EMT TEST CH 32 - 39

Traditionally an APGAR score is taken at what time intervals after​ birth? A. 1 and 5 minutes B. 2 and 7 minutes C. 1 and 6 minutes D. 5 and 10 minutes

A. 1 and 5 minutes

When performing chest compressions on a pregnant patient that has gone into cardiac​ arrest, what change do you need to make in the placement of your​ hands? A. 1 to 2 inches higher on the sternum B. 0.5 to 1 inch higher on the sternum C. 1 to 2 inches lower on the sternum D. 0.5 to 1 inch lower on the sternum

A. 1 to 2 inches higher on the sternum

In​ general, a child is considered an adolescent when he reaches the age of​ ________ years. A. 12 B. 7 C. 9 D. 4

A. 12

Which of the following is NOT a component of the pediatric assessment​ triangle? A. Abdomen B. Breathing C. Circulation D. Appearance

A. Abdomen

Your protocols call for you to use the pediatric assessment triangle when assessing young children. You know that the second leg of the triangle assesses the​ "work of​ breathing" and the bottom leg of the triangle assesses​ "circulation to the​ skin." What does the first leg of the triangle stand​ for? A. Appearance B. Airway C. Alteration of mental status D. Assessment

A. Appearance

Which of the following is the correct technique to check for crowning in the assessment of a woman in​ labor? A. Cover her with a​ sheet, have her remove her​ underwear, wait for a​ contraction, and then visualize the vaginal opening. B. Place your hand on the​ woman's abdomen, just above the​ umbilicus, and check for the firmness of the uterus during contractions. C. Ask the woman to​ "push" or​ "bear down" as you inspect the vaginal opening. D. None of the above

A. Cover her with a​ sheet, have her remove her​ underwear, wait for a​ contraction, and then visualize the vaginal opening.

Which of the following is NOT likely to be a cause of respiratory distress in a​ 2-year-old child? A. Emphysema B. Epiglottitis C. Foreign body airway obstruction D. A cold

A. Emphysema

Which of the following is the correct way to time the frequency of contractions in the pregnant​ woman? A. From the beginning of one contraction to the beginning of the next B. From the end of one contraction to the beginning of the next C. From the beginning of a contraction to the end of the same contraction D. After counting the number of contractions in a​ 15-minute period, multiply by 4

A. From the beginning of one contraction to the beginning of the next

You are assessing a child who is having problems breathing. Her mother states that she has been diagnosed with asthma and has recently started using an inhaler. Which of the following would indicate early respiratory​ distress? A. Nasal flaring B. Slow heart rate C. Cyanosis of the nail beds and lips D. Respiratory rate of 12

A. Nasal flaring

Which of the following signs may signify impending cardiac arrest in a​ child? A. Respiratory rate over 60 B. Blood pressure of 105 systolic in a school age child C. Pulse rate over 120 D. Pulse rate 80 in a​ 5-year-old

A. Respiratory rate over 60

You have assisted in the delivery of a​ full-term infant by suctioning the mouth and nose as the head was delivered and again following complete delivery. The infant is not yet breathing. Which of the following is the correct sequence of​ interventions? A. Rub the​ infant's back, tap the bottom of his​ foot, begin​ bag-valve-mask ventilations, and check the pulse. B. Perform a series of back blows and chest thrusts interposed with​ mouth-to-mouth ventilation. C. Transport without further intervention. D. Begin​ bag-valve-mask ventilations, suction the airway with a rigid tonsil​ tip, and begin CPR.

A. Rub the​ infant's back, tap the bottom of his​ foot, begin​ bag-valve-mask ventilations, and check the pulse.

You have just delivered a​ full-term baby girl and she is doing well. You have dried her off and wrapped her in a warm blanket. You are preparing to cut the umbilical cord. Which of the following is normally true regarding cutting the umbilical​ cord? A. The infant must be breathing on his or her own before you cut the cord. B. You must try to cut the cord before it stops pulsating. C. You should hold the baby above the level of the mother when cutting the cord. D. The cord should be cut immediately following delivery.

A. The infant must be breathing on his or her own before you cut the cord.

Your patient is a​ 3-year-old male who developed sudden stridor while playing with some of his​ 5-year-old cousin's toys. The patient is alert and​ anxious, producing stridor when he cries. His skin is pink and​ warm, and capillary refill is less than 2 seconds. Which of the following is appropriate in the management of this​ child? A. Transport the child in a restrained car seat with his mother by his side. B. Perform back blows and chest thrusts. C. Attempt a finger sweep to remove the foreign body from the​ child's airway. D. Perform abdominal thrusts.

A. Transport the child in a restrained car seat with his mother by his side.

You respond for an imminent delivery of a baby in the breech position. As you examine the​ mother, you see that the umbilical cord is protruding from the opening of the cervix. You realize that the most important care you can provide for this baby is​ to: A. keep the baby off of the cord. B. provide oxygen to the mother. C. wrap the cord to prevent heat loss. D. gently push the cord back into the vaginal space.

A. keep the baby off of the cord.

You respond to a call for a patient in active labor with her second child. Your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours. You determine that her vital signs are all within normal limits. After your physical​ exam, you determine the baby is crowning. You should​ next: A. prepare to deliver the baby​ on-scene. B. contact medical direction for orders. C. begin transport and plan to deliver in the ambulance. D. delay delivery until arrival at the hospital.

A. prepare to deliver the baby​ on-scene.

You are called for a​ 6-year-old girl who is not well. Her mother says that the child has been sick for several days but today she has had trouble keeping her daughter awake. You note that the​ girl's capillary refill time is 4 seconds and she has a skin rash. The MOST important part of your assessment will be​ to: A. recognize any respiratory distress. B. determine her level of consciousness. C. get a full SAMPLE history. D. determine if she has a fever.

A. recognize any respiratory distress.

The muscular organ in which a baby develops during pregnancy is called​ the: A. uterus. B. amniotic sac. C. placenta. D. fetal membrane.

A. uterus.

By​ definition, a premature infant is one who is born before how many weeks of the​ pregnancy? A. 28 B. 37 C. 34 D. 40

B. 37

The condition in which the placenta separates from the uterine wall is known as which of the​ following? A. Preeclampsia B. Abruptio placentae C. Ectopic pregnancy D. Placenta previa

B. Abruptio placentae

Your patient is a​ 3-year-old child who is in severe respiratory distress. She is cyanotic and responds only to painful stimuli. According to the​ patient's mother, the child had complained of a sore throat earlier and has had a fever since early in the morning. Which of the following is the BEST course of​ action? A. Perform abdominal thrusts and finger​ sweeps; attempt to ventilate. B. Begin gentle ventilations with a​ bag-valve mask​ (BVM) and supplemental oxygen. C. Insert an oropharyngeal airway​ (OPA) and begin​ bag-valve-mask ventilations with supplemental oxygen. D. Suction the airway.

B. Begin gentle ventilations with a​ bag-valve mask​ (BVM) and supplemental oxygen.

Your patient has a tracheostomy and is on a ventilator. He presents in acute respiratory distress. You assess his trach tube and it appears​ clear, but there is something wrong with the ventilator. You do not notice any loose fittings or disconnected tubes. The airway is clear and he is sitting upright. What is your next​ step? A. Call the​ manufacturer's service hotline. B. Disconnect the patient and ventilate him with a​ bag-valve device. C. Connect your oxygen tank directly to the tracheostomy tube. D. Try to further troubleshoot the ventilator.

B. Disconnect the patient and ventilate him with a​ bag-valve device.

You are assessing a patient in labor. Her contractions are 2 minutes apart lasting 30 seconds with increasing pain. The patient states that she feels the urge to push. These signs indicate which stage of​ delivery? A. Third stage B. First and second stage C. Second stage D. Fourth stage

B. First and second stage

You are called for a child that has had a fever for a couple of days. The parents tell you that two of the other children have been home with a stomach virus and fever. As you attempt to assess the​ child, he pulls away from you and grabs onto his mother. Which of the following behaviors would be considered​ "normal" for a​ 4-year-old? A. He​ doesn't make eye contact as you approach. B. He begins to cry when you try to touch his booboo. C. He runs up to you when you enter the room. D. He flares his nostrils when he breathes.

B. He begins to cry when you try to touch his booboo.

Which of the following is an appropriate question to ask while evaluating a woman in​ labor? A. Do you know who the father is and what is his medical​ history? B. Is this your first​ pregnancy? C. When was the last time you were sexually​ active? D. None of the above

B. Is this your first​ pregnancy?

Because infants and small children rely more heavily on the diaphragm for​ breathing, respiratory distress can be detected by observing which one of the following signs that is not prominent in​ adults? A. Bulging of the intercostal spaces B. Movement of the abdomen with respiratory effort C. Use of the sternocleidomastoid muscles of the neck D. None of the above

B. Movement of the abdomen with respiratory effort

Your patient is a​ 2-year-old female who has suffered a seizure but does not have a previous history of seizures. The​ patient's father states that the child has been pulling at her ear and has had a fever. They were getting ready to leave for a​ doctor's appointment when the child had a brief seizure. The patient is drowsy and has​ hot, flushed skin. Which of the following is recommended in the prehospital management of this​ patient? A. Sponge the​ child's back and arms with rubbing alcohol. B. Remove the​ child's clothing down to her underpants or diaper. C. Place ice packs in the​ armpits, groin, and around the head. D. Cover the child with a towel soaked in ice water.

B. Remove the​ child's clothing down to her underpants or diaper.

During which stage of labor is the baby​ born? A. Third B. Second C. First D. Primary

B. Second

Which of the following is true concerning trauma in the pregnant​ woman? A. The​ mother's body will preferentially protect the life of the fetus over that of the mother. B. She may lose up to​ 35% of her blood volume before exhibiting signs of shock. C. The increase in blood volume during pregnancy makes shock an unlikely cause of death. D. She may lose up to​ 15% of her blood volume before exhibiting signs of shock.

B. She may lose up to​ 35% of her blood volume before exhibiting signs of shock.

What is the term for when the fetus and placenta deliver before the 28th week of​ pregnancy? A. Eclampsia B. Spontaneous abortion C. Stillbirth D. Induced abortion

B. Spontaneous abortion

Your patient is a​ 26-year-old female with a history of ectopic pregnancies. She has called 911 for extreme abdominal pain and she is concerned that she has another ectopic pregnancy. Her vital signs are pulse​ 118, respirations​ 20, and blood pressure​ 100/76. Which of the following is true regarding ectopic​ pregnancies? A. The fertilized egg usually implants in the wall of the uterus. B. The fallopian tubes cannot stretch to accommodate a fetus. C. It usually occurs during the second trimester. D. It may cause painless bright red bleeding.

B. The fallopian tubes cannot stretch to accommodate a fetus.

If the​ baby's umbilical cord is noted to be wrapped around his neck after the head is​ delivered, which of the following should be​ done? A. Immediately cut the cord before delivering the baby. B. Try to slip the cord over the​ baby's head and shoulder. C. Transport emergently without further intervention. D. Clamp the cord in two​ places, but do not cut it until the baby is delivered.

B. Try to slip the cord over the​ baby's head and shoulder.

If the​ baby's head is delivered with the amniotic sac still​ intact, which of the following should be done​ first? A. Use the scissors in the obstetrics kit to cut the sac away from the​ baby's head. B. Use your fingers to tear the sac away from the​ baby's face. C. Leave the sac intact until the entire body is delivered. D. Call medical control before taking action.

B. Use your fingers to tear the sac away from the​ baby's face.

Which of the following is appropriate when caring for a premature​ baby? A. Deeply suctioning the airway with a rigid​ tonsil-tip B. Wrapping the infant in a​ blanket, covering his​ head, and keeping the temperature in the ambulance between 90degrees°F and 100degrees°F C. Applying​ high-concentration oxygen with a neonatal nonrebreather mask D. Encouraging family members to hold the infant

B. Wrapping the infant in a​ blanket, covering his​ head, and keeping the temperature in the ambulance between 90degrees°F and 100degrees°F

The term for a baby developing inside the​ mother's womb after week 8​ is: A. infant. B. fetus. C. chorion. D. neonate.

B. fetus.

Your pregnant patient is in active labor. She has been lying on her back throughout her labor and is experiencing signs and symptoms of shock. Her vital signs are pulse rate​ 118, respirations​ 22, blood pressure​ 96/62, and skin cool and diaphoretic. The BEST way to treat her is​ to: A. elevate her legs to increase the blood return to the heart. B. place a rolled blanket under her left hip to displace the uterus. C. cover her up with a blanket to maintain body heat. D. give her some fluids to drink to help elevate her blood pressure.

B. place a rolled blanket under her left hip to displace the uterus.

You are assessing a pregnant woman whose chief complaint is vaginal bleeding. She is 8 months pregnant and has​ moderate, bright red bleeding. She says that her doctor was concerned about the location of the placenta. This condition is known​ as: A. placenta disruption. B. placenta previa. C. unstable placenta. D. abruptio placenta.

B. placenta previa.

A​ 4-year-old child is generally categorized as​ a(n): A. adolescent. B. preschooler. C. ​school-age child. D. toddler.

B. preschooler.

You have responded to a woman who has possible premature labor. She is 8 months pregnant and is experiencing labor pains. During your​ assessment, you note that the baby is not yet crowning. You need to determine whether delivery is imminent or not. You should​ next: A. complete a set of vital signs. B. time her contractions. C. check for cervix dilation. D. check the level of the fundus.

B. time her contractions.

Which of the following would be an appropriate statement in gaining the cooperation of a​ 7-year-old pediatric patient during your​ assessment? A. ​"Joey, this is a splint that will help your arm feel better. I promise it​ won't hurt when I put your arm in​ it." B. ​"Katie, this is my stethoscope. I can use it to hear what your breathing sounds like. Would you like to look at it for a​ minute?" C. ​"I'm sorry​ Nick, but you​ can't see Mommy and Daddy until you let me take your blood​ pressure." D. ​"Big girls​ don't cry, Emily.​ You're a big​ girl, aren't​ you?"

B. ​"Katie, this is my stethoscope. I can use it to hear what your breathing sounds like. Would you like to look at it for a​ minute?"

Which of the following is LEAST common in a pedestrian child versus car​ incident? A. Head injuries B. ​Upper-extremity injuries C. Spinal injuries D. Abdominal injuries

B. ​Upper-extremity injuries

When clamping the umbilical​ cord, the clamp closest to the baby should be approximately​ ________ inch(es) from the​ infant's body. A. 12 B. 3 C. 10 D. 1

C. 10

Your patient is an infant who has just been delivered 3 weeks before her due date. She is breathing​ adequately, has a heart rate of 140 beats per​ minute, and has cyanosis of her face and chest. Which of the following interventions should be done​ first? A. Perform ventilations with a​ bag-valve-mask device and supplemental oxygen. B. Place a neonatal nonrebreather mask on the​ infant's face. C. Administer​ blow-by oxygen. D. Begin CPR with a compression rate of​ 120/minute.

C. Administer​ blow-by oxygen.

You are assessing a​ 27-year-old female who is 9 months pregnant with her first child. She has been having contractions for the past 6 hours. As you are about to assist her to your​ cot, she asks you to wait because she feels the need to use the bathroom first. Which of the following is the BEST course of​ action? A. Allow the patient to use the bathroom as it will make​ transport, and also​ delivery, more comfortable. B. Advise the patient that this could be a sign of a serious​ complication, have her lie on her left​ side, apply​ high-concentration oxygen, and transport immediately. C. Advise the patient that this could be an indication that the baby is ready to be born and you need to check to see if the​ baby's head is visible. D. Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital.

C. Advise the patient that this could be an indication that the baby is ready to be born and you need to check to see if the​ baby's head is visible.

Which of the following is the highest priority to the EMT in delivery of an infant with​ meconium-stained amniotic​ fluid? A. Vigorously rubbing the​ infant's back immediately upon delivery to stimulate breathing B. Checking for fever C. Being prepared to suction the infant immediately before he takes a breath D. None of the above

C. Being prepared to suction the infant immediately before he takes a breath

Which of the following describes the normal appearance of amniotic​ fluid? A. Thick​ fluid, greenish-black in color B. Thin​ fluid, greenish-yellow in color C. Clear and colorless fluid D. A fluid containing blood and mucus

C. Clear and colorless fluid

You are called to assess a pregnant woman who is approximately 7 months pregnant. She states that her pregnancy has been uneventful but she is experiencing intermittent headaches. Her vital signs are pulse​ 118, respirations​ 22, blood pressure​ 138/88, and blood sugar 148. Which of the following is true regarding a pregnant​ woman? A. Her respirations usually remain the same during pregnancy. B. Her pulse rate should be lower than normal. C. Diabetes may be made worse during pregnancy. D. Her blood pressure is usually higher during pregnancy.

C. Diabetes may be made worse during pregnancy.

Which of the following is NOT advisable following complete birth of the​ infant? A. Dry the infant and wrap him in a blanket. B. Keep the infant at the level of the​ mother's vagina until the cord is clamped and cut. C. Hold the infant by the ankles to allow the airway to drain. D. Place the infant on his side with his head slightly lower than his body.

C. Hold the infant by the ankles to allow the airway to drain.

While treating a patient of sexual​ assault, your treatment should follow which of the following​ sequences? A. Treat immediate life​ threats, treat psychological​ needs, and protect criminal evidence. B. Maintain scene​ safety, treat immediate life​ threats, allow the patient to shower if the patient is capable to help treat psychological​ needs, and transport. C. Maintain scene​ safety, treat immediate life​ threats, treat medical and psychological​ needs, and protect criminal evidence. D. Maintain scene​ safety, treat immediate life​ threats, and treat only the secondary injuries that may become life threats to protect criminal evidence.

C. Maintain scene​ safety, treat immediate life​ threats, treat medical and psychological​ needs, and protect criminal evidence.

Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal​ bleeding? A. Finding out if the patient is currently sexually active B. Obtaining a thorough gynecological history C. Monitoring for hypovolemic shock D. Preventing infection

C. Monitoring for hypovolemic shock

Which of the following is NOT relevant in determining whether or not delivery is imminent for a woman in​ labor? A. Finding out how many pregnancies the patient has had B. Determining if the patient feels as if she needs to move her bowels C. Phoning the​ patient's obstetrician for advice D. Asking how long ago the contractions began

C. Phoning the​ patient's obstetrician for advice

What is the temporary organ of​ pregnancy, which functions to supply the developing fetus with oxygen and​ nutrients? A. Cervix B. Uterus C. Placenta D. Amnion

C. Placenta

Which of the following is true concerning a stillborn​ baby? A. Resuscitation must always be attempted. B. Infants born in cardiopulmonary arrest should not be resuscitated. C. The death may occur weeks before delivery. D. The parents should never be allowed to see the​ baby, especially if it has begun to deteriorate.

C. The death may occur weeks before delivery.

Which of the following is a common sign of a​ pre-delivery emergency? A. Contractions become more intense and closer together. B. The placenta fails to deliver within 20 minutes of the​ infant's birth. C. There is profuse vaginal bleeding. D. The amniotic sac ruptures.

C. There is profuse vaginal bleeding.

You are standing in line waiting to get a prescription filled for your mother. A woman walks in with a young boy in her arms. As she places him in a nearby​ chair, he begins to seize. Which of the following is true regarding childhood​ seizures? A. Most are due to head injuries. B. They always accompany a high fever. C. They are often due to a rapid rise in temperature. D. They usually last from 1 to 2 minutes.

C. They are often due to a rapid rise in temperature.

Which of the following is characteristic of​ preschool-age children? A. They do not mind being separated from their parents. B. They are not especially embarrassed or modest about body exposure. C. They may believe their injury is a punishment for being bad. D. They have few fears of anything.

C. They may believe their injury is a punishment for being bad.

Which of the following BEST describes the events that occur during the first stage of​ labor? A. Expulsion of the placenta B. Rupture of the amniotic sac C. Thinning and dilation of the cervix D. Expulsion of the fetus through the birth canal

C. Thinning and dilation of the cervix

You have delivered a newborn and wrapped the baby in a dry blanket. During your reassessment of the​ mother, you note continued moderate vaginal bleeding. Care for this bleeding may involve all of the following EXCEPT​: A. elevating the​ mother's feet. B. Transport the mother has a​ high-priority patient. C. encourage the mother to use the bathroom if possible. D. massaging the uterus to control bleeding.

