AEMT Chapter 43 Pre Test

Normal gestation is approximately​ _______ weeks. A. greater than 41 B. less than 27 C. 28 to 36 D. 37 to 41

37 to 41

Five minutes following​ delivery, a​ 34-week gestation newborn has cyanosis of the​ face, torso, and​ extremities; makes a​ weak, intermittent effort to​ cry; grimaces in response to​ stimuli; has some flexion of his arms and​ legs; and has a respiratory rate of 28 breaths per minute and a heart rate of 90 beats per minute. The APGAR score​ is: A. 5. B. 4. C. 3. D. 2.

4.

An obstetric patient is having contractions. What aspects are important to determine whether to transport or prepare for​ delivery? A. The frequency of the contractions B. The intensity of the contractions C. The sensation of having a bowel movement D. All the above

All the above

During the menstrual​ cycle, what day is the day that bleeding begins as the endometrium is shed from the uterus in nonpregnant​ women? A. Day 28 B. Day 1 C. Day 7 D. Day 3

Day 1

What is the term used to describe the length of time from conception to​ birth? A. Fertilization B. Fetal development C. Labor D. Gestation

Gestation

Which of the following is the threshold for starting chest compressions in the​ newborn? A. Only when there is no detectable heart beat B. Any time the heart rate is less than 100 beats per minute C. Any time the heart rate is less than 80 beats per minute D. Heart rate less than 60 beats per​ minute, which has not improved with 30 seconds of ventilation and oxygenation

Heart rate less than 60 beats per​ minute, which has not improved with 30 seconds of ventilation and oxygenation

Which of the following is TRUE with regard to supine hypotensive​ syndrome? A. It decreases maternal cardiac output but does not affect the fetus. B. It occurs in the third trimester and is best prevented by placing the patient in a left lateral recumbent position. C. It is primarily a problem in patients with eclampsia. D. It affects fetal​ perfusion, but the mother is likely to be asymptomatic.

It occurs in the third trimester and is best prevented by placing the patient in a left lateral recumbent position.

After a successful​ delivery, the mother continues to have vaginal bleeding. What should you do to help control the​ hemorrhage? A. Massage the fundus. B. Place sanitary pads over the perineum. C. Administer a bolus of any IV fluid. D. Apply direct pressure to the vagina.

Massage the fundus.

All of the following are part of the routine APGAR assessment of a newborn EXCEPT​: A. activity level. B. BGL. C. skin color. D. respirations.

BGL.

With regard to trauma in​ pregnancy, which of the following is the leading cause of fetal​ demise? A. Uterine rupture B. Penetrating trauma C. Shock or death of the mother D. Placenta previa

Shock or death of the mother

As you prepare to deliver the​ fetus, the head delivers normally but then retracts back into the birth canal. This is an indication of which of the​ following? A. Normal delivery B. Breach delivery C. Shoulder dystocia D. Uterine inversion

Shoulder dystocia

With regard to the maternal circulatory​ system, which of the following statements is TRUE​? A. The mother may lose 30 to 35 percent of her blood volume before showing signs and symptoms of shock. B. The volume of red blood cells increases more than the volume of​ plasma, resulting in an increased hematocrit. C. By​ term, blood volume has increased by 25 percent. D. Blood pressure is generally higher than normal in the second trimester.

The mother may lose 30 to 35 percent of her blood volume before showing signs and symptoms of shock.

Which of the following events takes place in stage two of​ labor? A. The placenta is delivered. B. The cervix thins and dilates. C. The mother often has an urge to move her bowels. D. There normally is 250 to 500 mL blood loss.

The mother often has an urge to move her bowels.

An obstetric patient is having contractions. The patient does not feel the urge to push but reports that contractions are becoming more frequent. What should you report to the receiving hospital​ personnel? A. The total length of one contraction. B. The time of contractions between the beginning of one and the beginning of the next. C. The time of contractions between the beginning of one and the end of the next. D. The time of contractions between the end of one and the beginning of the next.

The time of contractions between the beginning of one and the beginning of the next.

A​ 27-year-old woman,​ G3, P2, 40 weeks​ gestation, gives a history of contractions that began two hours​ ago, and which have increased in frequency and intensity quickly in the past 20 minutes. She is having contractions two minutes apart and tells you she feels like the baby is going to be born right now. You position the patient and observe the perineum. The fetal head is​ crowning, visible both during and between contractions. As your partner quickly prepares the OB​ kit, which of the following has the highest​ priority? A. Tell the mother not to push when she has contractions B. Put on sterile gloves C. Drape the​ patient's legs and abdomen with sterile drapes and place a sterile drape beneath the buttocks D. Use a gloved hand to apply gentle pressure over the​ baby's head

Use a gloved hand to apply gentle pressure over the​ baby's head

Which of the following is the ideal procedure for clamping and cutting the umbilical cord after​ delivery? A. Within one to five minutes of​ delivery, place the first clamp flush with the​ newborn's abdomen and a second clamp about two inches away from​ it, and cut between the clamps. B. Within 30 to 45 seconds of​ delivery, place the first clamp about four inches from the​ newborn's abdomen, place the second clamp two inches further away from the​ first, and cut between the clamps. C. Wait for the placenta to be​ delivered, place a clamp two inches from the​ newborn's abdomen, and cut the cord on the side of the clamp closer to the mother. D. At any time after​ delivery, clamp the cord about four inches away from the​ newborn's abdomen and cut the cord on the side closer to the mother.

