Chapter 34: OB Emergencies
During your visual inspection of a 25-year-old woman 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.
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?"
During your visual inspection of a 25-year-old woman 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. -Tell the mother not to push and transport her immediately. -Place your fingers in the vagina to assess for a nuchal cord. -Maintain firm pressure to the head until it completely delivers.
-Apply gentle pressure to the baby's head as it delivers.
Braxton-Hicks contractions are characterized by: -regular contractions of progressively increasing intensity. -alleviation of pain with movement or changing positions. -pink or red bloody show in conjunction with the contractions. -a rupture of the amniotic sac just before the contractions begin.
-alleviation of pain with movement or changing positions.
The umbilical cord: -separates from the placenta shortly after birth. -carries blood away from the baby via the artery. -carries oxygen to the baby via the umbilical vein. -contains two veins and one large umbilical artery.
-carries oxygen to the baby via the umbilical vein.
The term primigravida refers to a woman who: -has never been pregnant. -has had only one live birth. -is pregnant for the first time. -has had more than one live baby.
-is pregnant for the first time.
Pregnant women are advised to take iron supplements, such as prenatal vitamins, because: -iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery. -the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding. -white blood cells decrease during pregnancy, which increases the mother's risk of an infection. -pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.
-pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.
If a newborn's heart rate is less than 60 beats/min following delivery, you should: -flick the soles of its feet. -begin chest compressions. -re-suction the mouth only. -provide ventilations for 30 seconds.
-provide ventilations for 30 seconds
An infant is premature if it: -is born before 38 weeks' gestation or weighs less than 6 pounds. -weighs less than 5.5 pounds or is born before 37 weeks' gestation. -is born before 40 weeks' gestation or weighs less than 7 pounds. -weighs less than 5 pounds or is born before 36 weeks' gestation.
-weighs less than 5 pounds or is born before 36 weeks' gestation.
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
an ectopic pregnancy.
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
belly button.
You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should:
continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.
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.
The amniotic fluid serves to:
insulate and protect the fetus
A nuchal cord is defined as an umbilical cord that:
is wrapped around the baby's neck.
When preparing a pregnant patient for delivery, you should position her:
on a firm surface with her hips elevated 2 to 4 inches. C
A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days. You should:
place her on her side, administer high-flow oxygen, and transport.
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.
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
pregnant patients have an overall increase in blood volume.
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.
You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should:
respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient.
When determining the frequency of contractions, you should time the contractions from the:
start of one to the start of the next.
The presence of meconium in the amniotic fluid indicates:
that the baby's airway may be obstructed
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
16 hours.
If a baby is born at 7:52, the second Apgar score should be calculated at:
7:57.
From what internal female organ is the fetus expelled during delivery?
Uterus
