chest compressions at a rate of 120 compressions per minute D. Continue to monitor the baby for another 30 seconds

Start positive pressure ventilation with supplemental oxygen

After positive pressure​ ventilation, a​ newborn's heart rate increases from 80 to 120 beats per minute. The EMT​ should: A. Insert an oral airway and resume positive pressure ventilation B. Contact medical direction for instructions C. Stop positive pressure ventilation and provide​ blow-by oxygen D. Continue positive pressure ventilation with less oxygen use

Stop positive pressure ventilation and provide​ blow-by oxygen

According to the neonatal resuscitation​ pyramid, which level of care will most newborns​ require? A. Suctioning of the nose and mouth B. Tactile stimulation and drying C. Nursing D. ​Blow-by oxygen

Tactile stimulation and drying

An EMT is presenting a continuing education class on the care of the pregnant female. When discussing the amniotic​ sac, he is correct to emphasize which​ point? A. The amniotic sac contains a fluid called​ Wharton's jelly that protects the baby while in the uterus B. The amniotic sac contains fluid and surrounds and protects the uterus C. The amniotic sac must rupture during the second trimester of pregnancy for the third trimester to progress D. The amniotic sac protects and insulates the baby during gestation

The amniotic sac protects and insulates the baby during gestation

Which statement regarding the role and function of the cervix during pregnancy is​ true? A. The EMT can palpate the cervix to measure the contractions that the mother is having during the third trimester B. The​ "bloody show" comes from the cervix and confirms pregnancy in the first trimester C. The cervix constricts near the time of delivery to prevent a premature birth D. The cervix becomes plugged with mucus to prevent contamination of the uterus during gestation

The cervix becomes plugged with mucus to prevent contamination of the uterus during gestation

When faced with the possibility of delivering​ twins, the EMT must remember​ that: A. There will be only one umbilical cord that needs to be cut B. Twins are typically born after 40​ weeks' gestation, making them larger C. The second infant may be born breech D. Both babies are typically in the vaginal canal at the same time

The second infant may be born breech

The EMT would use the sterile scissors found in the OB kit to​ cut: A. The​ patient's clothing B. The amniotic sac if it is not yet ruptured C. The umbilical cord D. Towels to create a sterile field

The umbilical cord

You have been called to a crisis shelter for a patient possibly having a baby. On​ scene, you find an older female patient who is developmentally challenged and cannot communicate normally. Staff states that the patient just came to the shelter and they know nothing about​ her, other than that she is pregnant. Assessment reveals​ crowning, and you proceed to deliver what appears to be a healthy baby boy. When assessing the mother after​ delivery, which finding should increase your suspicion that the woman may be carrying​ twins? A. The mother continues to bleed vaginally B. The​ mother's abdomen remains large after delivery of the first baby C. The​ woman's abdomen becomes soft and boggy following delivery D. A large placenta is delivered within seconds of the first baby

The​ mother's abdomen remains large after delivery of the first baby

The Apgar scoring system is useful in​ determining: A. The precise age of gestation B. The type of resuscitation needed C. The​ newborn's overall condition D. The maturity of the​ newborn's heart and lungs

The​ newborn's overall condition

A​ 31-year-old female in her third trimester of pregnancy lost her balance and fell down a flight of stairs. Treatment included spinal motion precautions and oxygen therapy. When transporting​ her, the EMT​ should: A. Transport her to her​ obstetrician's office B. Transport her in a supine position without a cervical collar in place C. Tilt the long spine board to the left D. Transport her on her right side

Tilt the long spine board to the left

Which finding is of greatest concern when assessing a​ 33-year-old female who is eight months​ pregnant? A. Daily contractions that are irregular and painful B. Vaginal bleeding not associated with pain C. Recent onset of a fever of 99.3degrees°F D. Shortness of breath when lying flat

Vaginal bleeding not associated with pain

The EMT shows that he understands the seriousness of a prolapsed umbilical cord when he​ states: A. ​"A baby can bleed to death inside the uterus if the cord is compressed for more than 10​ minutes." B. ​"The priority when treating a patient with a prolapsed umbilical cord is keeping the cord​ moist." C. ​"A prolapsed cord that is pinched can stop the flow of oxygen to the baby and must be addressed​ immediately." D. ​"If the cord is observed protruding from the​ vagina, it should be clamped and cut​ immediately."

​"A prolapsed cord that is pinched can stop the flow of oxygen to the baby and must be addressed​ immediately."

