Ch 36 EMT: Obstetric and Gynecologic Emergencies
Which of the following mechanisms accounts for supine hypotensive syndrome? A. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate blood return to the heart. B. The weight of the enlarged uterus and fetus compresses the descending aorta, restricting blood flow to the rest of the body. C. The weight of the enlarged uterus and fetus compresses the vagus nerve, slowing the heart rate and decreasing cardiac output. D. Compression of the umbilical cord between the fetus and the uterine wall results in decreased fetal cardiac output and hypotension.
A. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate blood return to the heart.
Which of the following is true of multiple-birth deliveries? A. There is a greater risk for neonatal complications. B. There is a lower risk for neonatal complications. C. The newborns will likely be of above-average weight. D. Hypothermia is unlikely with multiple-birth newborns.
A. There is a greater risk for neonatal complications.
When the fetus and placenta deliver before the twentieth week, refer to this as: A. a miscarriage. B. a spontaneous abortion. C. an abortion. D. an induced abortion.
A. a miscarriage.
The period from the beginning of contractions to full cervical dilation occurs: A. during the first stage of labor. B. with the delivery of the placenta. C. after the baby enters the birth canal. D. after pregnancy.
A. during the first stage of labor.
Your patient is 39 weeks pregnant and complaining of contractions that are 2 minutes apart. She tells you that she needs to use the bathroom before transport. You should: A. explain that the sensation might indicate that she is close to delivery and you need to check to see whether the baby's head is in the birth canal. B. explain that it is a normal sensation that will go away as birth gets closer. C. assist the patient in getting up, and let her know that you will be right outside the bathroom if she needs anything. D. explain that it is not possible to allow her to go to the restroom, and place her on the stretcher for transport.
A. explain that the sensation might indicate that she is close to delivery and you need to check to see whether the baby's head is in the birth canal.
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. having the mother squeeze her legs together to provide direct pressure. B. massaging the uterus to control bleeding. C. elevating the mother's feet. D. applying firm pressure with a sanitary napkin over the vaginal opening.
A. having the mother squeeze her legs together to provide direct pressure.
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. wrap the cord to prevent heat loss. C. provide oxygen to the mother. D. gently push the cord back into the vaginal space.
A. keep the baby off of the cord.
After delivery of the placenta, you observe an unusual amount of heavy bleeding. You should: A. massage the uterus. B. pack the vagina with gauze. C. apply the PASG. D. ask the mother to stop breast-feeding.
A. massage the uterus.
When ovulation occurs, the fallopian tubes move the egg, or ovum, toward the uterus with waves of muscular contraction called: A. peristalsis. B. urinalysis. C. hydrolysis. D. neuralgia.
A. peristalsis.
Traditional methods of treating shock will not be effective with: A. supine hypotensive syndrome. B. hemorrhagic shock. C. anaphylaxis. D. hypovolemic shock.
A. supine hypotensive syndrome.
By definition, a premature infant is one who is born before how many weeks of pregnancy? A. 37 B. 28 C. 40 D. 34
A. 37
Which of the following figures indicates the correct chest compression-to-ventilation ratio for CPR in a newborn? A. 3:1 B. 30:2 C. 15:2 D. 5:1
A. 3:1
An infant's birth weight is considered low if it is less than ________ pounds. A. 5.5 B. 2.5 C. 4.5 D. 3.5
A. 5.5
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. 9 B. 10 C. 8 D. 7
A. 9
Which of the following conditions would most likely result from trauma to the abdomen in a pregnant patient in the second or third trimester? A. Abruptio placentae B. Ectopic pregnancy C. Placenta previa D. Eclampsia
A. Abruptio placentae
When assessing the neonate, you would use the APGAR score to rate which of the following findings? A. Appearance, pulse, grimace, activity, and respiratory effort B. Aptitude, priority, growth, appearance, and respiratory rate C. Airway, pulse oximetry, general evaluation, assessment, and resting pulse D. Apnea, pulselessness, gap, age (gestational), and respiratory arrest
A. Appearance, pulse, grimace, activity, and respiratory effort
When you are assisting a pregnant patient in labor with the delivery of her baby, where should your partner be positioned? A. At the patient's head B. Next to you C. At the patient's left side D. At the patient's right side
A. At the patient's head
In supine hypotension syndrome, how does the mother's body compensate for hypotension? A. Blood flow is directed away from the fetus. B. The mother's body stimulates widespread vasodilation. C. The mother's heart rate decreases. D. Blood flow is directed toward the fetus.
A. Blood flow is directed away from the fetus.
What separates the lower aspect of the uterus from the vagina? A. Cervix B. Fundus C. Ovary D. Endometrium
A. Cervix
Which of the following statements about pregnancy-related changes for the mother is true? A. Digestion slows. B. Respiratory rate decreases. C. Cardiac output decreases. D. Musculoskeletal ligaments lose elasticity.
A. Digestion slows.
Which of the following signs is LEAST associated with seizures in pregnancy? A. Hypotension B. Weight gain C. Altered mental status D. Swelling of the face, hands, ankles, and feet
A. Hypotension
Which of the following statements best describes the cervix? A. It is the narrow, lower end, or "neck," of the uterus. B. It is the inner lining of the uterus. C. It is the opening at the junction of the uterus and the fallopian tube. D. It is the duct through which an egg released from the ovary travels to the uterus.
A. It is the narrow, lower end, or "neck," of the uterus.
Which of the following is not part of a basic obstetrics kit? A. Packet of suture material B. Baby blanket C. Umbilical cord clamps or hemostats D. Surgical scissors
A. Packet of suture material
During which stage of labor is the baby born? A. Second B. First C. Third D. Primary
A. Second
Which of the following is true concerning a stillborn baby? A. The death may occur weeks before delivery. B. The parents should never be allowed to see the baby, especially if it has begun to deteriorate. C. Resuscitation must always be attempted. D. Infants born in cardiopulmonary arrest should not be resuscitated.
A. The death may occur weeks before delivery.
You are called for a possible imminent delivery. Your patient is a 15-year-old girl who is, by 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 indicate that there may be a need for neonatal resuscitation? A. The mother has not had prenatal care. B. The mother does not intend to breastfeed. C. The mother's water has already broken. D. The mother has a blood pressure of 130/82.
A. The mother has not had prenatal care.
Which of the following is not a sign of the potential need for neonatal resuscitation? A. History of placenta previa B. Crowning C. No prior prenatal care D. Labor induced by drug use
B. Crowning
Which of the following is the correct way to time the frequency of contractions in the pregnant woman? A. After counting the number of contractions in a 15-minute period, multiply by 4 B. From the beginning of one contraction to the beginning of the next C. From the end of one contraction to the beginning of the next D. From the beginning of a contraction to the end of the same contraction
B. From the beginning of one contraction to the beginning of the next
Seizures due to complications of pregnancy generally occur during which of the following time periods? A. In the first trimester B. Late in pregnancy C. In the second trimester D. Before the mother even knows she is pregnant
B. Late in pregnancy
What is a very late sign of ectopic pregnancy? A. Vaginal bleeding B. Low blood pressure C. Acute abdominal pain D. Absent menstrual period
B. Low blood pressure
Supine hypotensive syndrome is easily prevented by transporting all third-trimester patients in which of the following positions? A. On the hands and knees with the hips elevated B. Lying on the left side C. Supine with the head lower than the hips D. Tilted slightly onto the right side
B. Lying on the left side
As an infant's head emerges during a normal delivery, few secretions are present. As the infant's body is delivered, the infant begins to cry normally. Which of the following statements best describes the proper care of the infant's airway? A. Use a bulb syringe to suction first the infant's mouth, then the nose. B. No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant. C. To allow all secretions to drain, hold the infant with the head lower than the feet for several seconds before drying and warming the infant and cutting the umbilical cord. D. Use mechanical suction with a soft suction catheter to clear the infant's nose and mouth of secretions.
