Question 1

In which of the following situations should the mother be transported immediately?

Accepted Answer

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)  The infant's arm is the presenting part. 
C)  Delivery is not imminent and there is about 500 cc of painless, bright red bleeding. 
D)  All of the above 
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)  The infant's arm is the presenting part. 
C)  Delivery is not imminent and there is about 500 cc of painless, bright red bleeding. 
D)  All of the above D

Question 2

While treating a patient of sexual assault,your treatment should follow which of the following sequences?

Accepted Answer

A)  Treat immediate life threats, treat 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 to protect criminal evidence. 
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, allow the patient to shower if the patient is capable to help treat psychological needs, and transport. 
A)  Treat immediate life threats, treat 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 to protect criminal evidence. 
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, allow the patient to shower if the patient is capable to help treat psychological needs, and transport. C

Question 3

Which of the following is a common sign of a pre-delivery emergency?

Accepted Answer

A)  Contractions become more intense and closer together. 
B)  The amniotic sac ruptures. 
C)  The placenta fails to deliver within 20 minutes of the infant's birth. 
D)  There is profuse vaginal bleeding. 
A)  Contractions become more intense and closer together. 
B)  The amniotic sac ruptures. 
C)  The placenta fails to deliver within 20 minutes of the infant's birth. 
D)  There is profuse vaginal bleeding. D

Question 4

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:

Accepted Answer

A)  placenta disruption. 
B)  abruptio placenta. 
C)  unstable placenta. 
D)  placenta previa. 
A)  placenta disruption. 
B)  abruptio placenta. 
C)  unstable placenta. 
D)  placenta previa.

Question 5

Which of the following is the correct technique to check for crowning in the assessment of a woman in labor?

Accepted Answer

A)  Ask the woman to "push" or "bear down" as you inspect 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)  Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening. 
D)  None of the above 
A)  Ask the woman to "push" or "bear down" as you inspect 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)  Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening. 
D)  None of the above

Question 6

When delivering a baby,you should do all of the following except:

Accepted Answer

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. 
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.

Question 7

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:

Accepted Answer

A)  contracted food poisoning. 
B)  supine hypotensive syndrome. 
C)  Braxton-Hicks contractions. 
D)  placenta previa. 
A)  contracted food poisoning. 
B)  supine hypotensive syndrome. 
C)  Braxton-Hicks contractions. 
D)  placenta previa.

Question 8

During which stage of labor is the baby born?

Accepted Answer

A)  Primary 
B)  First 
C)  Second 
D)  Third 
A)  Primary 
B)  First 
C)  Second 
D)  Third

Question 9

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?

Accepted Answer

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

Question 10

When assisting with a delivery in the field,which of the following should be done as the head begins to emerge from the vagina?

Accepted Answer

A)  Check for crowning. 
B)  Advise the mother not to push or strain. 
C)  Apply gentle pressure to the head with your gloved hand. 
D)  Pull on the baby. 
A)  Check for crowning. 
B)  Advise the mother not to push or strain. 
C)  Apply gentle pressure to the head with your gloved hand. 
D)  Pull on the baby.

Question 11

Which of the following is true concerning prehospital delivery of twins?

Accepted Answer

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. 
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.

Question 12

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?

Accepted Answer

A)  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. 
C)  Transport emergently without further intervention. 
D)  Immediately cut the cord before delivering the baby. 
A)  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. 
C)  Transport emergently without further intervention. 
D)  Immediately cut the cord before delivering the baby.

Question 13

Which of the following is a cause of gynecological emergencies?

Accepted Answer

A)  Soft-tissue trauma to the external genitalia 
B)  Sexual assault 
C)  Disorders of the female reproductive organs 
D)  All of the above 
A)  Soft-tissue trauma to the external genitalia 
B)  Sexual assault 
C)  Disorders of the female reproductive organs 
D)  All of the above

Question 14

While treating a pregnant trauma patient,which of the following is the BEST way to keep the fetus alive?

