EMT Quiz 17

You are called to a home where the father has just assisted the mother in the delivery of twins. In this case a total of _____ Prehospital Care reports (PCR) should be handed in to the ED A. 1 B. 3 C. 2 D. 4

B. 3

A newborns respirations are absent or depressed (less than 30/minute in a newborn). You should consider all of the following except A. Snap the bottom of the infant's feet with your index finger gently. B. Cool the infant to reduce metabolism. C. Clear the infant's airway by suctioning the mouth and nose gently with a bulb syringe. D. Rub the infant's lower back gently.

B. Cool the infant to reduce metabolism.

Which of the following statements regarding gestational diabetes is correct? A. Diet and exercise are typically ineffective in controlling gestational diabetes. B. In some cases, women with gestational diabetes require insulin injections. C. The onset of gestational diabetes typically manifests with hypoglycemia. D. Gestational diabetes results in permanent diabetes mellitus after delivery.

B. In some cases, women with gestational diabetes require insulin injections.

Which of the following is an indication of imminent birth? A. rupture of the amniotic sac B. crowning of the baby's head C. irregular contractions lasting 10 minutes D. expulsion of the mucus plug from the vagina

B. crowning of the baby's head

Your 22 year old patient is in active labor. Upon visual inspection, you note that the infants leg is protruding from the vagina. Appropriate management of this situation includes A. placing the mother in a recumbent position and rapidly transporting. B. placing the mother supine with her head down and pelvis elevated. C. gently pulling on the infant's leg in an attempt to facilitate delivery. D. carefully attempting to push the infant's leg off of the umbilical cord.

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

During delivery of the baby's head, you should suction the mouth before the nose because A. the mucosa of the nose is fragile and is easily damaged by vigorous suctioning. B. suctioning the nose first may cause the baby to gasp and aspirate fluid. C. babies are primarily mouth breathers and do not breathe through their nose. D. it is easier to suction larger volumes of fluid from the baby's oropharynx.

B. suctioning the nose first may cause the baby to gasp and aspirate fluid.

Vigorous auctioning of a newborns airway is indicated if A. the newborn presents with labored breathing and loud crying. B. there is indication of respiratory obstruction due to meconium in the amniotic fluid. C. his or her heart rate is less than 60 beats/min. D. positive-pressure ventilations are indicated.

B. there is indication of respiratory obstruction due to meconium in the amniotic fluid.

You are assessing a 25 year old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should A. transport her immediately. B. place her on her left side. C. assess her for crowning. D. apply 100% oxygen.

C. assess her for crowning.

Which of the following is not a component of the Apgar score? A. pulse B. grimace C. body size D. activity

C. body size

The umbilical cord A. separates from the placenta shortly after birth. B. carries blood away from the baby via the artery. C. carries oxygen to the baby via the umbilical vein. D. contains two veins and one large umbilical artery.

C. carries oxygen to the baby via the umbilical vein.

The only indications for placing your gloved fingers in the vagina during delivery are A. vertex presentation and delivery of the placenta. B. limb presentation and severe vaginal hemorrhage. C. prolapsed umbilical cord. D. nuchal cord and presentation of an arm or leg.

C. prolapsed umbilical cord.

General treatment guidelines when caring for a woman with traumatic vaginal bleeding include A. packing the vagina with sterile dressings. B. carefully removing impaled objects. C. transporting to an appropriate facility. D. cleaning external wounds with sterile water.

C. transporting to an appropriate facility.

If a baby is born at 7:52 the second Apgar score should be calculated at A. 7:59. B. 8:00. C. 7:53. D. 7:57.

D. 7:57.

During you visual inspection of a 19 year old woman in labor, you see the baby's head crowning at the vaginal opening. What should you do? A. Tell the mother not to push and transport her immediately. B. Place your fingers in the vagina to assess for a nuchal cord. C. Maintain firm pressure to the head until it completely delivers. D. Apply gentle pressure to the baby's head as it delivers.

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

The third stage of labor begins when the A. placenta is fully delivered. B. cervix is completely dilated. C. umbilical cord has been clamped. D. baby is expelled from the vagina.

D. baby is expelled from the vagina.

If the umbilical cord is wrapped too tightly around the infants neck or wrapped around the neck more than once, preventing the delivery of the infant, immediately A. begin cardiac compressions on the mother. B. begin cardiac compressions on the infant. C. wait 3-5 minutes to see if additional lubrication is necessary. D. clamp the umbilical cord with two clamps and cut the cord between them.

D. clamp the umbilical cord with two clamps and cut the cord between them.

Which of the following statements regarding a breech presentation is most correct? A. A breech presentation occurs when the buttocks are the presenting part. B. Breech deliveries occur rapidly, so the EMT should deliver at the scene. C. It is impossible to deliver a breech presentation in the prehospital setting. D. There is minimal risk of trauma to the infant with a breech presentation.

A. A breech presentation occurs when the buttocks are the presenting part.

During childbirth, the mother presents with a prolapsed cord. All of the following should be considered, except A. Carefully, insert the cord back into the uterus. B. Insert a sterile gloved hand into the vagina and gently push up on the presenting part of the fetus to keep pressure off of the cord. C. Continue to hold the presenting part away from the cord until you are relieved by the ED staff. D. Administer high concentration oxygen to the mother.

A. Carefully, insert the cord back into the uterus.

If a newborns pulse rate drops below 60 beats per minute at anytime, or does not increase above 60 beats per minute after 30 seconds of assisted ventilations A. begin chest compressions. B. flick the soles of its feet. C. re-suction the mouth only. D. provide ventilations for 30 seconds.

A. begin chest compressions.

The amniotic fluid serves to A. insulate and protect the fetus. B. assist in fetal development. C. transfer oxygen to the fetus. D. remove viruses from the fetus.

A. insulate and protect the fetus.

When preparing a pregnant patient for delivery, you should position her A. on a firm surface with her hips elevated 2″ to 4″. B. in a flat supine position with her legs spread wide. C. in a sitting position with her hips elevated 12″. D. on her left side with the right leg elevated.

A. on a firm surface with her hips elevated 2″ to 4″.

Fetal complications associated with drug or alcohol addicted mothers include all of the following, except A. profound tachycardia. B. respiratory depression. C. premature delivery. D. low birth weight.

A. profound tachycardia.

While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should A. push the infant's head away from the cord. B. cover the umbilical cord with a dry dressing. C. gently pull on the cord to facilitate delivery. D. carefully push the cord back into the vagina.

A. push the infant's head away from the cord.

The term bloody show is defined as A. the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug. B. any volume of blood that is expelled from the vagina after the amniotic sac has ruptured and contractions have begun. C. mild vaginal bleeding that occurs within the first 30 minutes after the onset of the second stage of the labor process. D. the normal amount of vaginal bleeding that occurs within the first 24 hours following delivery of the baby and placenta.

A. the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.

If the amniotic sac has not broken A. use your finger or a clamp to puncture the sac and pull it away from the infant's head and mouth as they appear. B. contact medical control for instructions before preceding with the delivery. C. instruct the mother to take slow and long breaths. D. get a detailed history from the mother asking if this has happened in the past.

A. use your finger or a clamp to puncture the sac and pull it away from the infant's head and mouth as they appear.