Chapter 24: Gynecologic Emergencies:

Signs and symptoms of bacterial vaginosis typically include _________.

"fishy," foul-smelling discharge

rape-20% 1 of 5 molested-33% 1 of 3

...

Menstrual flow will typically last approximately _________.

1 week

If fertilization has not occurred within about ___ days following ovulation, the lining of the uterus begins to separate, and menstruation occurs. 12 14 16 18

14

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease?

A shuffling gait when walking

A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: A. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. B. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. C. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. D. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport.

A. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she: A. has gathered patient history information. B. ascertains if the patient was ever pregnant. C. has obtained a complete set of vital signs. D. has formed a general impression of the patient.

A. has gathered patient history information.

The physical examination of a sexual assault victim should be: A. limited to a brief survey for life-threatening injuries. B. performed in the presence of at least two police officers. C. deferred until the patient can be evaluated by a physician. D. as detailed as possible so all injuries can be documented.

A. limited to a brief survey for life-threatening injuries.

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A. maintain her ABCs and transport without delay. B. determine the underlying cause of her problem. C. ask questions related to her gynecologic history. D. keep assessment and treatment to a minimum.

A. maintain her ABCs and transport without delay.

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I cannot remember anything, but I know I was raped." The EMTs should suspect that: A. the patient was given a drug prior to the incident. B. the traumatic experience has created a mental block. C. an underlying head injury is causing her amnesia. D. the patient knew her attacker, but is afraid to say.

A. the patient was given a drug prior to the incident.

Pelvic inflammatory disease (PID) typically does NOT affect the: A. urinary bladder. B. uterus. C. ovaries. D. fallopian tubes.

A. urinary bladder.

When obtaining a SAMPLE history, which of the following pieces of information is important to obtain? Use of a birth control device or birth control pills The date of the patient's last menstrual period The possibility of pregnancy All of the above

All of the above

You should discourage a rape or sexual assault victim from doing which of the following? Urinating Cleaning herself Changing clothes All of the above

All of the above

Which of the following can cause vaginal bleeding? Ectopic pregnancy Spontaneous abortion Trauma All of the above.

All of the above.

You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal discharge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease? A. Vaginal passage of blood clots B. A shuffling gait when walking C. Bright red blood in the urine D. A history of ectopic pregnancy

B. A shuffling gait when walking

The husband arrives and is very upset that you are considering transport. What is the best thing you can do? A. Call for police backup. B. Inform him his wife has a potentially life-threatening condition. C. Ignore him because the patient gave you legal consent. D. Obtain online medical consultation for assistance.

B. Inform him his wife has a potentially life-threatening condition.

When documenting a call in which a female was sexually assaulted, you should: A. record your opinion only if you have reasonable proof to justify the statement. B. keep the report concise and record only what the patient stated in her own words. C. only use quotation marks when recording any statements made by witnesses. D. translate the patient's words or statements using proper medical terminology.

B. keep the report concise and record only what the patient stated in her own words.

Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should: A. advise her that she cannot clean herself up because this will destroy evidence. B. provide emotional support and visually assess her for obvious trauma. C. perform a limited hands-on assessment to detect life-threatening injuries. D. ask her if there is anyone you can contact, such as a friend or relative.

B. provide emotional support and visually assess her for obvious trauma.

When a female has reached menarche: A. menstrual periods become less frequent. B. she is capable of becoming pregnant. C. she can no longer produce an ovum. D. she usually requires hormone therapy.

B. she is capable of becoming pregnant.

What further assessment or treatment would you perform en route to the hospital involving a patient with a gynecologic emergency? A. Distract her from the pain. B. Administer high-flow oxygen. C. Reassess vital signs and primary assessment. D. Start an IV line.

C. Reassess vital signs and primary assessment.

Which of the following drugs is commonly referred to as "roofies"? A. GHB B. Ketamine C. Rohypnol D. MDMA

C. Rohypnol

What is your most important treatment option for a patient with unknown vaginal hemorrhage? A. Low-flow oxygen B. Psychological support C. Transport to the hospital D. Supine positioning

C. Transport to the hospital

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A. thins and begins to separate. B. sheds and is expelled externally. C. becomes engorged with blood. D. diverts blood flow to the vagina.

