Gynecologic, Obstetrics and Neonatal Care- EMT Chapter Quiz 21 & 31

stages of labor

1.) dilation 2.) expulsion- crowning, process of baby coming out 3.) placental

If a baby is born at 7:52, the second Apgar score should be calculated at: a.) 7:53 b.) 7:57 c.) 7:59 d.) 8:00

7:57

ectopic pregnany

a pregnancy that develops outside the uterus, typically in a fallopian tube

lightening

a sensation felt by a pregnant patient when the fetus positions itself for delivery

multigravida

a woman who has had previous pregnancies

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 low extremities, and transport without delay d.) assist her ventilations with a bag-mask device, place on sterile dressing into her vagina, perform a rapid secondary assessment, and transport

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

PID

an infection of the fallopian tubes and the surrounding tissues of the pelvis

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: a.) perform a rapid secondary assessment b.) assist her ventilations with a bag-mask device c.) assess her blood pressure and elevate her legs d.) perform a visual assessment of her vaginal area

assist her ventilations with a bag-mask device

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: a.) belly button b.) pubic bone c.) xiphoid process d.) superior diaphragm

belly button

Which of the following is NOT a component of the Apgar score? a.) pulse b.) activity c.) grimace d.) body size

body size

breech presentation

buttocks come out first

nuchal cord

cord wrapped around infants neck

meconium

dark green material in the amniotic fluid that can indicate distress or disease in the newborn; the meconium can be aspirated into the infant's lungs during delivery; the infants first bowel movement q

fundus

dome-shaped top of the uterus

primigravida

first pregnancy

In contrast to a full-term infant, a premature infant: a.) has an even proportionately larger head b.) is often covered with excess vernix material c.) is one who is born before 38 weeks' gestation d.) retains heat better because of excess body hair

has an even proportionately larger head

A precipitous labor and delivery is MOST common in women who: a.) have gestational diabetes b.) are younger than 30 years of age c.) have delivered a baby before d.) are pregnant for the first time

have delivered a baby before

Signs and symptoms of preeclampsia include: a.) headache and edema b.) marked hypoglycemia c.) dyspnea and bradycardia d.) dysuria and constipation

headache and edema

If a woman with vaginal bleeding reports syncope, the EMT must assume that she: a.) is pregnant b.) is in shock c.) has an infection d.) has an ectopic pregnancy

is in shock

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: a.) keep him warm and provide ventilatory assistance b.) begin chest compressions and reassess in 30 seconds c.) clamp and cut the umbilical cord and keep him warm d.) assess his skin color and give free-flow oxygen as needed

keep him warm and provide ventilatory assistance

limb presentation

leg, arm, or foot shows first in delivery

endometrium

lining of the inside of the uterus

uterus

muscle organ where fetus grows

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

normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms

Most medical models base a pregnant woman's due date: a.) two weeks after her last menstrual cycle b.) on the last day of her last menstrual cycle c.) two weeks before her last menstrual cycle d.) on the first day of her last menstrual cycle

on the first day of her last menstrual cycle

A 33-year-old woman who is 36 weeks pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. In addition to administering 100% oxygen, you should: a.) place her in a left lateral recumbent position b.) position her supine and elevate her legs 12" c.) carefully place sterile gauze into her vagina d.) assist her ventilations with a bag-mask device

place her in a left lateral recumbent position

placenta previa

placenta develops over and covers the cervix

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: a.) placing the mother supine with her head down and pelvis elevated b.) gently pulling on the infant's leg in an attempt to facilitate delivery c.) placing the mother in a recumbent position and rapidly transporting d.) carefully attempting to push the infant's leg off of the umbilical cord

placing the mother supine with her head down and pelvis elevated

Pregnant women are advised to take iron supplements, such as prenatal vitamins because: a.) iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery b.) the blood naturally thins during pregnancy, which predisposes the mother to serve bleeding c.) white blood cells decrease during pregnancy, which increases the mother's risk of an infection d.) pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia

pregnancy causes a decreased number of red blood cells, which predisposes the mother to anemia

A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because: a.) pregnant patients can dramatically increase their heart rate b.) pregnancy causes vasodilation and a lower blood pressure c.) pregnant patients have an overall increase in blood volume d.) blood is shunted to the uterus and fetus during major trauma

pregnant patients have an overall increase in blood volume

abruptio placenta

premature separation of the placenta from the wall of the uterus

Fetal complications associated with drug-or alcohol-addicted mothers include all of the following, EXPECT: a.) low birth weight b.) profound tachycardia c.) premature delivery d.) respiratory depression

profound tachycardia

Following delivery of a pulseless and apneic infant who gas a foul odor, skin sloughing, and diffuse blistering, you should: a.) begin full resuscitation and transport b.) report the case to the medical examiner c.) provide emotional support to the mother d.) dry the infant off to stimulate breathing

provide emotional support to the mother

Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should: a.) give the mother 100% oxygen and transport at once b.) puncture the sac and suction the baby's mouth and nose c.) leave the amniotic sac intact until arrival at the hospital d.) note the color of the amniotic fluid before breaking the sac

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

eclampsia

seizures resulting from severe hypertension in a pregnant woman

When the mother is experiencing a contraction, you should instruct her to: a.) hold her breath b.) push for 30 seconds c.) take quick short breaths d.) rest and breathe deeply

take quick short breaths

The presence of thick meconium in the amniotic fluid indicates: a.) an expected finding in full-term infants b.) that the baby's airway may be obstructed c.) that the fetus is at least 4 weeks premature d.) that full newborn resuscitation will be needed

that the baby's airway may be obstructed

Which of the following processes occurs during ovulation? a.) certain female hormone levels decrease significantly in quantity b.) the endometrium sheds its lining and is expelled from the vagina c.) the inner lining of the uterus thickens in preparation for implantation d.) numerous follicles mature and release eggs into the fallopian tubes

the inner lining of the uterus thickens in preparation for implantation

Vigorous suctioning of a newborn's airway is indicated if: a.) there is meconium in the amniotic fluid b.) positive-pressure ventilations are indicated c.) the new presents with labored breathing d.) his or her heart rate is less than 60 beats/min

there is meconium in the amniotic fluid

prolapse of the umbilical cord

umbilical cord comes out of the vagina before the infant

PID typically does NOT affect the: a.) uterus b.) ovaries c.) urinary bladder d.) fallopian tubes

urinary bladder

An infant is considered to be premature if it: a.) is born before 38 weeks' gestation of weighs less than 6 lb b.) weighs less than 5.5 lb or is born before 37 weeks' gestation c.) is born before 40 weeks' gestation of weighs less than 7 lb d.) weighs less than 5 lb or is born before 36 weeks' gestation

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