C. encourage the mother to use the bathroom if possible.

Your pregnant patient is in active labor. You note that her contractions are getting closer together and much stronger as the baby moves deeper into the birth canal. The muscle contraction mechanism that moves the baby toward birth is the same mechanism that​ moves: A. sweat to the surface of the skin. B. air down the bronchial tubes to the alveoli. C. food from the esophagus to the stomach. D. fluid into and out of the cell.

C. food from the esophagus to the stomach.

You have been called for a​ 32-year-old female who is in active labor. During your assessment and​ interview, you note that she is 37 weeks​ along, this is her first​ child, and her contractions are 5 minutes apart. She also tells you that her pregnancy is considered​ "high risk." Your first concern should​ be: A. assembling your delivery kit. B. calling for a​ back-up unit. C. getting to the hospital. D. completing a thorough secondary exam.

C. getting to the hospital.

When delivering a​ baby, you should do all of the following except​: A. have someone stay at the​ mother's head if possible. B. suction the mouth​ first, then the nose. C. place your fingers in the armpit to assist with delivery of the shoulders. D. position your gloved hands at the vaginal opening.

C. place your fingers in the armpit to assist with delivery of the shoulders.

You are at a​ friend's birthday party with people of all ages. There is an​ 11-month-old boy, just learning to stand​ up, who has fallen. He was holding onto the edge of a table and he toppled over. He is crying hard and his mother is trying to console him. She asks if you would mind checking him​ out, and you agree to take a look at him. You notice that his anterior fontanelle is bulging. This is most likely caused​ by: A. an infection causing intracranial pressure. B. fluid loss from dehydration. C. pressure built up because of his crying. D. the bones of the head not fusing properly.

C. pressure built up because of his crying.

All of the following are signs of adequate breathing and circulation in the newborn​ except: A. heart rate greater than 100. B. cyanosis of only the hands and feet. C. relaxation of the extremities. D. vigorous crying.

C. relaxation of the extremities.

You have been called for a young female in labor. She is lying on the floor in obvious distress from the labor pains. While you are assessing her for​ crowning, your partner is getting a set of vital signs. She tells you that she is getting dizzy and nauseated. Vital signs are pulse rate​ 120, respiratory rate​ 22, and blood pressure​ 98/62. You should be concerned that she​ has: A. ​Braxton-Hicks contractions. B. placenta previa. C. supine hypotensive syndrome. D. contracted food poisoning.

C. supine hypotensive syndrome.

Usually the first sign of respiratory distress in infants​ is: A. bradycardia. B. bradypnea. C. tachypnea. D. tachycardia.

C. tachypnea.

You are called to a home where a family has been enjoying a Labor Day picnic and swim party. A​ 2-year-boy slipped to the bottom of the pool unnoticed. By the time you​ arrive, the child has been removed from the water and family members are administering CPR. You assess the child and note that he has a weak pulse and is trying to breathe on his own. You initiate transport and continue providing positive pressure ventilations. You are also very concerned​ about: A. how the parents are handling the situation. B. the last time the child ate something. C. the child being hypothermic. D. the safety of the other children at the party.

C. the child being hypothermic.

An​ infant's birth weight is considered low if it is less than​ ________ pounds. A. 4.5 B. 2.5 C. 3.5 D. 5.5

D. 5.5

Normal maternal blood loss during delivery of an infant usually does not exceed how​ much? A. ​1,000 cc B. 100 cc C. 250 cc D. 500 cc

D. 500 cc

You are assessing a newborn patient 1 minute after delivery. You notice the patient has blue extremities with a pink​ trunk, a pulse of​ 120, and strong crying with good movement of all extremities. What is the​ newborn's APGAR​ score? A. 8 B. 7 C. 10 D. 9

D. 9

In which of the following situations should the mother be transported​ immediately? A. The mother experiences a​ severe, tearing sensation in her abdomen during labor and the outline of the fetus can be felt through the abdominal wall. B. Delivery is not imminent and there is about 500 cc of​ painless, bright red bleeding. C. The​ infant's arm is the presenting part. D. All of the above

