Deck 37: Obstetrics and Care of the Newborn

Question 1

When assessing a 27-year-old patient who is eight months pregnant, which one of the following statements should the EMT be most concerned about?

A) "I had some belly cramps two weeks ago."
B) "I was a drug addict when I was a teenager."
C) "I have not been able to see the doctor this pregnancy."
D) "My last baby came two weeks late."

Answer 1

C

Question 2

You have been called to assist another crew with the birth of a baby. On scene another EMT informs you that the mother's perineum tore and is bleeding heavily. You would:

A) place a cold pack on the mother's abdomen just below the umbilicus.
B) apply a sterile gauze dressing with gentle pressure above the vagina.
C) place a sterile dressing between the mother's vagina and rectum.
D) insert sterile gauze into the vagina and leave in place until bleeding stops.

Answer 2

C

Question 3

A female patient is described as primigravida. Consequently, the EMT would recognize that:

A) she is pregnant for the first time.
B) she has only one child.
C) she has never been pregnant.
D) she has been pregnant before but miscarried.

Answer 3

A

Question 4

Which of the following statements best indicates that the patient is in the second stage of labor?

A) "The contractions are beginning to hurt now."
B) "I think that my water just broke."
C) "I feel like I have to move my bowels."
D) "It feels good not to have to push anymore."

Question 5

The EMT should recognize a full-term pregnancy in which one of the following patients?

A) 21-year-old who is 39 weeks pregnant and feeling dizzy
B) 40-year-old beginning her third trimester but whose water just broke
C) 25-year-old who is 220 days into pregnancy and complaining of back pain
D) 33-year-old pregnant with twins in the eighth month of pregnancy

Question 6

A 25-year-old female presents with abdominal pain. She appears thin and healthy, but in obvious distress. What question should the EMT ask first?

A) "How many times have you been pregnant?"
B) "Is there any possibility you are pregnant?"
C) "Are you having any vaginal discharge?"
D) "Are your menstrual periods regular?"

Question 7

A female patient who is eight and a half months pregnant states that she does not feel well and is weak with clammy skin. She denies chest pain, shortness of breath, and dizziness. She states that she did vomit earlier in the morning and still feels somewhat nauseated. She is alert and oriented and has a patent airway. She is breathing 18 times per minute and has a heart rate of 88 beats per minute. Her blood pressure is 116/70 mmHg and SpO₂ reading of 95% on room air. The most appropriate care for this patient should include:

A) oxygen at 15 lpm via nonrebreather face mask.
B) rapid transport to a hospital with specialized obstetric services.
C) quiet and calm transport in the supine position.
D) refusal of transport with suggested follow-up with her obstetrician.

Question 8

You have been dispatched to a residence for a female patient who is dizzy and "passing out." An Emergency Medical Responder meets you at the door and reports that the patient is lying in bed and is nine months pregnant. Her pulse rate is 112 and her blood pressure is 84/50 mmHg. Respirations are 24 per minute and she has a room air pulse oximetry reading of 97%. Which one of the following should you do as soon as you reach the patient's side?

A) Recheck the blood pressure.
B) Roll her onto her side.
C) Determine any complications of the pregnancy.
D) Start positive pressure ventilation.

Question 9

Why is the uterus essential to a healthy pregnancy?

A) Permits the excretion of waste from the baby to the mother
B) Protects abdominal organs during fetal growth
C) Manufactures specific blood cells needed for fetal immunity
D) Powerfully contracts to force the fetus from the mother's body

Question 10

Prior to delivery, the EMT prepares to create a sterile field around the patient's vaginal opening. This is best accomplished by:

A) placing sheets from the OB kit over both the patient's legs and her abdomen.
B) using towels from the patient's residence to wrap each leg and cover her abdomen.
C) using a sheet from the patient's bed to cover her abdomen and groin.
D) placing a sheet from the OB kit under the patient's hips and another over her abdomen and legs.

Question 11

Which of the following lists the stages of labor in the order in which they occur?

A) Uterine, delivery, and recovery
B) Dilation, expulsion, and placental
C) Uterine, expulsion, placental, and recovery
D) Dilation, delivery, placental, and afterbirth

Question 12

You are assessing a female patient who informs you that she has been pregnant four times before but only delivered once. Which one of the following shows how you should document that information on the prehospital care report?