B. No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant.
Which of the following best describes the first stage of labor? A. Delivery of the infant through delivery of the placenta B. Onset of contractions to complete dilation of the cervix C. Complete dilation of the cervix to delivery of the infant D. Loss of the mucus plug to onset of contractions
B. Onset of contractions to complete dilation of the cervix
Which of the following is not relevant in determining whether or not delivery is imminent for a woman in labor? A. Determining whether the patient feels as if she needs to move her bowels B. Phoning the patient's obstetrician for advice C. Finding out how many times the patient has been pregnant D. Asking how long ago the contractions began
B. Phoning the patient's obstetrician for advice
If a patient is in labor for her first delivery, what is the most reliable indication that delivery will happen imminently? A. She feels the onset of contractions. B. She feels the urge to push. C. She is not crowning. D. She is not straining.
B. She feels the urge to push.
What is the name for the dizziness and drop in blood pressure that occur when a pregnant mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compresses the inferior vena cava, reducing the return of blood to the heart and the cardiac output? A. Braxton-Hicks contractions B. Supine hypotensive syndrome C. Labor D. Lightening
B. Supine hypotensive syndrome
Which of the following steps is included in proper emergency medical care of a patient who is in active labor in which a normal delivery is anticipated? A. Position the mother on her left side with her right hip and knee flexed. B. Support the infant's head as it delivers in the birth canal. C. Have the mother lie flat on her back and place her hands behind her knees, to pull them back toward her shoulders as far as possible. D. As the baby's shoulders begin to emerge, guide the baby gently upward to deliver the lower shoulder first.
B. Support the infant's head as it delivers in the birth canal.
Which of the following is true concerning prehospital delivery of twins? A. This is a true emergency and cannot be managed outside the hospital setting without additional help. B. The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm. C. There are always two placentas. D. The umbilical cord of the first infant must not be cut until the second infant is born.
B. The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm.
Which of the following statements about pregnancy-related changes in the mother's cardiovascular system is true? A. There is an increased lung capacity. B. There is an increased oxygen demand. C. The blood volume decreases. D. There is a decreased oxygen demand.
B. There is an increased oxygen demand.
To take the weight off the vena cava and counteract or avoid the possible drop in blood pressure from vena cava compression, all patients at which stage of pregnancy should be transported on their left sides? A. First month B. Third trimester C. Ninth month D. Second trimester
B. Third trimester
By what percentage does the maternal blood volume increase throughout pregnancy? A. About 16% B. Up to 48% C. About 25% D. Up to 60%
B. Up to 48%
When should the EMT initiate chest compressions on an infant? A. When respirations are labored or gasping B. When the heart rate is below 60 beats per minute C. Only when there is no brachial pulse D. Anytime the heart rate is below 100 beats per minute
B. When the heart rate is below 60 beats per minute
If the ovum implants in the fallopian tubes, the patient is at risk for: A. pregnancy-induced hypertension. B. ectopic pregnancy. C. hypertensive crises. D. supine hypotensive syndrome.
B. ectopic pregnancy.
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. appendicitis. B. ectopic pregnancy. C. placenta previa. D. internal bleeding.
B. ectopic pregnancy.
When a pregnant patient has a seizure, transport the patient: A. supine. B. on the left side. C. prone. D. on the right side.
B. on the left side.
Your patient is in active labor, and admits to abusing prescription narcotics. You should expect: A. a more rapid delivery. B. the possible need for neonatal resuscitation. C. the newborn to be tachycardic on delivery. D. an uncomplicated delivery, if vital signs are normal.
B. the possible need for neonatal resuscitation.
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 the level of the fundus. D. check for cervical dilation.
B. time her contractions.
The female reproductive structure that houses the fetus during development is the: A. ovary. B. uterus. C. cervix. D. fallopian tube.
B. uterus.
When assisting with the delivery of twins, assume that: A. you should clamp or tie the cord of the first baby only after the second is born. B. you will need to conduct multiple neonatal resuscitations simultaneously. C. the placenta will not be delivered until both babies are delivered. D. the babies will each be larger than a baby in a single birth.
