Chapter 32 (EMT)

The term for a baby developing inside the mother’s womb after week 8 is:
Fetus.

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

What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nutrients?
Placenta

Which of the following BEST describes the term crowning?
The presenting part of the baby being visible at the vaginal opening

Which of the following describes a breech presentation?
Both A and B

During which stage of labor is the baby born?
Second

Which of the following BEST describes the events that occur during the first stage of labor?
Thinning and dilation of the cervix

You are assessing a 27-year-old female who is 9 months pregnant with her first chi ld. 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?
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 describes the normal appearance of amniotic fluid?
Clear and colorless fluid

Which of the following is the correct way to time the frequency of contractions in the pregnant woman?
From the beginning of one contraction to the beginning of the next

Which of the following is NOT part of a basic obstetrics kit?
A 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 pair of shoelaces

Which of the following is the correct technique to check for crowning in the assessment of a woman in labor?
Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening.

Which of the following may result from a woman in her third trimester of pregnancy lying in a supine position?
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?
Apply gentle pressure to the head with your gloved hand.

If the baby’s head is delivered with the amniotic sac still intact, which of the following should be done first?
Use your fingers to tear the sac away from the baby’s face.

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?
Try to slip the cord over the baby’s head and shoulder.

Which of the following is NOT advisable following complete birth of the infant?
Hold the infant by the ankles to allow the airway to drain.

Which of the following should be done when the infant’s head has been delivered?
All of the above

All of the following are signs of adequate breathing and circulation in the newborn EXCEPT:
Relaxation of the extremities.

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?
Rub the infant’s back, tap the bottom of his foot, begin bag-valve-mask ventilations, and check the pulse.

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?
Place oxygen tubing near the infant’s face at a flow rate of 10 to 12 liters per minute.

When clamping the Umbilical cord, the clamp closest to the baby should be approximately ________ inch(es) from the infant’s body.
7

Which of the following conditions should be present before the Umbilical cord is cut?
All of the above

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

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

Which of the following is indicated in the prehospital management of a prolapsed umbilical cord?
Place the mother in a head-down position with pi l lows under her hips.

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

Which of the following is true concerning prehospital delivery of twins?
The infants will probably be smaller than a single infant and need attention in keeping them warm.

Which of the following is true of premature infants?
All of the above

Which of the following is the highest priority to the EMT in delivery of an infant with meconium-stained amniotic fluid?
Being prepared to suction the infant immediately before he takes a breath

Which of the following BEST describes placenta pre via?
The placenta is implanted over the opening of the cervix.

Which of the following is a common sign of a pre-delivery emergency?
There is profuse vaginal bleeding.

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

Which of the following is NOT relevant in determining whether or not delivery is imminent for a woman in labor?
Phoning the patient’s obstetrician for advice

When delivering a baby, you should do all of the following EXCEPT:
Place your fingers in the armpit to assist with delivery of the shoulders.

By definition, a premature infant is one who is born before how many weeks of the pregnancy?
37

An infant’s birth weight is considered low if it is less than ________ pounds.
5.5

When caring for a premature baby, which of the following is appropriate?
Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90°F and 100°F

Supine hypotensive syndrome is easily prevented by transporting the pregnant female in which of the following positions?
Lying on her left side

Which of the following is true concerning trauma in the pregnant woman?
She may lose up to 35 percent of her blood volume before exhibiting signs of shock.

Which of the following is true concerning a stillborn baby?
The death may occur weeks before delivery.

Which of the following is a cause of gynecological emergencies?
All of the above

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

While treating a patient of sexual assault, your treatment should follow which of the following sequences?
Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence.

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?
9

Traditionally an APGAR score is taken at what time intervals after birth?
1 and 5 minutes

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

While treating a pregnant trauma patient, which of the following is the BEST way to keep the fetus alive?
Treat the patient as any other trauma patient.

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

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?
First and second stage

Which of the following is an appropriate question to ask while evaluating a woman in labor?
Is this your first pregnancy?

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

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:
Getting to the hospital.

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:
Topic pregnancy.

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?
The fallopian tubes cannot stretch to accommodate a fetus.

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:
Food from the esophagus to the stomach.

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?
Diabetes may be made worse during pregnancy.

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:
Supine hypotensive syndrome.

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:
Place a rolled blanket under her left hip to displace the uterus.

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:
All of the above are functions of amniotic fluid.

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:
Time her contractions.

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:
Prepare to deliver the baby on-scene.

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 young mother who has not had prenatal care

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?
The infant must be breathing on his own before you cut the cord.

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:
Having the mother squeeze her legs together to provide direct pressure.

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:
Keep the baby off of the cord.

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:
Placenta previa.

The term for a baby developing inside the mother’s womb after week 8 is: Fetus. The muscular organ in which a baby develops during pregnancy is called the: Uterus WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

Premature separation of the placenta from the wall of the uterus is known as: abruptio placenta. A mother who is pregnant with her first baby is typically in the first stage of labor for approximately: 16 hours. WE WILL WRITE …

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 …

Pneumonia can be especially virulent during pregnancy because the mother’s immune system is already depressed The ____________of the uterus is composed of three layers of muscle fibers that contract and help expel the fetus during childbirth myometrium WE WILL WRITE …

266 Labor typically begins approx ____ days after conception 1st- contractions are initially 8-10 minutes and last about 30 seconds Which stage of labor is the longest? WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU …

The only time a coder would not use a code from Chapter 11 is if the physician states that the pregnancy is incidental to the reason for the encounter. True For initial confirmation of a pregnancy, a woman’s blood or …

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