EMT Chapter 36

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

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

What is the name of the structure that provides nourishment for the developing fetus in the​ female's uterus? A. Progesterone B. Cervix C. Placenta D. Mons pubis

Placenta

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

Placenta

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

Presenting part of the baby being visible at the vaginal opening

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. Anytime the heart rate is below 100 beats per minute D. Only when there is no brachial pulse

When the heart rate is below 60 beats per minute

Your female patient has trauma to the external genitalia. For this type of​ call, you should​ always: A. notify law enforcement. B. fully expose the patient. C. direct the patient to document exactly what happened. D. consider the possibility of assault.

consider the possibility of assault.

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. internal bleeding. C. placenta previa. D. ectopic pregnancy.

ectopic pregnancy.

The muscle contraction mechanism that moves an egg down the fallopian tube toward the uterus is the same mechanism that​ moves: A. sweat to the surface of the skin. B. air down the bronchial tubes to the alveoli. C. fluid into and out of the cell. D. food from the esophagus to the stomach.

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. calling for a​ back-up unit. B. assembling your delivery kit. C. preparing for the delivery. D. getting to the hospital.

getting to the hospital.

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

1 and 5 minutes

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

1 to 2 inches higher on the sternum

When is it appropriate to massage the​ patient's uterus? A. Anytime before delivery of the baby B. Only when ALS providers are present C. After delivery of the placenta D. During labor

After delivery of the placenta

When you are assisting a pregnant patient in labor with the delivery of her​ baby, where should your partner be​ positioned? A. Next to you B. At the​ patient's head C. At the​ patient's left side D. At the​ patient's right side

At the​ patient's head

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. Place the mother in a​ head-down position, with the pelvis elevated. C. Attempt to deliver the baby by pulling on the​ baby's legs. D. Initiate rapid transport upon recognition of a breech presentation.

Attempt to deliver the baby by pulling on the​ baby's legs.

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. Being prepared to suction the infant immediately before he takes a breath C. Checking for fever D. None of the above

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

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

Both A and B

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

Clear and colorless fluid

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

Diffusion

Which of the following statements about​ pregnancy-related changes for the mother is​ true? A. Cardiac output decreases. B. Respiratory rate decreases. C. Musculoskeletal ligaments lose elasticity. D. Digestion slows.

Digestion slows.

Supine hypotensive syndrome is easily prevented by transporting all​ third-trimester patients in which of the following​ positions? A. Tilted slightly onto the right side B. Lying on the left side C. On the hands and knees with the hips elevated D. Supine with the head lower than the hips

Lying on the left side

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. check the level of the fundus. B. time her contractions. C. check for cervical dilation. D. complete a set of vital signs.

time her contractions.

The female reproductive structure that houses the fetus during development is​ the: A. cervix. B. uterus. C. fallopian tube. D. ovary.

uterus.

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

uterus.

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. "0" for respiration B. "1" for appearance C. ​"0" for appearance D. "1" for respiration

​"1" for appearance

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. Preventing infection C. Monitoring for hypovolemic shock D. Obtaining a thorough gynecological history

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 times the patient has been pregnant B. Determining whether the patient feels as if she needs to move her bowels C. Asking how long ago the contractions began D. Phoning the​ patient's obstetrician for advice

Phoning the​ patient's obstetrician for advice

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

500 cc

Which of the following is true regarding a pregnant​ woman? A. Diabetes may be made worse during pregnancy. B. Her pulse rate should be lower than normal. C. Her blood pressure is usually higher during pregnancy. D. Her respirations usually remain the same during pregnancy.

Diabetes may be made worse during pregnancy.

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

Second

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

Apply gentle pressure to the head with your gloved hand.

While treating a pregnant patient in cardiac​ arrest, which of the following is the best way to keep the fetus​ alive? A. Do not use an AED to defibrillate the patient. B. Attempt to resuscitate the patient as you would any other cardiac arrest patient. C. Transport the patient to the closest pediatric center. D. Do an emergency cesarean section of the fetus.

Attempt to resuscitate the patient as you would any other cardiac arrest patient.

In supine hypotension​ syndrome, how does the​ mother's body compensate for​ hypotension? A. The​ mother's body stimulates widespread vasodilation. B. Blood flow is directed toward the fetus. C. Blood flow is directed away from the fetus. D. The​ mother's heart rate decreases.

Blood flow is directed away from the fetus.

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. Nicotine B. Alcohol C. Drugs D. Carbon dioxide

Carbon dioxide

Which of the following indications should you use to determine whether to prepare for​ on-the-scene delivery? A. Check for the appearance of the​ baby's scalp,​ buttocks, or feet at the vaginal opening. B. Check the height of the uterine fundus. C. Check for cervical dilation to 8 cm or more. D. Determine whether the mucus plug is intact.

Check for the appearance of the​ baby's scalp,​ buttocks, or feet at the vaginal opening.

Which of the following is true concerning trauma in the pregnant​ woman? A. She may lose up to 35 percent of her blood volume before exhibiting signs of shock. B. She may lose up to 15 percent 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. The​ mother's body will preferentially protect the life of the fetus over that of the mother.

