ems chapter 33

an ectopic pregnancy.

A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:

15 to 30

A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.

have delivered a baby before.

A precipitous labor and delivery is MOST common in women who:

pregnant patients have an overall increase in blood volume.

A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:

ensure that it is thoroughly dried and warmed.

After a baby is born, it is important to:

20 weeks

An abortion occurs when the fetus and placenta deliver before:

weighs less than 5 lb or is born before 36 weeks' gestation.

An infant is considered to be premature if it:

manually displace the patient's uterus to the left.

CPR is in progress on a pulseless and apneic 29-year-old woman who is 37 weeks pregnant. When treating this patient, the EMT should:

positive-pressure ventilations.

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

the mother may become nauseated and vomit.

During delivery, it is MOST important to position your partner at the mother's head because:

firmly massage the uterine fundus with a circular motion.

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:

the production of oxytocin caused uterine contraction.

Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because:

provide ventilations for 30 seconds.

If a newborn's heart rate is less than 60 beats/min following delivery, you should:

has an even proportionately larger head.

In contrast to a full-term infant, a premature infant:

development of the placenta over the cervical opening.

Placenta previa is defined as:

pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:

headache and edema.

Signs and symptoms of preeclampsia include:

a portion of the spinal cord or meninges protrudes outside of the vertebrae.

Spina bifida is a developmental defect in which:

the pregnant uterus compresses the inferior vena cava.

Supine hypotensive syndrome occurs when:

breech presentation and prolapsed umbilical cord.

The ONLY indications for placing your gloved fingers in the vagina during delivery are:

insulate and protect the fetus.

The amniotic fluid serves to:

internal bleeding caused by a ruptured ectopic pregnancy.

The leading cause of maternal death during the first trimester of pregnancy is:

contractions of the uterus.

The onset of labor begins with:

that the baby's airway may be obstructed.

The presence of meconium in the amniotic fluid indicates:

the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.

The term "bloody show" is defined as:

is pregnant for the first time.

The term primigravida refers to a woman who:

baby is expelled from the vagina.

The third stage of labor begins when the:

carries oxygen to the baby via the umbilical vein.

The umbilical cord:

birth canal.

The vagina and the neck of the uterus comprise the:

on a firm surface with her hips elevated 2 to 4 inches.

When preparing a pregnant patient for delivery, you should position her:

Return of contractions following delivery of the baby

Which of the following is NOT generally considered an obstetrical emergency?

Increased respiratory rate and decreased respiratory reserve

Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?

Crowning of the baby's head

Which of the following is an indication of imminent birth?

Uterine contractions become more regular.

Which of the following occurs during true labor?

A breech presentation occurs when the buttocks are the presenting part.

Which of the following statements regarding a breech presentation is correct?

Suctioning is indicated prior to cutting the cord if respiratory distress is present.

Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct?

push the infant's head away from the cord.

While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:

assess her for crowning.

You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:

8

You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His Apgar score is:

Check the pulse rate at the brachial artery.

You have just delivered a full-term infant. His respirations are rapid and irregular, and he has a strong cry. What should you do next?

keep him warm and ventilate with a BVM.

You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should:

placing the mother supine with her head down and pelvis elevated.

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: