Chapter 32 Multiple Choice Questions

The first umbilical cord clamp should be placed about _________ inches from the baby, and the second umbilical cord clamp should be placed about __________ inches from the baby. a. 4; 3 b. 6; 5 c. 8; 9 d. 10; 7

d. 10; 7

Delivery is imminent when the contractions last __________ seconds and are __________ minutes apart. a. 15; 5 to 8 b. 20; 2 to 3 c. 45; 8 to 10 d. 60; 2 to 3

d. 60; 2 to 3

To assess the newborn, the EMT should do all of the following except: a. note ease of breathing b. check movement in the extremities c. note skin coloration d. check the response to a sternal rub

d. check the response to a sternal rub

The third stage of labor begins: a. After the birth of the baby b. With delivery of the afterbirth c. With dilation of the cervix d. With full growth of the uterus

a. After the birth of the baby

In a normal birth, the infant must be breathing on her own: a. Before you clamp and cut the cord b. Prior to transportation to the hospital c. Prior to considering ventilation d. In order to use an oral airway

a. Before you clamp and cut the cord

As the fetus moves downward and the cervix dilates, normally the amniotic sac breaks and fluid leaks out. If this fluid is greenish or brownish - yellow in color, this may indicate: a. Fetal or maternal distress b. The fetus is dead c. The mother is pushing too hard d. The amniotic sac broke too early

a. Fetal or maternal distress

When supporting the baby's head during the delivery, the EMT should do all the following except: a. Pull on the baby's shoulders when they appear b. Apply gentle pressure to control the delivery c. Place one hand below the baby's head d. Spread fingers evenly around the baby's head

a. Pull on the baby's shoulders when they appear

Which one of the following is true about the physiology of a pregnant woman? a. Vital signs may be interpreted as suggestive of shock when they are actually normal b. The pregnant woman has a pulse rate that is 10 - 15 beats per minute slower than the nonpregnant female c. A woman in later pregnancy may have a blood volume that is up to 48% lower than her nonpregnant state d. Assessing for shock is easier in the pregnant patient than it is in a nonpregnant patient

a. Vital signs may be interpreted as suggestive of shock when they are actually normal

Newly born infants lose heat rapidly. Heat loss not only affects their comfort but also can: a. Increase their glucose level b. Affect their ability to carry oxygen in their blood c. Cause them to develop a fever d. Decrease their ability to shiver

b. Affect their ability to carry oxygen in their blood

During the delivery of a full-term newborn, the mother sustains a tear in her perineum. The EMT should: a. Massage the uterus for at least 15 minutes b. Apply a sanitary napkin and gentle pressure c. Transport of the patient on her left side immediately d. Contact medical direction immediately

b. Apply a sanitary napkin and gentle pressure

The EMT's primary roles at a normal childbirth scene are to determine whether the delivery will occur at the scene and, if so, to: a. Determine if the delivery can be delayed b. Assist the mother as she delivers the infant c. Carefully deliver the infant d. Immobilize the patient

b. Assist the mother as she delivers the infant

You are treating an 18-year-old woman who is full-term and has labor pains. When timing the contraction duration, it should be timed from the: a. Start of the pain until the delivery of the infant b. Beginning of the contraction to when the uterus relaxes c. And of the contraction to the beginning of the next one d. Peak of the contraction to the end of the contraction

b. Beginning of the contraction to when the uterus relaxes

You are assisting in the delivery for a 28-year-old female who is full-term; this is her third child. She said that she had frequent prenatal visits and they told her that she may be having twins. When assisting with the delivery of twins: a. The afterbirth will be delivered after each individual infant b. Clamp the cord of the first baby before the second baby is born c. Labor contractions will stop after the first delivery d. Transport the mother immediately

b. Clamp the cord of the first baby before the second baby is born

When suctioning a newborn: a. Compress the bulb syringe while it is inside the baby's mouth b. Compress the bulb syringe before placing it in the baby's mouth c. Suction the nose and then the mouth d. Insert the syringe about 22 inches into the baby's mouth

b. Compress the bulb syringe before placing it in the baby's mouth

The normal birth position is __________ and is called a __________ birth. a. Head first; breech b. Head first; cephalic c. Feet first; breech d. Feet first; cephalic

b. Head first; cephalic

Once the baby's feet are delivered: a. Pick the baby up by the feet using a firm grasp b. Lay the baby on her side with her head slightly lower than her torso c. Lay the baby on her side and massage her back d. Pick the baby up by the feet and massage her back

b. Lay the baby on her side with her head slightly lower than her torso

Unless a back or neck injury is suspected, all pregnant women who have suffered blunt trauma injury should be transported in the ___________ position. a. Supine b. Left lateral recumbent c. Trendelenburg d. Fowler