D. All of the above

Which of the following conditions should be present before the umbilical cord is​ cut? A. The cord is clamped in two places. B. The infant is breathing on his or her own. C. The cord is no longer pulsating. D. All of the above

D. All of the above

Which of the following is a cause of gynecological​ emergencies? A. Sexual assault B. Disorders of the female reproductive organs C. ​Soft-tissue trauma to the external genitalia D. All of the above

D. All of the above

Which of the following is an indication of shock in an infant or small​ child? A. Not producing wet diapers B. Absence of tears when crying C. Capillary refill greater than 2 seconds D. All of the above

D. All of the above

Which of the following is true of premature​ infants? A. They are more susceptible to infection. B. They can easily develop hypothermia. C. They are at risk for respiratory difficulty. D. All of the above

D. All of the above

Which of the following may result from a woman in her third trimester of pregnancy lying in a supine​ position? A. Fetal compromise B. Supine hypotensive syndrome C. Compression of the inferior vena cava D. All of the above

D. All of the above

Which of the following should be considered by the EMT as a result of the proportionally larger size of a small​ child's head? A. Adaptations in positioning for cervical spine immobilization B. Differences in positioning to maintain an open airway C. Different injury patterns than in adults D. All of the above

D. All of the above

Which of the following should be done when the​ infant's head has been​ delivered? A. Suction the nose. B. Check to see if the umbilical cord is around the neck. C. Suction the mouth. D. All of the above

D. All of the above

Which of the following should the EMT do to control maternal bleeding after delivery of the​ baby? A. Massage the uterus until it is firm and​ grapefruit-sized. B. Apply direct pressure with a sanitary napkin over any perineal lacerations. C. Allow the infant to​ nurse, if possible. D. All of the above

D. All of the above

You are called for a women who is about to deliver. During the labor​ process, your​ patient's water breaks. She experiences a rush of warm water and an increase in uterine contractions. The purpose of the amniotic fluid is​ to: A. help maintain a constant fetal body temperature. B. allow the fetus to float during development. C. provide lubrication during the delivery of the baby. D. All of the above

D. All of the above

When assisting with a delivery in the​ field, which of the following should be done as the head begins to emerge from the​ vagina? A. Pull on the baby. B. Advise the mother not to push or strain. C. Check for crowning. D. Apply gentle pressure to the head with your gloved hand.

D. Apply gentle pressure to the head with your gloved hand.

Your patient is a​ 11-month-old male who began choking while his babysitter was feeding him some sliced peaches. The child has retractions of his intercostal​ muscles, is​ drowsy, and is grayish in color. Which of the following is the BEST intervention for this​ patient? A. ​Blow-by oxygen at 10 to 15 liters per minute B. Use of a​ flow-restricted oxygen-powered ventilation device​ (FROPVD) C. Abdominal thrusts D. Back slaps and chest thrusts

D. Back slaps and chest thrusts

Which of the following describes a breech​ presentation? A. The infant presents buttocks first. B. The infant presents with both feet first. C. The infant presents face first. D. Both A and B

D. Both A and B

By which of the following means does the​ fetus's blood pick up nourishment from the​ mother? A. Direct circulation B. Indirect circulation C. Osmosis D. Diffusion

D. Diffusion

The greatest danger to the pregnant woman and her fetus involved in trauma is which of the​ following? A. Distributive shock B. Neurogenic shock C. Supine hypotensive shock D. Hemorrhagic shock

D. Hemorrhagic shock

A bulging fontanelle in a quietly resting child may be an indication of which of the​ following? A. Normal development B. Fever C. Dehydration D. Increased intracranial pressure

D. Increased intracranial pressure

Seizures due to complications of pregnancy generally occur during which of the following time​ periods? A. In the first trimester B. Before the mother even knows she is pregnant C. In the second trimester D. Late in pregnancy

D. Late in pregnancy

Supine hypotensive syndrome is easily prevented by transporting the pregnant female into which of the following​ positions? A. Tilted slightly onto the right side B. ​Supine, with the head lower than the hips C. On her hands and knees with her hips elevated D. Lying on her left side

D. Lying on her left side

Which of the following is NOT part of a basic obstetrics​ kit? A. Surgical scissors B. Umbilical cord clamps C. Baby blanket D. Packet of suture material

D. Packet of suture material

If assisting in a prehospital delivery while​ off-duty, which of the following would be the BEST choice for tying or clamping the umbilical​ cord? A. Clothespin B. Section of wire coat hanger C. White cotton thread D. Pair of shoelaces

D. Pair of shoelaces

Which of the following is indicated in the prehospital management of a prolapsed umbilical​ cord? A. Use your gloved hand to push the umbilical cord back up through the cervix. B. Immediately clamp the cord in two places and cut it between the clamps. C. Encourage the mother to push forcefully in order to speed delivery. D. Place the mother in a​ head-down position with pillows under her hips.