She may lose up to 35 percent of her blood volume before exhibiting signs of shock.

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

37

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

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

All of the above

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

5.5

When clamping the umbilical​ cord, the clamp closest to the baby should be approximately​ ________ inch(es) from the​ infant's body. A. 12 B. 7 C. 3 D. 1

7

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. 7 B. 10 C. 8 D. 9

9

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 sense of urgency D. A series of questions

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 16 hours C. About 2 hours D. At least 24 hours

About 16 hours

If it is necessary to begin chest compressions on a​ newborn, what is the correct depth of chest​ compression? A. 12-1 inch B. About​ one-third the depth of the chest C. About​ two-thirds the depth of the chest D. 2-212 inches

About​ one-third the depth of the chest

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

Abruptio placentae

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

Abruptio placentae

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. Which of the following is the best course of​ action? A. 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. B. 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. C. Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital. D. Allow the patient to use the bathroom because it will make transport and delivery more comfortable.

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 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

All of the above

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

All of the above

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

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. Maternal compensation for a decrease in blood pressure C. Maternal hypotension D. All of the above

All of the above

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

All of the above

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. Place oxygen tubing near the​ infant's face at a flow rate of 10 to 12 liters per minute. B. Place a neonatal nonrebreather mask on the​ infant's face. C. Begin CPR with a compression rate of​ 120/minute. D. Perform ventilations with a​ bag-valve-mask device and supplemental oxygen.

Place oxygen tubing near the​ infant's face at a flow rate of 10 to 12 liters per minute.

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. Place the mother in a​ head-down position with the pelvis​ elevated, administer​ oxygen, and transport without delay C. Place one hand in the​ mother's vagina, to try to maneuver the infant into a​ head-down position D. Proceed as for a normal​ delivery, anticipating that it will take a little longer

Place the mother in a​ head-down position with the pelvis​ elevated, administer​ oxygen, and transport without delay

What term is used to describe delivery of the fetus and placenta before the 20th week of​ pregnancy? A. Spontaneous abortion B. Stillbirth C. Eclampsia D. Induced abortion

Spontaneous abortion

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

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

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. Begin​ bag-valve-mask ventilations, suction the airway with a rigid tonsil​ tip, and begin CPR. B. Perform a series of back blows and chest thrusts interposed with​ mouth-to-mouth ventilation. C. Transport without further intervention. D. Rub the​ infant's back, tap the bottom of his​ foot, begin​ bag-valve-mask ventilations, and check the pulse

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

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 his medical​ history? B. Is this your first​ pregnancy? C. When was the last time you were sexually​ active? D. None of the above

Is this your first​ pregnancy?

Which of the following statements best describes the​ cervix? A. It is the duct through which an egg released from the ovary travels to the uterus. B. It is the inner lining of the uterus. C. It is the​ narrow, lower​ end, or​ "neck," of the uterus. D. It is the opening at the junction of the uterus and the fallopian tube.

It is the​ narrow, lower​ end, or​ "neck," of the uterus.

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

Late in pregnancy

What is a very late sign of ectopic​ pregnancy? A. Acute abdominal pain B. Low blood pressure C. Absent menstrual period D. Vaginal bleeding

Low blood pressure

While treating a patient of sexual​ assault, which of the following sequences should your treatment​ follow? A. Maintain scene​ safety, treat immediate life​ threats, treat medical and psychological​ needs, and protect criminal evidence. B. Maintain scene​ safety, treat immediate life​ threats, and treat only the secondary injuries that may become life threats in order to 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. Treat immediate life​ threats, treat psychological​ needs, and protect criminal evidence.

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

Which of the following best describes the first stage of​ labor? A. Onset of contractions to complete dilation of the cervix B. Loss of the mucus plug to onset of contractions C. Complete dilation of the cervix to delivery of the infant D. Delivery of the infant through delivery of the placenta

Onset of contractions to complete dilation of the cervix

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

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. White cotton thread B. Clothespin C. Pair of shoelaces D. Section of wire coat hanger

Pair of shoelaces

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. Third stage B. Second stage C. First stage D. Fourth stage

First stage

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

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

Which of the following poses the greatest danger to the pregnant woman and her fetus when trauma​ occurs? A. Neurogenic shock B. Distributive shock C. Supine hypotensive D. Hemorrhagic shock

Hemorrhagic shock

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

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

Which of the following signs is LEAST associated with seizures in​ pregnancy? A. Swelling of the​ face, hands,​ ankles, and feet B. Weight gain C. Altered mental status D. Hypotension

Hypotension

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. 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. B. Support the​ infant's head as it delivers in the birth canal. C. As the​ baby's shoulders begin to​ emerge, guide the baby gently upward to deliver the lower shoulder first. D. Position the mother on her left side with her right hip and knee flexed.

Support the​ infant's head as it delivers in the birth canal.

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

The death may occur weeks before delivery.

Which of the following is true regarding ectopic​ pregnancies? A. The fallopian tubes cannot stretch to accommodate a fetus. B. It may cause painless bright red bleeding. C. It usually occurs during the second trimester. D. The fertilized egg usually implants in the wall of the uterus.