b. Left lateral recumbent

When a full-term pregnant woman in a supine position complains of dizziness and you note a drop in her blood pressure, this could be due to a condition called ____________ syndrome. a. Diabetes mellitus b. Supine hypotension c. Cushing reflex d. Fluid retention

b. Supine hypotension

The nine months of pregnancy are divided into 3 - month trimesters. During the second trimester, the: a. Fetus is being formed and there is little uterine growth during this period b. Uterus grows very rapidly while the woman's blood pulling, cardiac output, and heart rate increase c. Uterus is often seen reaching up to the epigastrium by this time d. Uterus develops to full size

b. Uterus grows very rapidly while the woman's blood pulling, cardiac output, and heart rate increase

You are treating a 25-year-old female who is eight months pregnant. She states she has contractions every 15 minutes or so, which last for about 20 seconds. She is not exactly sure what labor pain is like because this is her first pregnancy. Her vital signs are a pulse of 96, blood pressure of 130/70, and respirations of 22. What should you do next? a. Administer oxygen and transport immediately b. Prepare for a home delivery immediately c. Ask if her water broke and prepare for a quiet ride to the hospital d. Tell her to call you back when the contractions are more frequent

c. Ask if her water broke and prepare for a quiet ride to the hospital

If you cannot loosen or unwrap the umbilical cord from around the infant's neck, you should: a. Stop the delivery and transport immediately b. Tell the mother to push more forcefully c. Clamp the cord in two places and cut between the clamps d. Contact medical direction for advice

c. Clamp the cord in two places and cut between the clamps

The sterile obstetrical kit does not contain: a. A rubber bulb syringe for suctioning b. Several individually wrapped sanitary napkins c. Heavy flat twine to tie the cord d. Cord clamps or hemostats

c. Heavy flat twine to tie the cord

You are called to the scene of a 35-year-old woman who has a complaint of abdominal pain. She tells you that she also has unexpected vaginal bleeding. Which of the following is true of the treatment necessary for this patient? a. Massage the abdomen vigorously b. Assume the woman is pregnant and transport c. Treat as if she has a potentially life-threatening condition d. Determine the cause before treatment is begun

c. Treat as if she has a potentially life-threatening condition

The first stage of labor starts: a. With conception b. At the nine-month point c. With regular contractions of the uterus d. When the cervix is dilated

c. With regular contractions of the uterus

Your patient is an accident victim who is pulseless and apneic. She is also about 32 weeks pregnant. What do you do? a. perform high-quality CPR as usual but do not use AED b. perform high-quality CPR as usual and use an AED c. perform high-quality CPR by placing your hands 1-2 inches higher than usual and use an AED d. transport rapidly and hope the baby survives

c. perform high-quality CPR by placing your hands 1-2 inches higher than usual and use an AED

If assessment of the infant's breathing reveals shallow, slow, or absent respirations, the EMT should: a. provide oxygen by nonrebreather mask b. use a gentle but vigorous rubbing of the infant's back c. provide artificial ventilations at 40 to 60 per minute d. provide artificial ventilations at 20 to 30 per minute

c. provide artificial ventilations at 40 to 60 per minute

You are about to assist in the delivery for a full-term 22-year-old female. When you check for crowning, you do not see the head but you do see one foot. When a baby's limb presents first, the EMT should: a. Push gently on the extremity to prevent it from advancing b. Pull gently on the limb to encourage delivery c. Administer low concentration oxygen to the mother d. Begin rapid transport of the patient immediately

d. Begin rapid transport of the patient immediately

During the delivery, you should encourage the mother to: a. Breathe rapidly and deeply b. Hold her breath every two minutes c. Close her mouth and breathe through her nose d. Breathe deeply through her mouth

d. Breathe deeply through her mouth

The second stage of labor starts with the: a. Birth of the baby b. Regular contractions of the uterus c. Delivery of the afterbirth d. Entry of the baby into the birth canal

d. Entry of the baby into the birth canal

A condition in which the placenta is formed low in the uterus and close to the cervical opening, preventing the normal delivery of the fetus, is called: a. Abruptio placentae b. Stillborn infant c. Placenta toxemia d. Placenta previa

d. Placenta previa

You are treating a 22-year-old female who is eight months pregnant and just had a seizure. Which one of the following is true of seizures in pregnancy? a. They are usually associated with low blood pressure b. They tend to occur early in pregnancy c. They pose a threat to the mother but not the unborn baby d. They are usually associated with swelling of the extremities

d. They are usually associated with swelling of the extremities