D. Place the mother in a​ head-down position with pillows under her hips.

Which of the following BEST describes the term crowning​? A. Complete dilation of the cervix B. Delivery of the head during a breech​ birth, completing delivery C. Discharge of bloody mucus D. Presenting part of the baby being visible at the vaginal opening

D. Presenting part of the baby being visible at the vaginal opening

Which of the following is true concerning prehospital delivery of​ twins? A. There are always two placentas. B. The umbilical cord of the first infant must not be cut until the second infant is born. C. This is a true emergency and cannot be managed outside the hospital setting without additional help. D. The infants will probably be smaller than a single infant and need attention in keeping them warm.

D. The infants will probably be smaller than a single infant and need attention in keeping them warm.

Which of the following BEST describes placenta​ previa? A. The placenta prematurely separates from the uterine wall. B. The umbilical cord is the presenting part. C. The pregnancy is lost before the 20th week of gestation. D. The placenta is implanted over the opening of the cervix.

D. The placenta is implanted over the opening of the cervix.

Which of the following is the MOST common cause of death in​ children? A. Infectious disease B. Poisonings C. Environmental emergencies D. Trauma

D. Trauma

While treating a pregnant trauma​ patient, which of the following is the BEST way to keep the fetus​ alive? A. Do not put the patient on a spine board to prevent supine hypotensive syndrome. B. Do an emergency cesarean section of the fetus. C. Transport the patient to the closest pediatric center. D. Treat the patient as any other trauma patient.

D. Treat the patient as any other trauma patient.

You are dispatched to a​ 1-year-old child with respiratory distress. En​ route, you review how to assess and treat infants with respiratory problems. Which of the following would indicate an infant with respiratory​ distress? A. Capillary refill time of 2 seconds B. Abdominal movement when breathing C. Respiratory rate of 30 D. Wheezing upon inspiration

D. Wheezing upon inspiration

You are called for a possible imminent delivery. Your patient is a​ 15-year-old girl who is in your estimation about 8 months pregnant. She tells you that she has been hiding her pregnancy. You are especially concerned about problems she might have during the delivery. Which of the following are findings that may indicate the need for neonatal​ resuscitation? A. Patient with a blood pressure of​ 130/82 B. Patient whose water has already broken C. Mother who has had five previous births D. Young mother who has not had prenatal care

D. Young mother who has not had prenatal care

Capillary refill should be assessed in which of the following age​ groups? A. ​2-years-old and younger B. Younger than 1 year C. Younger than 12 years D. Younger than 6 years

D. Younger than 6 years

You have been called for a​ 2-year-old female who has fallen and is bleeding from a head laceration. Her mother states that she was running down the hallway when she​ fell, striking her head on a side table. You suspect that part of the reason she fell is​ that: A. her head is proportionately larger and heavier than an​ adult's. B. she has low blood​ sugar, making her unstable. C. she is still new to walking and may be unstable on her feet. D. both A and C are contributing factors.

D. both A and C are contributing factors.

You are called for a woman with severe abdominal pain. During your assessment and​ interview, she tells you that she is sexually active and there is a chance she could be pregnant. Her vital signs are pulse​ 122, respirations​ 22, blood pressure​ 96/62, and skin cool and pale. You should immediately​ suspect: A. placenta previa. B. appendicitis. C. internal bleeding. D. ectopic pregnancy.

D. ectopic pregnancy.

Artificial ventilations for a​ 5-year-old child should be provided at a rate of​ ________ per minute. A. ​22/26 B. ​24/28 C. ​28/32 D. ​12/20

D. ​12/20