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