B. you will need to conduct multiple neonatal resuscitations simultaneously.
Which of the following interventions is required in a newborn who has spontaneous breathing and a heart rate greater than 100 per minute but who still has central cyanosis? A. Chest compressions B. Blow-by oxygen C. Bag-valve-mask ventilations D. Bulb syringe suction
B. Blow-by oxygen
When clamping the umbilical cord, the clamp closest to the baby should be approximately ________ inch(es) from the infant's body. A. 3 B. 1 C. 12 D. 7
D. 7
As you are assessing your pregnant patient and preparing for delivery, which of the following will NOT help you make a transport decision? A. An examination for crowning B. A determination of vital signs C. A series of questions D. A sense of urgency
D. A sense of urgency
What is the typical duration of the first stage of labor in first-time mothers? A. Less than 6 hours B. About 2 hours C. At least 24 hours D. About 16 hours
D. About 16 hours
When is it appropriate to massage the patient's uterus? A. Only when ALS providers are present B. During labor C. Anytime before delivery of the baby D. After delivery of the placenta
D. After delivery of the placenta
Which of the following conditions should be present before the umbilical cord is cut? A. The cord is no longer pulsating. B. The cord is clamped in two places. C. The infant is breathing on his or her own. D. All of the above
D. All of the above
You are called for a woman who is about to deliver. During the labor process, your patient's water breaks. She experiences a rush of amniotic fluid and an increase in uterine contractions. The purpose of this 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
Which of the following is true of premature infants? A. They are at risk for respiratory difficulty. B. They can easily develop hypothermia. C. They are more susceptible to infection. D. All of the above
D. All of the above (They are at risk for respiratory difficulty, They can easily develop hypothermia, and They are more susceptible to infection)
Which of the following indications should you use to determine whether to prepare for on-the-scene delivery? A. Determine whether the mucus plug is intact. B. Check for cervical dilation to 8 cm or more. C. Check the height of the uterine fundus. D. Check for the appearance of the baby's scalp, buttocks, or feet at the vaginal opening.
D. Check for the appearance of the baby's scalp, buttocks, or feet at the vaginal opening.
You have delivered a 34-week-gestation infant who is active and crying. Which of the following actions is the highest priority for this infant? A. Applying high-concentration oxygen by a pediatric nonrebreather mask B. Suctioning the mouth and nose with a bulb syringe C. Allowing the mother to breastfeed the infant D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the head
D. Drying the infant thoroughly and wrapping the infant in warm blankets, covering the head
While treating a patient of sexual assault, which of the following sequences should your treatment follow? A. Maintain scene safety, treat immediate life threats, and treat only the secondary injuries that may become life threats in order to protect criminal evidence. B. Treat immediate life threats, treat psychological needs, and protect criminal evidence. C. Maintain scene safety, treat immediate life threats, allow the patient to shower if the patient is capable to help treat psychological needs, and transport. D. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence.
D. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence.
What is the name of the structure that provides nourishment for the developing fetus in the female's uterus? A. Mons pubis B. Progesterone C. Cervix D. Placenta
D. Placenta
What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nutrients? A. Cervix B. Uterus C. Amnion D. Placenta
D. Placenta
Which of the following may indicate the need for neonatal resuscitation? A. A previous C-section B. Term delivery C. Lack of visible meconium D. Preterm delivery
D. Preterm delivery
Which of the following is true regarding ectopic pregnancies? A. The fertilized egg usually implants in the wall of the uterus. B. It may cause painless bright red bleeding. C. It usually occurs during the second trimester. D. The fallopian tubes cannot stretch to accommodate a fetus.
D. The fallopian tubes cannot stretch to accommodate a fetus.
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 cord should be cut immediately following delivery. 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 infant must be breathing on his or her own before you cut the cord.
D. The infant must be breathing on his or her own before you cut the cord.
Which of the following statements best describes the third stage of labor? A. The infant is completely delivered. B. The infant's head appears at the opening of the birth canal. C. The amniotic sac ruptures. D. The placenta is expelled from the uterus.
D. The placenta is expelled from the uterus.
Which of the following best describes placenta previa? A. The pregnancy is lost before the 20th week of gestation. B. The umbilical cord is the presenting part. C. The placenta prematurely separates from the uterine wall. 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 a common sign of a pre-delivery emergency? A. A sensation of lightening as the baby drops into the birth canal. B. The amniotic sac ruptures. C. Contractions become more intense and closer together. D. There is profuse vaginal bleeding.