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. The infant must be breathing on his or her own before you cut the cord. C. You should hold the baby above the level of the mother when cutting the cord. D. You must try to cut the cord before it stops pulsating.

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

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 special attention should be paid to keeping them warm.

The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm.

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's water has already broken. B. The mother has a blood pressure of​ 130/82. C. The mother does not intend to breastfeed. D. The mother has not had prenatal care

The mother has not had prenatal care

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

The placenta is implanted over the opening of the cervix.

Which of the following is true of​ multiple-birth deliveries? A. Hypothermia is unlikely with​ multiple-birth newborns. B. The newborns will likely be of​ above-average weight. C. There is a lower risk for neonatal complications. D. There is a greater risk for neonatal complications.

There is a greater risk for neonatal complications.

Which of the following statements about​ pregnancy-related changes in the​ mother's cardiovascular system is​ true? A. There is a decreased oxygen demand. B. There is an increased oxygen demand. C. The blood volume decreases. D. There is an increased lung capacity.

There is an increased oxygen demand.

Which of the following is a common sign of a​ pre-delivery emergency? A. Contractions become more intense and closer together. B. A sensation of lightening as the baby drops into the birth canal. C. The amniotic sac ruptures. D. There is profuse vaginal bleeding.

There is profuse vaginal bleeding.

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

Thinning and dilation of the cervix

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. Transport emergently without further intervention. C. Try to slip the cord over the​ baby's head and shoulder. D. Clamp the cord in two​ places, but do not cut it until the baby is delivered.

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. Call medical control before taking action. D. Leave the sac intact until the entire body is delivered.

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 90°F and 100°F C. Applying​ high-concentration oxygen with a neonatal nonrebreather mask D. Encouraging family members to hold the infant

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

Your patient has been sexually assaulted. Law enforcement is on the scene. You​ should: A. withhold treatment until law enforcement has left the scene. B. be conscious of the​ patient's likely need for personal space. C. ask the patient to describe exactly what happened. D. expose the patient and document your findings.

be conscious of the​ patient's likely need for personal space.

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

fetus.

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. elevating the​ mother's feet. C. massaging the uterus to control bleeding. D. applying firm pressure with a sanitary napkin over the vaginal opening.

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. wrap the cord to prevent heat loss. B. keep the baby off of the cord. C. gently push the cord back into the vaginal space. D. provide oxygen to the mother.

keep the baby off of the cord.

After delivery of the​ placenta, you observe an unusual amount of heavy bleeding. You​ should: A. pack the vagina with gauze. B. ask the mother to stop​ breast-feeding. C. massage the uterus. D. apply the PASG.

massage the uterus.

When ovulation​ occurs, the fallopian tubes move the​ egg, or​ ovum, toward the uterus with waves of muscular contraction​ called: A. neuralgia. B. urinalysis. C. hydrolysis. D. peristalsis.

peristalsis.

A newborn who achieves an APGAR score of 2 for appearance would​ be: A. blue in the extremities. B. blue all over. C. pale in the extremities and blue in the trunk. D. pink all over.

pink all over.

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

place your fingers in the armpit to assist with delivery by pulling on the baby.

You are assessing a pregnant woman whose chief complaint is vaginal bleeding. She is 8 months pregnant and has​ moderate, bright red bleeding with no abdominal pain. She says that her doctor was concerned about the location of the placenta. This condition is known​ as: A. abruptio placentae. B. placenta previa. C. unstable placenta. D. placenta disruption.

placenta previa.

Your pregnant patient is contracting. You have determined that delivery is imminent. You​ should: A. determine the​ mother's preference. B. transport immediately. C. prepare to deliver on scene. D. do nothing until ALS personnel arrive.

prepare to deliver on scene.

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. contact medical direction for orders. B. delay delivery until arrival at the hospital. C. begin transport and plan to deliver in the ambulance. D. prepare to deliver the baby​ on-scene.

prepare to deliver the baby​ on-scene.

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

relaxation of the extremities.

If a newborn is not breathing upon​ delivery, your first action should be​ to: A. give​ blow-by oxygen. B. rub the​ newborn's back as you dry the newborn. C. begin chest compressions and ventilations. D. begin​ bag-valve-mask ventilations.

rub the​ newborn's back as you dry the newborn.

Traditional methods of treating shock will not be effective​ with: A. anaphylaxis. B. supine hypotensive syndrome. C. hemorrhagic shock. D. hypovolemic shock.

supine hypotensive syndrome

You have been called for a young female in labor. She is lying on the floor in obvious distress from 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. supine hypotensive syndrome. B. placenta previa. C. Braxton-Hicks contractions. D. contracted food poisoning.

supine hypotensive syndrome.

Your patient is in active​ labor, and admits to abusing prescription narcotics. You should​ expect: A. the newborn to be tachycardic on delivery. B. an uncomplicated​ delivery, if vital signs are normal. C. the possible need for neonatal resuscitation. D. a more rapid delivery.

the possible need for neonatal resuscitation.