Within 30 to 45 seconds of​ delivery, place the first clamp about four inches from the​ newborn's abdomen, place the second clamp two inches further away from the​ first, and cut between the clamps.

You have just assisted with delivery of a​ full-term newborn with a​ one-minute APGAR score of 8. The mother is 35 years​ old, G5, P5. Following delivery of the​ placenta, there is heavy vaginal bleeding. All of the following may help improve the​ patient's condition in this situation​ EXCEPT: A. performing fundal massage. B. allowing her to breastfeed the infant. C. starting an IV and infusing fluids. D. applying direct pressure to the vaginal opening.

applying direct pressure to the vaginal opening.

The second stage of labor is characterized​ by: A. rupture of the amniotic sac. B. loss of the cervical mucus plug. C. delivery of the newborn. D. contractions that are seven to 10 minutes apart.

delivery of the newborn.

Of the​ following, the MOST common intervention needed in neonatal resuscitation​ is: A. chest compressions. B. advanced airway insertion. C. drying and warming. D. oxygen.

drying and warming.

Your patient has been pregnant three times with two live deliveries. How would you report this information to another health care​ provider? A. gravida​ 2, para 3 B. gravida​ 3, para 2 C. para​ 3, gravida 2 D. primagravida

gravida​ 3, para 2

The relative frequency in which interventions are needed in neonatal resuscitation is represented by​ the: A. APGAR score. B. Pediatric Glasgow Coma Scale. C. pediatric assessment triangle. D. neonatal resuscitation pyramid.

neonatal resuscitation pyramid.

A​ 17-year-old girl,​ G1, P0, 32 weeks​ gestation, complains of contractions and states she thinks her water broke and she​ doesn't know if the baby is coming out or not. You inspect her perineal area and see the umbilical cord protruding from her vagina. You do not see any other presenting part. You​ should: A. have the mother pull her knees back as far as she can and apply firm pressure with your hand just above the pubic bone. B. place two fingers of your gloved hand into the​ patient's vagina and create a​ "V" with the fingers. C. place the mother in​ knee-chest position on your stretcher and immediately​ transport; keep the cord moist with sterile saline dressings. D. transport the mother in​ left-lateral recumbent position and start an IV en route.

place the mother in​ knee-chest position on your stretcher and immediately​ transport; keep the cord moist with sterile saline dressings.

You have arrived on the scene of a woman in labor. She is a​ G1, P0 at 36 weeks gestation. Her contractions are two minutes​ apart, her water has​ broken, and she tells you she thinks she is having the baby​ "right now!" When you check for​ crowning, you see the​ baby's buttocks are the presenting part. The BEST course of action is​ to: A. immediately place two gloved fingers in the​ mother's vagina and form a​ "V" around the​ baby's mouth and nose to allow him to breathe. B. instruct the mother to pull her knees back along either side of her abdomen and apply pressure with the palm of your hand just above the pubic bone. C. place the mother on your stretcher at the scene and prepare for​ delivery, but be ready to transport if delivery cannot be accomplished in the field. D. place the mother in​ knee-chest position, apply​ oxygen, start an​ IV, and transport emergently.

place the mother on your stretcher at the scene and prepare for​ delivery, but be ready to transport if delivery cannot be accomplished in the field.

When performing CPR in a​ neonate, which of the following is the CORRECT ​approach? A. ​15:2 compression-to-ventilation​ ratio, with a rate of 120 compressions and 8 ventilations per minute B. ​3:1 compression-to-ventilation​ ratio, with a rate of 90 compressions and 30 ventilations per minute C. ​5:1 compression-to-ventilation​ ratio, with a rate of 100 compressions and 20 respirations per minute D. ​4:1 compression-to-ventilation​ ratio, with a rate of 80 compressions and 20 ventilations per minute

​3:1 compression-to-ventilation​ ratio, with a rate of 90 compressions and 30 ventilations per minute

A patient who is 37 weeks gestation tells you she was having​ contractions, but they stopped before you arrived on the scene. She says the contractions were very​ noticeable, but not especially painful. What the mother is describing is MOST consistent​ with: A. placental abruption. B. ​Braxton-Hicks contractions. C. stage one labor. D. active labor.

​Braxton-Hicks contractions.

From superior to​ inferior, the portions of the uterus are​ the: A. ​fundus, body, and cervix. B. ​body, fundus, and cervix. C. ​cervix, fundus, and body. D. ​cervix, body, and fundus.

​fundus, body, and cervix.