The EMT recognizes the underlying pathophysiology associated with the most common type of ectopic pregnancy is a fertilized egg that​ is: A. Lodged in a fallopian tube B. Contaminated with abdominal bacteria C. Developing without a placenta D. Attached to the upper region of the uterus rather than to the lower region by the cervix

odged in a fallopian tube

The EMT shows that he can accurately differentiate placenta previa from abruptio placentae when he​ states: A. ​"Bleeding associated with abruptio placentae is typically associated with abdominal​ pain; bleeding associated with placenta previa is​ painless." B. ​"The blood lost with placenta previa is dark​ red; the color of blood associated with abruptio placentae is bright​ red." C. ​"Abruptio placentae rarely results in the death of the​ baby; the mortality rate of placenta previa is​ high." D. ​"Abruptio placentae typically occurs in the first and second​ trimesters; placenta previa occurs in the third​ trimester."

​"Bleeding associated with abruptio placentae is typically associated with abdominal​ pain; bleeding associated with placenta previa is​ painless."

A woman informs you that she is eight months pregnant and fatigues easily. She is apprehensive because when she lies​ down, she gets dizzy and feels as though she is going to vomit. What is the​ EMT's best​ response? A. ​"You should really call your doctor. During the eighth month of​ pregnancy, energy levels usually​ increase." B. ​"As long as the baby is still​ moving, you are okay. Just try to get through one more​ month." C. ​"We really need to get to the hospital right away to make sure that your baby is okay. This does not sound​ good." D. ​"Check with your​ obstetrician, but you may want to rest and sleep on your left or right​ side."

​"Check with your​ obstetrician, but you may want to rest and sleep on your left or right​ side."

You have been called for a​ 16-year-old female with vaginal bleeding. On​ scene, you determine the patient to be pregnant and bleeding for 3 hours. Which statement would indicate proper care of the​ patient? A. ​"I am going to put this sanitary napkin between your legs to collect the​ blood." B. ​"I know that it is​ uncomfortable, but try to keep your legs apart so the blood can flow out of your​ body." C. ​"I am going to insert my gloved hand into your vagina and apply pressure to try to stop the bleeding from the​ inside." D. ​"I am going to place this piece of sterile gauze into your vagina to try to stop the​ bleeding."

​"I am going to put this sanitary napkin between your legs to collect the​ blood."

You are transporting a female patient who is seven months pregnant. She has been diagnosed with preeclampsia and is currently hypertensive. Which statement made by the patient indicates she may be transitioning from preeclampsia to​ eclampsia? A. ​"I feel like I am going to have a​ seizure." B. ​"I think that I may have to​ vomit." C. ​"I have gained 10 pounds just this​ month." D. ​"My legs and feet are more​ swollen."

​"I feel like I am going to have a​ seizure."

Which statement by the patient best indicates that the patient is in the second stage of​ labor? A. ​"I think that my water just​ broke." B. ​"I feel like I have to move my​ bowels." C. ​"It feels good not to have to push​ anymore." D. ​"The contractions are beginning to hurt​ now."

​"I feel like I have to move my​ bowels."

When assessing a​ 27-year-old patient who is eight months​ pregnant, which statement made by the patient should the EMT be most concerned​ about? A. ​"My last baby came two weeks​ late." B. ​"I was a drug addict when I was a​ teenager." C. ​"I had some belly cramps two weeks​ ago." D. ​"I have not been able to see the doctor this pregnancy at​ all."

​"I have not been able to see the doctor this pregnancy at​ all."

You are caring for an emotionally distraught female who just suffered a miscarriage. During​ transport, which statement would be the most appropriate one for the EMT to make to the​ patient? A. ​"It is better to have this happen at five weeks instead of 25​ weeks." B. ​"Maybe at some time in the​ future, you can get pregnant again and things will turn out​ okay." C. ​"I really do not know what to​ say, but let me know how I can help​ you." D. ​"Let's just think of the two beautiful children whom you have at​ home."

​"I really do not know what to​ say, but let me know how I can help​ you."

The EMT shows an understanding of newborn resuscitation when she​ states: A. ​"Interventions in a newborn should be performed for 30 seconds followed by​ reassessment." B. ​"The EMT must use​ high-concentration oxygen sparingly because it can be toxic to a​ baby." C. ​"Most newborns require aggressive resuscitation immediately after​ birth." D. ​"CPR should be provided only when the baby is​ unresponsive, apneic, and​ pulseless."