A) Para IV; Gravida I
B) Gravida III; Para I
C) Para III; Gravida I
D) Gravida IV; Para I

Question 13

An EMT is presenting a continuing education class on the care of the pregnant female. When discussing the amniotic sac, he is correct to emphasize which of the following points?

A) "It contains fluid and surrounds and protects the uterus."
B) "It contains a fluid called Wharton's jelly that enables the baby to breathe and move."
C) "It must rupture during the second trimester of pregnancy for fetal development to progress."
D) "It protects and insulates the baby during pregnancy."

Question 14

A patient is 7 cm dilated and complaining of painful contractions. What stage of labor should the EMT identify?

A) First stage
B) Expulsion
C) Third stage
D) Uterine

Question 15

When asked, a young female with abdominal pain replies that she is not sure if she is pregnant or not. Which one of the following questions provides the best opportunity to determine if the patient is pregnant?

A) "Do you feel pressure in your belly area?"
B) "When was your last menstrual period?"
C) "Have you been vomiting in the morning?"
D) "Does it feel like the last time you were pregnant?"

Question 16

The EMT would use the sterile scissors found in the OB kit to cut which of the following?

A) Towels to create a sterile field
B) Umbilical cord
C) Patient's clothing
D) Amniotic sac (if not ruptured)

Question 17

A woman informs you that she is eight months pregnant and fatigues easily. She is apprehensive because when she lies down, she gets dizzy and feels as though she is going to vomit. Which one of the following is the best response?

A) "We really need to get to the hospital right away to make sure that your baby is okay. This does not sound good."
B) "As long as the baby is still moving you are okay. Just try to get through one more month."
C) "Check with your obstetrician, but you may want to rest and sleep on your left or right side."
D) "You should really call your doctor. During the eighth month of pregnancy energy levels usually increase."

Question 18

You have completed the assessment of a 32-year-old patient who is starting her seventh month of pregnancy. Which one of the following assessment findings should the EMT be most concerned about?

A) Several painless contractions
B) Increased desire to eat
C) Increased weight over the past month
D) Intermittent vaginal bleeding

Question 19

Which statement regarding the role and function of the cervix during pregnancy is true?

A) "The cervix constricts near the time of delivery to prevent a premature birth."
B) "The cervix becomes plugged with mucus to prevent contamination of the uterus."
C) "The EMT can palpate the cervix to measure the contractions that the mother is having."
D) "The 'bloody show' comes from the cervix and confirms pregnancy in the first trimester."

Question 20

Five minutes after delivering a baby, the mother feels the sudden urge to push and a gush of blood comes from the vagina. Given that the mother is not delivering twins, what stage of labor should the EMT recognize?

A) Fourth
B) Placental
C) Second
D) Expulsion

Question 21

You are responding to a low-income apartment complex for a 16-year-old who is five weeks pregnant with vaginal bleeding. When mentally reviewing possible causes of hemorrhage for this patient, which of the following should you be prepared to encounter?

A) Ruptured uterus
B) Dysfunctional placenta
C) Drug addiction
D) Spontaneous abortion

Question 22

When cutting the umbilical cord, how should the baby be positioned?

A) Six inches below the vaginal opening
B) Upright and on the mother's chest (if possible)
C) Level with the vaginal opening
D) Prone and in a head-down position

Question 23

You are transporting a young female who just had a miscarriage at home. During the transport the woman weeps continually. What statement is most appropriate given the situation?

A) "If you want another child, wait a few months and then get pregnant again."
B) "It is best to stay strong; your other child needs your support."
C) "I think in the long run you will be okay and things will work out."
D) "Is there anything that I can do to help you right now?"

Question 24

A 31-year-old female in her third trimester of pregnancy lost her balance and fell down a flight of stairs. When treating her, the EMT should:

A) avoid immobilization, given the stage of pregnancy.
B) immobilize her, and then tilt the long spine board to the left.
C) transport in a semi-Fowler's position with a cervical collar in place.
D) apply a cervical collar and transport her on her side.

Question 25

Which statement indicates an understanding of the relationship between seizures and pregnancy?