D. There is profuse vaginal bleeding.
Which of the following is appropriate when caring for a premature baby? A. Applying high-concentration oxygen with a neonatal nonrebreather mask B. Encouraging family members to hold the infant C. Deeply suctioning the airway with a rigid tonsil-tip D. Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90degrees F and 100degrees F
D. Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90degrees F and 100degrees F
Your patient has been sexually assaulted. Law enforcement is on the scene. You should: A. ask the patient to describe exactly what happened. B. withhold treatment until law enforcement has left the scene. C. expose the patient and document your findings. D. be conscious of the patient's likely need for personal space.
D. be conscious of the patient's likely need for personal space.
Your female patient has trauma to the external genitalia. For this type of call, you should always: A. direct the patient to document exactly what happened. B. notify law enforcement. C. fully expose the patient. D. consider the possibility of assault.
D. consider the possibility of assault.
If you are taking the history of a female patient in labor, and she answers yes to the question of whether she feels she has to move her bowels, then: A. ask her if she feels her "bag of waters" has broken. B. tell her she must be crowning at this time. C. ask her if this is her first pregnancy. D. do not let her go to the bathroom.
D. do not let her go to the bathroom.
You are caring for a 19-year-old female who is complaining of vaginal bleeding. She states that she is not pregnant and is not menstruating. You should: A. recommend that the patient contact her gynecologist. B. let the patient know that the bleeding is normal. C. inform the patient that she must be either pregnant or menstruating. D. ensure the airway is adequate, assess for shock, and transport the patient.
D. ensure the airway is adequate, assess for shock, and transport the patient.
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. calling for a back-up unit. B. assembling your delivery kit. C. preparing for the delivery. D. getting to the hospital.
D. 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. position your gloved hands at the vaginal opening. D. place your fingers in the armpit to assist with delivery by pulling on the baby.
D. place your fingers in the armpit to assist with delivery by pulling on the baby.
Your pregnant patient is contracting. You have determined that delivery is imminent. You should: A. determine the mother's preference. B. transport immediately. C. do nothing until ALS personnel arrive. D. prepare to deliver on scene.
D. prepare to deliver on scene.
When treating a patient who has been sexually assaulted, you should try to: A. reassure the patient that everything will be fine. B. have the patient take a shower before transport. C. encourage the patient to explain to you exactly what happened. D. provide a same-sex provider to assist the patient.
D. provide a same-sex provider to assist the patient.
If, upon viewing the vaginal area, you see the umbilical cord presenting, indicating the cord is prolapsed, then position the mother with her head down and her pelvis: A. turned to the left. B. flat to the ground or floor. C. turned to the right. D. raised with a blanket or pillow.
D. raised with a blanket or pillow.
To support the baby's head during delivery, you should: A. exert an even, steadying pressure until the head fully emerges from the birth canal, and then pull. B. wait for the baby's head to fully emerge from the birth canal with both hands spread beneath it to catch it. C. find the baby's fontanelles and exert pressure on those to pull the baby forward. D. spread your fingers evenly, avoiding pressure to the fontanelles, with the other hand open below the baby's head.
D. spread your fingers evenly, avoiding pressure to the fontanelles, with the other hand open below the baby's head.
A newborn has a pink body but blue hands and feet 1 minute after birth. Which of the following is the correct notation of this finding? A. "1" for respiration B. "0" for respiration C. "0" for appearance D. "1" for appearance
D. "1" for appearance
When obtaining the history of a 25-year-old patient in labor, which of the following questions would you likely ask after asking when the labor pains started? A. "Is this your first pregnancy?" B. "Have you seen a doctor regarding your pregnancy?" C. "What is your expected due date?" D. "Do you feel the urge to push?"