​"Interventions in a newborn should be performed for 30 seconds followed by​ reassessment."

A​ 25-year-old female presents with abdominal pain. She appears thin and​ healthy, but in obvious distress. Of the many questions the EMT may​ ask, which one should the EMT ask early during the patient​ interview? A. ​"Is there any possibility you are​ pregnant?" B. ​"Are you having any vaginal​ discharge?" C. ​"Are your menstrual periods​ regular?" D. ​"How many times have you been​ pregnant?"

​"Is there any possibility you are​ pregnant?"

You are transporting a young female who just had a miscarriage at home. During the transport the woman weeps continually. Which statement is most appropriate given the​ situation? A. ​"It is best to stay​ strong; your other child needs your​ support." B. ​"Is there anything that I can do to help you right​ now?" C. ​"I think in the long run you will be okay and things will work​ out." D. ​"If you want another​ child, wait a few months and then get pregnant​ again."

​"Is there anything that I can do to help you right​ now?"

Which statement made by a pregnant patient in labor should be of most concern to the​ EMT? A. ​"I have terrible pains in my lower​ back." B. ​"I just passed a lot of blood and​ mucus." C. ​"My water broke two days​ ago." D. ​"The contractions seem to last about 30​ seconds."

​"My water broke two days​ ago."

You have determined that you will need to perform a field delivery. Which instructions to the patient show that the EMT is properly positioning​ her? A. ​"Please lie on your​ back, draw your knees​ upward, and spread your legs​ apart." B. ​"Please lie​ back, and then elevate both legs into the air. Your husband will help you hold them​ up." C. ​"I'd like you to lie flat on the bed and bend your right leg while keeping your left leg​ straight." D. ​"I am going to place you on your left side with your legs up until the​ baby's head is​ visible."

​"Please lie on your​ back, draw your knees​ upward, and spread your legs​ apart."

Which statement made by the EMT indicates an understanding of the relationship between seizures and​ pregnancy? A. ​"Seizure activity in the pregnant female is typically not life threatening unless the patient has had seizures in the​ past." B. ​"Prolonged seizures can easily cause the mother and baby to become​ hypoxic." C. ​"If the pregnant patient is​ seizing, the EMT must quickly make a decision to administer or withhold her antiseizure​ medications." D. ​"A short seizure in the pregnant female with a seizure history generally does not require​ transport."

​"Prolonged seizures can easily cause the mother and baby to become​ hypoxic."

Which statement regarding the​ placenta, made by your EMT partner while reviewing the​ OB/GYN protocols, is most​ accurate? A. ​"The placenta typically delivers itself within 20 minutes of the birth of the​ baby." B. ​"The EMT must deliver the placenta by applying gentle pressure to the abdomen after the baby has been​ born." C. ​"The placenta is full of bacteria and should not be transported in the ambulance near the​ baby." D. ​"It is essential that the mother not be moved until the placenta has been​ delivered."

​"The placenta typically delivers itself within 20 minutes of the birth of the​ baby."

The EMT shows she has a proper understanding of​ Braxton-Hicks contractions when he​ says: A. ​"They can be differentiated from labor contractions by the presence of vaginal​ discharge." B. ​"They are​ painless, but are capable of delivering the baby very​ quickly." C. ​"They often are called false contractions and do not require hospital​ evaluation." D. ​"They are often irregular and less painful than labor​ contractions, but they should still be evaluated by the​ hospital."

​"They are often irregular and less painful than labor​ contractions, but they should still be evaluated by the​ hospital."

When​ asked, a young female with abdominal pain replies that she is not sure if she is pregnant. Given this​ response, which question would provide the best information to determine if the patient may be​ pregnant? A. ​"Have you been vomiting in the​ morning?" B. ​"When was your last normal menstrual​ period?" C. ​"Do you feel pressure in your belly​ area?" D. ​"Does it feel like the last time you were​ pregnant?"

​"When was your last normal menstrual​ period?"

What would the minimum expected preductal SpO2 reading be at one minute after​ birth? A. ​85% B. ​60% C. ​94% D. ​80%

​60%

What are the stages of labor in the order in which they​ occur? A. ​Uterine, delivery, and recovery B. ​Uterine, expulsion,​ placental, and recovery C. ​Dilation, delivery,​ placental, and afterbirth D. ​Dilation, expulsion, and placental delivery

​Dilation, expulsion, and placental delivery