Accepted Answer

A)  Transport the patient to the closest pediatric center. 
B)  Treat the patient as any other trauma patient. 
C)  Do not put the patient on a spine board to prevent supine hypotensive syndrome. 
D)  Do an emergency cesarean section of the fetus. 
A)  Transport the patient to the closest pediatric center. 
B)  Treat the patient as any other trauma patient. 
C)  Do not put the patient on a spine board to prevent supine hypotensive syndrome. 
D)  Do an emergency cesarean section of the fetus.

Question 15

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?

Accepted Answer

A)  Third stage 
B)  Second stage 
C)  Fourth stage 
D)  First and second stage 
A)  Third stage 
B)  Second stage 
C)  Fourth stage 
D)  First and second stage

Question 16

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?

Accepted Answer

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

Question 17

Which of the following is indicated in the prehospital management of a prolapsed umbilical cord?

Accepted Answer

A)  Immediately clamp the cord in two places and cut it between the clamps. 
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)  Place the mother in a head-down position with pillows under her hips. 
A)  Immediately clamp the cord in two places and cut it between the clamps. 
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)  Place the mother in a head-down position with pillows under her hips.

Question 18

Which of the following is NOT advisable following complete birth of the infant?

Accepted Answer

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)  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. 
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)  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.

Question 19

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?

Accepted Answer

A)  The fallopian tubes cannot stretch to accommodate a fetus. 
B)  The fertilized egg usually implants in the wall of the uterus. 
C)  It usually occurs during the second trimester. 
D)  It may cause painless bright red bleeding. 
A)  The fallopian tubes cannot stretch to accommodate a fetus. 
B)  The fertilized egg usually implants in the wall of the uterus. 
C)  It usually occurs during the second trimester. 
D)  It may cause painless bright red bleeding.

Question 20

An infant's birth weight is considered low if it is less than ________ pounds.

Accepted Answer

A)  4.5 
B)  2.5 
C)  5.5 
D)  3.5 
A)  4.5 
B)  2.5 
C)  5.5 
D)  3.5

Exam 32: Obstetric and Gynecologic Emergencies

In which of the following situations should the mother be transported immediately?

While treating a patient of sexual assault,your treatment should follow which of the following sequences?

Which of the following is a common sign of a pre-delivery emergency?

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:

Which of the following is the correct technique to check for crowning in the assessment of a woman in labor?

When delivering a baby,you should do all of the following except:

During which stage of labor is the baby born?

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?

When assisting with a delivery in the field,which of the following should be done as the head begins to emerge from the vagina?

Which of the following is true concerning prehospital delivery of twins?

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?

Which of the following is a cause of gynecological emergencies?

While treating a pregnant trauma patient,which of the following is the BEST way to keep the fetus alive?

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?

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?

Which of the following is indicated in the prehospital management of a prolapsed umbilical cord?

Which of the following is NOT advisable following complete birth of the infant?

An infant's birth weight is considered low if it is less than ________ pounds.

Introduction to Emergency Medical Care

The Well-Being of the Emt

Lifting and Moving Patients

Medicallegal and Ethical Issues

Medical Terminology

Anatomy and Physiology

Ventilation, perfusion, and Shock: Understanding Pathophysiology

Life Span Development

Airway Management

Respiration and Artificial Ventilation

Scene Size-Up

The Primary Assessment

Vital Signs and Monitoring Devices

The Secondary Assessment

Communication and Documentation

General Pharmacology

Respiratory Emergencies

Cardiac Emergencies

Diabetic Emergencies and Altered Mental Status

Allergic Reaction

Poisoning and Overdose Emergencies

Abdominal Emergencies

Behavioral and Psychiatric Emergencies and Suicide

Hematologic and Renal Emergencies

Bleeding and Shock

Soft-Tissue Trauma

Chest and Abdominal Trauma

Musculoskeletal Trauma

Trauma to the Head, neck, and Spine

Multisystem Trauma

Environmental Emergencies

Pediatric Emergencies

Geriatric Emergencies

Emergencies for Patients With Special Challenges

Ems Operations

Hazardous Materials, multiple-Casualty Incidents,

Highway Safety and Vehicle Extrication

Ems Response to Terrorism

Filters