EMT Chapter33

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:

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

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:

B. pulmonary embolism. Correct

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

A. "Have you had a sonogram?" Correct

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

A. 16 hours. Correct

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?

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

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:

A. belly button. Correct

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:

A. firmly massage the uterine fundus with a circular motion. Correct

A nuchal cord is defined as an umbilical cord that:

A. is wrapped around the baby's neck. Correct

When determining the frequency of contractions, you should time the contractions from the:

B. start of one to the start of the next. Correct

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

C. 7:57. Correct

From what internal female organ is the fetus expelled during delivery?

C. Uterus Correct

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:

C. place her on her side, administer high-flow oxygen, and transport. Correct

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

D. pregnant patients have an overall increase in blood volume. Correct

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

D. an ectopic pregnancy. Correct

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:

D. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care. Correct

The amniotic fluid serves to:

D. insulate and protect the fetus. Correct

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

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

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

D. positive-pressure ventilations. Correct

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:

D. respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient. Correct

The presence of meconium in the amniotic fluid indicates:

D. that the baby's airway may be obstructed. Correct