Question 1

The greatest danger to the pregnant woman and her fetus involved in trauma is which of the following?

Accepted Answer

A)  Neurogenic shock 
B)  Distributive shock 
C)  Hemorrhagic shock 
D)  Supine hypotensive shock

Question 2

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?

Accepted Answer

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 must try to cut the cord before it stops pulsating. 
D)  You should hold the baby above the level of the mother when cutting the cord.

Question 3

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:

Accepted Answer

A)  give her some fluids to drink to help elevate her blood pressure. 
B)  elevate her legs to increase the blood return to the heart. 
C)  place a rolled blanket under her left hip to displace the uterus. 
D)  cover her up with a blanket to maintain body heat.

Question 4

What is the term for when the fetus and placenta deliver before the 28th week of pregnancy?

Accepted Answer

A)  Spontaneous abortion 
B)  Induced abortion 
C)  Stillbirth 
D)  Eclampsia

Question 5

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?

Accepted Answer

A)  7 
B)  10 
C)  9 
D)  8

Question 6

Which of the following is the highest priority to the EMT in delivery of an infant with meconium-stained amniotic fluid?

Accepted Answer

A)  Checking for fever 
B)  Vigorously rubbing the infant's back immediately upon delivery to stimulate breathing 
C)  Being prepared to suction the infant immediately before he takes a breath 
D)  None of the above

Question 7

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:

Accepted Answer

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

Question 8

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?

Accepted Answer

A)  0.5 to 1 inch lower on the sternum 
B)  0.5 to 1 inch higher on the sternum 
C)  1 to 2 inches lower on the sternum 
D)  1 to 2 inches higher on the sternum

Question 9

Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal bleeding?

Accepted Answer

A)  Finding out if the patient is currently sexually active 
B)  Monitoring for hypovolemic shock 
C)  Obtaining a thorough gynecological history 
D)  Preventing infection

Question 10

Which of the following BEST describes placenta previa?

Accepted Answer

A)  The placenta prematurely separates from the uterine wall. 
B)  The pregnancy is lost before the 20th week of gestation. 
C)  The umbilical cord is the presenting part. 
D)  The placenta is implanted over the opening of the cervix.

Question 11

Supine hypotensive syndrome is easily prevented by transporting the pregnant female into which of the following positions?

Accepted Answer

A)  Supine, with the head lower than the hips 
B)  Lying on her left side 
C)  On her hands and knees with her hips elevated 
D)  Tilted slightly onto the right side

Question 12

Which of the following may result from a woman in her third trimester of pregnancy lying in a supine position?

Accepted Answer

A)  Fetal compromise 
B)  Maternal hypotension 
C)  The mother's body attempting to compensate for shock 
D)  All of the above

Question 13

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:

Accepted Answer

A)  applying firm pressure with a sanitary napkin over the vaginal opening. 
B)  massaging the uterus to control bleeding. 
C)  having the mother squeeze her legs together to provide direct pressure. 
D)  elevating the mother's feet.

Question 14

The condition in which the placenta separates from the uterine wall is known as which of the following?

Accepted Answer

A)  Abruptio placentae 
B)  Placenta previa 
C)  Ectopic pregnancy 
D)  Preeclampsia

Question 15

Which of the following conditions should be present before the umbilical cord is cut?

Accepted Answer

A)  The infant is breathing on his or her own. 
B)  The cord is no longer pulsating. 
C)  The cord is clamped in two places. 
D)  All of the above

Question 16

Which of the following BEST describes the events that occur during the first stage of labor?

Accepted Answer

A)  Rupture of the amniotic sac 
B)  Expulsion of the fetus through the birth canal 
C)  Expulsion of the placenta 
D)  Thinning and dilation of the cervix

Question 17

If the baby's head is delivered with the amniotic sac still intact,which of the following should be done first?

Accepted Answer

A)  Use your fingers to tear the sac away from the baby's face. 
B)  Leave the sac intact until the entire body is delivered. 
C)  Use the scissors in the obstetrics kit to cut the sac away from the baby's head. 
D)  Call medical control before taking action.

Question 18

Which of the following describes the normal appearance of amniotic fluid?

Accepted Answer

A)  A fluid containing blood and mucus 
B)  Thin fluid, greenish-yellow in color 
C)  Clear and colorless fluid 
D)  Thick fluid, greenish-black in color

Question 19

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:

Accepted Answer

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

Question 20

Which of the following is the correct way to time the frequency of contractions in the pregnant woman?

Accepted Answer

A)  From the beginning of a contraction to the end of the same contraction 
B)  From the end of one contraction to the beginning of the next 
C)  From the beginning of one contraction to the beginning of the next 
D)  After counting the number of contractions in a 15-minute period, multiply by 4

Exam 32: Obstetric and Gynecologic Emergencies