D. "Do you feel the urge to push?"
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. Section of wire coat hanger B. White cotton thread C. Pair of shoelaces D. Clothespin
C. Pair of shoelaces
What should be done in the prehospital setting for a limb presentation? A. Position the mother as for a breech delivery, and proceed with the delivery in the field B. Proceed as for a normal delivery, anticipating that it will take a little longer C. Place the mother in a head-down position with the pelvis elevated, administer oxygen, and transport without delay D. Place one hand in the mother's vagina, to try to maneuver the infant into a head-down position
C. Place the mother in a head-down position with the pelvis elevated, administer oxygen, and transport without delay
Which of the following best describes the events that occur during the first stage of labor? A. Expulsion of the placenta B. Expulsion of the fetus through the birth canal C. Thinning and dilation of the cervix D. Rupture of the amniotic sac
C. Thinning and dilation of the cervix
Amniotic fluid that is greenish or brownish-yellow rather than clear, as a result of fetal defecation, is known as: A. bile. B. a mucus plug. C. meconium staining. D. bloody show.
C. meconium staining.
A newborn who achieves an APGAR score of 2 for appearance would be: A. blue all over. B. pale in the extremities and blue in the trunk. C. pink all over. D. blue in the extremities.
C. pink all over.
All of the following are signs of adequate breathing and circulation in the newborn except: A. cyanosis of only the hands and feet. B. heart rate greater than 100. C. relaxation of the extremities. D. vigorous crying.
C. relaxation of the extremities.
If a newborn is not breathing upon delivery, your first action should be to: A. begin bag-valve-mask ventilations. B. begin chest compressions and ventilations. C. rub the newborn's back as you dry the newborn. D. give blow-by oxygen.
C. rub the newborn's back as you dry the newborn.
Shortly after delivery of the newborn, the mother experiences a return of labor pains. This likely indicates that: A. "false" labor has begun. B. the mother is bleeding. C. the placenta is preparing to deliver. D. it is time for the mother to breast-feed.
C. the placenta is preparing to deliver.
If the placenta does not deliver within about twenty minutes after delivery of the newborn, you should: A. ask the mother what she prefers. B. assess vitals, then decide. C. transport immediately. D. remain on scene.
C. transport immediately.
The muscular organ in which a baby develops during pregnancy is called the: A. fetal membrane. B. amniotic sac. C. uterus. D. placenta.
C. uterus.
Which of the following directions regarding the provision of care to a patient with a breech presentation is inappropriate? A. Provide high-concentration oxygen. B. Attempt to deliver the baby by pulling on the baby's legs. C. Initiate rapid transport upon recognition of a breech presentation. D. Place the mother in a head-down position, with the pelvis elevated.
B. Attempt to deliver the baby by pulling on the baby's legs.
While treating a pregnant patient in cardiac arrest, which of the following is the best way to keep the fetus alive? A. Do an emergency cesarean section of the fetus. B. Attempt to resuscitate the patient as you would any other cardiac arrest patient. C. Do not use an AED to defibrillate the patient. D. Transport the patient to the closest pediatric center.
B. Attempt to resuscitate the patient as you would any other cardiac arrest patient.
Which of the following does NOT diffuse from the mother's blood vessels across the placenta and enter the blood vessels of the fetus? A. Drugs B. Carbon dioxide C. Alcohol D. Nicotine
B. Carbon dioxide
What is the typical duration of pregnancy? A. 36 weeks B. 40 weeks C. 32 weeks D. 44 weeks
B. 40 weeks
If it is necessary to begin chest compressions on a newborn, what is the correct depth of chest compression? A. About two-thirds the depth of the chest B. About one-third the depth of the chest C. 1/2 to 1 inch D. 2 to 2 and 1/2 inches
B. About one-third the depth of the chest
Traditionally an APGAR score is taken at what time intervals after birth? A. 1 and 6 minutes B. 5 and 10 minutes C. 1 and 5 minutes D. 2 and 7 minutes
C. 1 and 5 minutes
Which of the following is the highest priority for the EMT when delivering 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. A fluid containing blood and mucus B. Thick fluid, greenish-black in color C. Clear and colorless fluid Yor answer is correct. D. Thin fluid, greenish-yellow in color
C. Clear and colorless fluid
You are assessing a patient in labor. Her contractions are 2 minutes apart, lasting 30 seconds with increasing pain. She states that she does not yet feel the urge to push. These signs indicate she has reached which stage of delivery? A. Fourth stage B. Third stage C. First stage D. Second stage
C. First stage