C. becomes engorged with blood.

Whenever possible, a female sexual assault victim should be: A. encouraged to take a shower and change her clothes. B. asked to provide a brief description of the perpetrator. C. given the option of being treated by a female EMT. D. thoroughly assessed, even if no signs of injury exist.

C. given the option of being treated by a female EMT.

As a woman approaches menopause: A. she usually experiences abdominal cramping without vaginal bleeding. B. her risk of developing pelvic inflammatory disease lowers significantly. C. her menstrual periods may become irregular and vary in severity. D. she cannot become pregnant because of fluctuating hormone levels.

C. her menstrual periods may become irregular and vary in severity.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: A. can be controlled in the field. B. is typically not as severe. C. may be relatively painless. D. often presents with acute pain.

C. may be relatively painless.

Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: A. bacterial vaginosis and chlamydia. B. uterine rupture with severe bleeding. C. ovarian abscess and ectopic pregnancy. D. ovarian cysts and gonorrhea.

C. ovarian abscess and ectopic pregnancy.

When caring for a female patient who has been sexually assaulted, you should: A. allow law enforcement to take her statement before you begin treatment. B. ask the patient for a concise, detailed report of what happened to her. C. place any bloodstained clothing or other articles in separate paper bags. D. advise her that she will not be allowed to shower or change her clothes.

C. place any bloodstained clothing or other articles in separate paper bags.

What is the narrowest portion of the uterus? Vagina Cervix Fallopian tubes Ovaries

Cervix

What is typically the most important intervention that an EMT can provide to the victim of sexual assault?

Comfort and reassurance

Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should: A) provide emotional support and visually assess her for obvious trauma. B) advise her that she cannot clean herself up because this will destroy evidence. C) ask her if there is anyone you can contact, such as a friend or relative. D) perform a limited hands-on assessment to detect life-threatening injuries.

Correct Answer A) provide emotional support and visually assess her for obvious trauma.

In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A) thins and begins to separate. B) becomes engorged with blood. C) diverts blood flow to the vagina. D) sheds and is expelled externally.

Correct Answer B) becomes engorged with blood.

Your _____ is the best tool to gain the patient's confidence to seek medical help. A) explain to her that she cannot be transported without a physical exam. B) have the police take the patient into custody in order to legally force a physical exam. Incorrect Response C) explain to her that this is a criminal case and that she must be examined. D) follow your system's refusal of treatment policy and respect the patient's wishes without judgment.

Correct Answer D) follow your system's refusal of treatment policy and respect the patient's wishes without judgment.

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? A) Chlamydia B) Ovarian cysts C) Genital herpes D) Ectopic pregnancy

Correct Response A) Chlamydia

Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? A) Pelvic inflammatory disease B) Chlamydia C) Bacterial vaginosis D) Gonorrhea

Correct Response A) Pelvic inflammatory disease

A patient with pelvic inflammatory disease will typically complain of _________. A) abdominal pain associated with menstruation B) nausea and vomiting associated with intercourse C) aches and fever associated with urination D) bleeding associated with stress

Correct Response A) abdominal pain associated with menstruation

Often the most important intervention for a sexual assault patient is _____ and transport to a facility with a staff specially trained to deal with this scenario. A) comforting reassurance B) excellent assessment skills C) bandaging skills D) emotional sympathy

Correct Response A) comforting reassurance

Whenever possible, a female sexual assault victim should be: A) given the option of being treated by a female EMT. B) encouraged to take a shower and change her clothes. C) thoroughly assessed, even if no signs of injury exist. D) asked to provide a brief description of the perpetrator.

Correct Response A) given the option of being treated by a female EMT.

When a woman presents with abdominal pain or other vague symptoms, the EMT is often unable to determine the nature of the problem until he or she: A) has gathered patient history information. B) has obtained a complete set of vital signs. C) ascertains if the patient was ever pregnant. D) has formed a general impression of the patient.

Correct Response A) has gathered patient history information.

The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. A) labia majora; labia minora B) perineum; anus C) vagina; cervix D) fallopian tubes; uterus

Correct Response A) labia majora; labia minora

The physical examination of a sexual assault victim should be: A) limited to a brief survey for life-threatening injuries. B) performed in the presence of at least two police officers. C) as detailed as possible so all injuries can be documented. D) deferred until the patient can be evaluated by a physician.

Correct Response A) limited to a brief survey for life-threatening injuries.

