EMT Ch. 34 - OB + Neonatal Care

Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should:

B. first attempt to slip the cord gently over the infant's head .

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

B. internal bleeding caused by a ruptured ectopic pregnancy .

After delivery of a pulseless and apneic infant who has a foul odor , skin sloughing , and diffuse blistering , you should :

B. provide emotional support to the mother .

Braxton-Hicks contractions are characterized by:

A . alleviation of pain with movement or changing positions

If a baby is born at 7:52, the second Apgar score should be calculated at:

A. 7:57 .

During your visual inspection of a 25 - year - old patient in labor , you see the baby's head crowning at the vaginal opening . What should you do ?

A. Apply gentle pressure to the baby's head as it delivers .

After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience:

A. easier breathing .

A 33-year-old patient who is 36 weeks pregnant is experiencing vaginal bleeding . During transport , you note that they suddenly become diaphoretic , tachycardic , and hypotensive . You should :

A. place them in a left lateral recumbent position .

Abruptio placenta occurs when :

A. the placenta prematurely separates from the uterine wall .

Supine hypotensive syndrome occurs when :

A. the pregnant uterus compresses the inferior vena cava .

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately :

B. 16 hours .

Which of the following statements regarding gestational diabetes is correct ?

B. In some cases , women with gestational diabetes require insulin injections .

Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should:

B. puncture the sac and suction the baby's mouth and nose .

The third stage of labor begins when the:

C. baby is expelled from the vagina .

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

C. manually displace the patient's uterus to the left .

A 26-year-old patient who is 34 weeks pregnant is experiencing a seizure . The husband tells you that their blood pressure has been high and have been complaining of a headache for the past few days . You should :

C. place the patient on their side , administer high - flow oxygen , and transport .

The presence of meconium in the amniotic fluid indicates :

C. that the baby's airway might be obstructed .

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

D. an ectopic pregnancy .

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:

D. firmly massage the uterine fundus with a circular motion .

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

D. the production of oxytocin caused uterine contraction .