Question 1

Which of the following is true of premature infants?

Accepted Answer

A)  They are at risk for respiratory difficulty. 
B)  They are more susceptible to infection. 
C)  They can easily develop hypothermia. 
D)  All of the above 
A)  They are at risk for respiratory difficulty. 
B)  They are more susceptible to infection. 
C)  They can easily develop hypothermia. 
D)  All of the above

Question 2

Which of the following should the EMT do to control maternal bleeding after delivery of the baby?

Accepted Answer

A)  Apply direct pressure with a sanitary napkin over any perineal lacerations. 
B)  Allow the infant to nurse, if possible. 
C)  Massage the uterus until it is firm and grapefruit-sized. 
D)  All of the above 
A)  Apply direct pressure with a sanitary napkin over any perineal lacerations. 
B)  Allow the infant to nurse, if possible. 
C)  Massage the uterus until it is firm and grapefruit-sized. 
D)  All of the above

Question 3

Which of the following describes a breech presentation?

Accepted Answer

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 
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

Question 4

By which of the following means does the fetus's blood pick up nourishment from the mother?

Accepted Answer

A)  Direct circulation 
B)  Indirect circulation 
C)  Diffusion 
D)  Osmosis 
A)  Direct circulation 
B)  Indirect circulation 
C)  Diffusion 
D)  Osmosis

Question 5

The muscular organ in which a baby develops during pregnancy is called the:

Accepted Answer

A)  fetal membrane. 
B)  placenta. 
C)  uterus. 
D)  amniotic sac. 
A)  fetal membrane. 
B)  placenta. 
C)  uterus. 
D)  amniotic sac.

Question 6

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:

Accepted Answer

A)  placenta previa. 
B)  ectopic pregnancy. 
C)  appendicitis. 
D)  internal bleeding. 
A)  placenta previa. 
B)  ectopic pregnancy. 
C)  appendicitis. 
D)  internal bleeding.

Question 7

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:

Accepted Answer

A)  air down the bronchial tubes to the alveoli. 
B)  fluid into and out of the cell. 
C)  sweat to the surface of the skin. 
D)  food from the esophagus to the stomach. 
A)  air down the bronchial tubes to the alveoli. 
B)  fluid into and out of the cell. 
C)  sweat to the surface of the skin. 
D)  food from the esophagus to the stomach.

Question 8

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:

Accepted Answer

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

Question 9

All of the following are signs of adequate breathing and circulation in the newborn except:

Accepted Answer

A)  heart rate greater than 100. 
B)  relaxation of the extremities. 
C)  cyanosis of only the hands and feet. 
D)  vigorous crying. 
A)  heart rate greater than 100. 
B)  relaxation of the extremities. 
C)  cyanosis of only the hands and feet. 
D)  vigorous crying.

Question 10

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?

Accepted Answer

A)  Patient with a blood pressure of 130/82 
B)  Mother who has had five previous births 
C)  Young mother who has not had prenatal care 
D)  Patient whose water has already broken 
A)  Patient with a blood pressure of 130/82 
B)  Mother who has had five previous births 
C)  Young mother who has not had prenatal care 
D)  Patient whose water has already broken

Question 11

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?

Accepted Answer

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

Question 12

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?

Accepted Answer

A)  Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital. 
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)  Allow the patient to use the bathroom as it will make transport, and also delivery, more comfortable. 
D)  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. 
A)  Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital. 
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)  Allow the patient to use the bathroom as it will make transport, and also delivery, more comfortable. 
D)  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.

Question 13

Seizures due to complications of pregnancy generally occur during which of the following time periods?

Accepted Answer

A)  In the first trimester 
B)  In the second trimester 
C)  Before the mother even knows she is pregnant 
D)  Late in pregnancy 
A)  In the first trimester 
B)  In the second trimester 
C)  Before the mother even knows she is pregnant 
D)  Late in pregnancy

Question 14

Which of the following is true concerning a stillborn baby?

Accepted Answer

A)  Infants born in cardiopulmonary arrest should not be resuscitated. 
B)  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. 
D)  Resuscitation must always be attempted. 
A)  Infants born in cardiopulmonary arrest should not be resuscitated. 
B)  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. 
D)  Resuscitation must always be attempted.

Question 15

Which of the following should be done when the infant's head has been delivered?

Accepted Answer

A)  Check to see if the umbilical cord is around the neck. 
B)  Suction the mouth. 
C)  Suction the nose. 
D)  All of the above 
A)  Check to see if the umbilical cord is around the neck. 
B)  Suction the mouth. 
C)  Suction the nose. 
D)  All of the above

Question 16

Which of the following is appropriate when caring for a premature baby?

Accepted Answer

A)  Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90°F and 100°F 
B)  Deeply suctioning the airway with a rigid tonsil-tip 
C)  Applying high-concentration oxygen with a neonatal nonrebreather mask 
D)  Encouraging family members to hold the infant 
A)  Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90°F and 100°F 
B)  Deeply suctioning the airway with a rigid tonsil-tip 
C)  Applying high-concentration oxygen with a neonatal nonrebreather mask 
D)  Encouraging family members to hold the infant

Question 17

By definition,a premature infant is one who is born before how many weeks of the pregnancy?

Accepted Answer

A)  40 
B)  37 
C)  34 
D)  28 
A)  40 
B)  37 
C)  34 
D)  28

Question 18

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:

Accepted Answer

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

Question 19

Normal maternal blood loss during delivery of an infant usually does not exceed how much?

Accepted Answer

A)  100 cc 
B)  250 cc 
C)  1,000 cc 
D)  500 cc 
A)  100 cc 
B)  250 cc 
C)  1,000 cc 
D)  500 cc

Question 20

Traditionally an APGAR score is taken at what time intervals after birth?

Accepted Answer

A)  5 and 10 minutes 
B)  2 and 7 minutes 
C)  1 and 5 minutes 
D)  1 and 6 minutes 
A)  5 and 10 minutes 
B)  2 and 7 minutes 
C)  1 and 5 minutes 
D)  1 and 6 minutes

Exam 32: Obstetric and Gynecologic Emergencies

Which of the following is true of premature infants?

Which of the following should the EMT do to control maternal bleeding after delivery of the baby?

Which of the following describes a breech presentation?

By which of the following means does the fetus's blood pick up nourishment from the mother?

The muscular organ in which a baby develops during pregnancy is called the:

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:

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:

All of the following are signs of adequate breathing and circulation in the newborn except:

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?

Seizures due to complications of pregnancy generally occur during which of the following time periods?

Which of the following is true concerning a stillborn baby?

Which of the following should be done when the infant's head has been delivered?

Which of the following is appropriate when caring for a premature baby?

By definition,a premature infant is one who is born before how many weeks of the pregnancy?

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:

Normal maternal blood loss during delivery of an infant usually does not exceed how much?

Traditionally an APGAR score is taken at what time intervals after birth?

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

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