In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: A) may be relatively painless. B) is typically not as severe. C) can be controlled in the field. D) often presents with acute pain.

Correct Response A) may be relatively painless

While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age. A) 10; 40 B) 11; 50 C) 20; 60 D) 10; 70

Correct Response B) 11; 50

Which of the following statements regarding gonorrhea is correct? A) Most men who are infected with gonorrhea do not experience symptoms. B) Painful urination is a common symptom of gonorrhea in both men and women. C) Symptoms of gonorrhea usually appear within 3 months of being infected. D) Mild infections with gonorrhea cause abdominal pain, vomiting, and fever.

Correct Response B) Painful urination is a common symptom of gonorrhea in both men and women.

Which of the following statements regarding rape is correct? A) The EMT should try to determine if rape occurred. B) Rape is a legal diagnosis, not a medical diagnosis. C) Rape causes more physical harm than emotional harm. D) Only a licensed physician can make a diagnosis of rape.

Correct Response B) Rape is a legal diagnosis, not a medical diagnosis.

The onset of menstruation usually occurs in women who are: A) between 8 and 10 years of age. B) between 11 and 16 years of age. C) between 18 and 23 years of age. D) between 25 and 28 years of age.

Correct Response B) between 11 and 16 years of age.

The _____________ connect(s) each ovary with the uterus. A) egg B) fallopian tubes C) abdomen D) cervix

Correct Response B) fallopian tubes

Painful urination associated with burning and a yellowish discharge is associated with: A) chlamydia. B) gonorrhea. C) endometriosis. D) syphilis.

Correct Response B) gonorrhea.

If a woman with vaginal bleeding reports syncope, the EMT should assume that she: A) is pregnant. B) is in shock. C) has an infection. D) has an ectopic pregnancy.

Correct Response B) is in shock.

Bacterial vaginosis is a condition that occurs when: A) harmful bacteria infect and cause damage to the uterus, cervix, and fallopian tubes. B) normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms. C) numerous bacteria enter the uterus through the cervix and cause severe tissue damage. D) abnormal bacteria enter the vagina and cause damage without causing any symptoms.

Correct Response B) normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms.

If a patient with vaginal bleeding presents with a rapid pulse and pale or cool skin, you should: A) attempt to locate the source of bleeding and correct it. B) place the patient in a supine position with her legs elevated. C) consider this to be a normal sign in a menstruating woman. D) inquire about recent problems with urination.

Correct Response B) place the patient in a supine position with her legs elevated.

A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: A) administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B) administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. C) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. D) assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport.

Correct Response C) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay.

Left untreated, _____ can lead to premature birth or low birth weight in pregnant women. A) chlamydia B) gonorrhea C) bacterial vaginosis D) vaginal bleeding

Correct Response C) bacterial vaginosis

It is common for young females who experience their first menstrual period to: A) have a false positive home pregnancy test result. B) lose up to 500 mL of blood within the first 24 hours. C) experience abdominal cramping, which may be misinterpreted. D) become so emotionally distraught that they contemplate suicide.

Correct Response C) experience abdominal cramping, which may be misinterpreted.

When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A) determine the underlying cause of her problem. B) ask questions related to her gynecologic history. C) maintain her ABCs and transport without delay. D) keep assessment and treatment to a minimum.

Correct Response C) maintain her ABCs and transport without delay.

Some women experience ___________ during ovulation. A) hypotension B) severe abdominal pain C) slight cramping D) severe bleeding

Correct Response C) slight cramping

The EMT should ensure that vaginal bleeding is _________. A) severe enough to warrant transport B) controlled directly by the patient C) taken seriously and the patient is transported for gynecologic evaluation D) not caused by traumatic injury

Correct Response C) taken seriously and the patient is transported for gynecologic evaluation

Pelvic inflammatory disease (PID) typically does NOT affect the: A) uterus. B) ovaries. C) urinary bladder. D) fallopian tubes.

Correct Response C) urinary bladder.

Causes of vaginal bleeding include which of the following? A) Ectopic pregnancy B) Vaginal trauma C) Spontaneous abortion D) All of these answers are correct.

Correct Response D) All of these answers are correct.

During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? A) The amount of time since of the patient's last menstrual cycle B) The possibility that the patient may be pregnant C) If the patient is sexually active D) All of these answers are correct.

Correct Response D) All of these answers are correct.

In cases of sexual assault, it is important to ensure that you do which of the following? A) Immediately write down your observations of the scene before assessing the patient. B) Call for a female EMT or ALS care provider. C) Discuss with law enforcement any suspicions that you may have about the perpetrator. D) All of these answers are correct.

Correct Response D) All of these answers are correct.

Which of the following infections, when left untreated, may lead to infection of the blood and brain? A) Pelvic inflammatory disease B) Chlamydia C) Bacterial vaginosis D) Gonorrhea

Correct Response D) Gonorrhea

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? A) Left lower quadrant pain, referred pain to the left shoulder, and fever B) Pain around the umbilicus, low-grade fever, and generalized weakness C) Upper abdominal cramping, severe headache, and heavy vaginal bleeding D) Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

Correct Response D) Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

Which of the following drugs is commonly referred to as "roofies"? A) GHB B) MDMA C) Ketamine D) Rohypnol

Correct Response D) Rohypnol

Each ovary produces an ovum in alternating months and releases it into the: A) vagina. B) uterus. C) cervix. D) fallopian tube.

Correct Response D) fallopian tube.

The most common presenting sign of pelvic inflammatory disease is: A) vaginal discharge. B) fever. C) nausea and vomiting. D) lower abdominal pain.

Correct Response D) lower abdominal pain.

When caring for a female patient who has been sexually assaulted, you should: A) ask the patient for a concise, detailed report of what happened to her. B) allow law enforcement to take her statement before you begin treatment. C) advise her that she will not be allowed to shower or change her clothes. D) place any bloodstained clothing or other articles in separate paper bags.

Correct Response D) place any bloodstained clothing or other articles in separate paper bags.

Which of the following conditions would MOST likely lead to pelvic inflammatory disease if left untreated? A. Ectopic pregnancy B. Ovarian cysts C. Genital herpes D. Chlamydia

D. Chlamydia

Careful documentation is always important when involving sexual assault. What information should NOT be included in your patient care report? A. Patient condition B. Description of the scene C. Interventions performed D. Diagnosis

D. Diagnosis

Which of the following clinical presentations is MOST consistent with pelvic inflammatory disease (PID)? A. Upper abdominal cramping, severe headache, and heavy vaginal bleeding B. Left lower quadrant pain, referred pain to the left shoulder, and fever C. Pain around the umbilicus, low-grade fever, and generalized weakness D. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

D. Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge

The patient tells you she feels blood coming from her vaginal area. She gives you permission to look and you observe moderate bleeding from the vagina. What should you do to manage the bleeding? A. Apply direct pressure using trauma dressings. B. Pack the vagina with trauma dressings. C. Ask the patient to insert a tampon. D. Place a sanitary pad over the vaginal opening.

D. Place a sanitary pad over the vaginal opening.

It is common for young females who experience their first menstrual period to: A. lose up to 500 mL of blood within the first 24 hours. B. become so emotionally distraught that they contemplate suicide. C. have a false positive home pregnancy test result. D. experience abdominal cramping, which may be misinterpreted.

D. experience abdominal cramping, which may be misinterpreted.

What is the EMT's FIRST priority when dealing with a patient experiencing excessive vaginal bleeding? Determine the cause of the bleeding. Treat the patient for shock and transport. Determine if the bleeding is a result of sexual assault. Keep the patient warm and apply oxygen.

Determine the cause of the bleeding.

______________ may be a cause of vaginal bleeding in a patient who states that she is NOT pregnant.

Ectopic Pregnancy

If PID is not treated, which complication can occur? Ectopic pregnancy Arthritis Low-birth-weight babies Uterine collapse

Ectopic pregnancy

What is the most common presenting sign of PID? Vomiting Vaginal discharge Lower abdominal pain Fever

Lower abdominal pain

In addition to providing medical care to a rape victim, which of the following is the most critical thing you should do? Ask very specific questions to help identify the assailant. Do a full assessment of the victim's mental status to determine whether an assault has actually occurred. Move the patient to a private location. Refer the patient to a rape crisis center.

Move the patient to a private location.

What is (are) the primary female reproductive organ(s) called?

Ovaries

Which of the following control the process of ovulation and menstruation? Fallopian tubes Ovaries Vagina Cervix

Ovaries

You are assessing a 38-year-old woman who reports achy abdominal pain, burning on urination, and a slight fever. As you assist her to the ambulance, you notice that she has a shuffling gait. What condition does this indicate? Bacterial vaginosis Chlamydia Ectopic pregnancy PID

PID

gonorrhea and chlamydia leads to

PID

Which of the following statements regarding pelvic inflammatory disease (PID) is correct?

PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.

You are assessing a female patient who tells you she feels blood coming from her vaginal area. She gives you permission to look, and you observe moderate bleeding from the vagina. What should you do to manage the bleeding? Apply direct pressure using trauma dressings. Pack the vagina with trauma dressings. Ask the patient to insert a tampon. Place a sanitary pad over the vaginal opening.

Place a sanitary pad over the vaginal opening.

What is an EMT's responsibility regarding evidence in the case of a sexual assault? Analyze Collect Catalogue Preserve

Preserve

In the case of a sexual assault, what is your most important treatment option? Low-flow oxygen Psychological support Transport to the hospital Supine positioning

Psychological support

Which of the following drugs is commonly used to facilitate sexual assault? Rohypnol Heroin Cocaine Marijuana

Rohypnol

Chlamydia, bacterial vaginosis, and gonorrhea are all examples of _________.

Sexually Transmitted Diseases

Which of the following signs/symptoms is considered particularly significant in gynecological emergencies?

Syncope

What is menarche? The cycle in which the ovum is released The end of menstrual activity, usually occurring in a woman's 50s but sometimes earlier The onset of menstruation, which typically occurs between ages 11 and 16, but may occur either earlier or later The area of tissue between the vagina and the anus

The onset of menstruation, which typically occurs between ages 11 and 16, but may occur either earlier or later

Why is it important to transport a sexual assault victim to the hospital, even if she does not have any obvious injuries? The police need confirmation that a sexual assault actually occurred. The patient may have injuries that were not detected in the field, such as internal bleeding, and have a delayed onset of symptoms. It is not safe to allow the patient to return home until the police have had a chance to collect evidence. Full documentation needs to be completed before the case can go to court.

The patient may have injuries that were not detected in the field, such as internal bleeding, and have a delayed onset of symptoms.

What should you do when a female patient has unknown vaginal bleeding? Pack the vagina with sterile gauze to stop blood loss Treat for shock Determine the cause of the bleeding Tell the patient to see her gynecologist as soon as possible

Treat for shock

What is the outermost cavity of a woman's reproductive system? Cervix Ovaries Vagina Uterus

Vagina

What are important parts of an assessment for abdominal pain

ask specific questions about onset, duration, quality, and radiation.

During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respirations are rapid and shallow, her skin is cool and moist, and her pulse is rapid and weak. You should:

assist her ventilations with a BVM.

peroneum

between anus and lover vagina

General treatment for a woman with vaginal bleeding and shock following sexual assault includes all of the following, EXCEPT:

carefully removing any foreign bodies from the vagina.

At the scene of a sexual assault, the EMT should attempt to preserve evidence by _________.

discouraging the patient from removing clothes, using the bathroom, or showering

The sperm typically fertilizes the egg in the _________.

fallopian tube

The most common presenting sign of PID is:

generalized lower abdominal pain

As a woman approaches menopause:

her menstrual periods may become irregular and vary in severity.

PID

infection of upper organs of reproduction

With gynecologic patients, you should:

leave any foreign bodies in place after stabilizing them with bandages.

malays

lethargy

When prioritizing care for the victim of a sexual assault, the EMT should focus on _________ first.

life-threatening injuries

A patient with vaginal bleeding _________.

may not have obvious signs of shock even if she has experienced significant blood loss

The onset of menstruation is called: menopause. menarche. ovulation. bleeding.

menarche

If fertilization has not occurred in approximately 14 days postovulation:

menstruation will begin.

spontaneous abortion

miscarrige

Symptoms of gonorrhea are generally:

more severe in men than in women.

When a female has reached menarche:

she is capable of becoming pregnant.

The EMT should perform a "rapid scan" to determine if the patient is __________ during the __________.

stable or unstable; primary assessment

uterus

stretches

EMTs receive a call for a possible sexual assault. The patient is a young female who is conscious and alert and has no apparent injuries. She states, "I cannot remember anything, but I know I was raped." The EMTs should suspect that:

the patient was given a drug prior to the incident.