A) "Prolonged seizures can easily cause the mother and baby to become hypoxic."
B) "A short seizure in the pregnant female with a seizure history generally does not require transport."
C) "Seizure activity in the pregnant female is typically not life-threatening unless the patient has had seizures in the past."
D) "If the pregnant patient is seizing, the EMT must quickly make a decision to administer or withhold her antiseizure medications."

Question 26

Which one of the following statements regarding the placenta after the baby has been born is accurate?

A) "The EMT must deliver the placenta by applying gentle pressure to the abdomen after the baby has been born."
B) "The placenta is full of bacteria and should not be transported in the ambulance near the baby."
C) "It is essential that the mother not be moved until the placenta has been delivered."
D) "The placenta typically delivers itself within 20 minutes of the birth of the baby."

Question 27

You are assessing a 29-year-old who has signs of imminent delivery. Her past medical history includes HIV infection. Compared to a patient with no infectious disease, how will standard precautions differ for this patient?

A) Gloves, a gown, and goggles will be used for this patient; only gloves and a gown are required for a healthy patient in labor.
B) Gloves are needed for a noninfectious patient in labor; goggles and gloves must be worn for the patient with HIV.
C) A HEPA filter mask should be used for the patient with HIV, but not for the noninfectious patient.
D) Gloves, a gown, and goggles must be worn for both the patient with HIV and the noninfectious patient.

Question 28

You are delivering a baby in the patient's house. As the baby's head appears at the opening of the vagina, you notice that the amniotic membrane is still intact. You would:

A) cut the sac with the sterile scissors in the OB kit.
B) transfer the patient to the stretcher for immediate transport.
C) continue with the delivery of the baby.
D) break open the amniotic sac with your fingers.

Question 29

While delivering a baby, you note that the umbilical cord is wrapped around the baby's neck. You would:

A) clamp and cut the cord.
B) stop the delivery and transport.
C) slip the cord over the baby's shoulders.
D) contact medical direction.

Question 30

You have been called for a 16-year-old female with vaginal bleeding. On scene you determine the patient to be pregnant and bleeding for 3 hours. What statement would indicate proper care of the patient?

A) "I am going to place this piece of sterile gauze into your vagina to try to stop the bleeding."
B) "I know that it is uncomfortable, but try to keep your legs apart so the blood can flow out of your body."
C) "I am going to put this sanitary napkin between your legs to try to slow the bleeding."
D) "I am going to insert my gloved hand into your vagina and apply pressure to try to stop the bleeding from the inside."

Question 31

As soon as the baby is delivered from the vaginal canal, it is critical that the EMT immediately:

A) clamp and cut the umbilical cord.
B) dry and warm the newborn.
C) perform the APGAR assessment.
D) obtain a pulse oximetry reading.

Question 32

When should the EMT instruct his partner to cut the umbilical cord?

A) Immediately after delivery of the placenta
B) Following delivery and after the baby has been dried and suctioned
C) Just prior to passage of the legs through the vaginal canal
D) After the 1-minute APGAR score has been obtained

Question 33

Which one of the following actions shows that the EMT is properly caring for the cord after delivery?

A) The cord is cut 1 inch from the baby's abdomen.
B) The clamps are removed from the cord after cutting.
C) The cord is clamped but not cut until arrival at the hospital.
D) There is a 6-inch segment of cord still connected to the baby.

Question 34

You have arrived at the side of a 35-year-old who is 37 weeks pregnant and in labor. Your exam reveals crowning with contractions 60 seconds apart. Your immediate action would be to:

A) place the patient on the cot in the left lateral recumbent position, and then proceed with emergency transport.
B) have the patient hold her legs together, and then move her to the ambulance for delivery of the baby.
C) obtain vital signs, and then move to the ambulance for a nonemergency transport.
D) place the patient on her back, and then open and prepare the OB kit.

Question 35

While en route for a pregnant patient who is seizing, an Emergency Medical Responder (EMR) on scene contacts you and reports that the patient is actively seizing. He continues by stating that she is seven months pregnant and has not been feeling well for the past three days (per family). What instruction is critical for you to relay to the EMR?

A) Restrain the patient on her back or left side.
B) Place a tongue blade in the patient's mouth.
C) Provide oxygen at 15 liters per minute.
D) Determine if the patient has a seizure history.

Question 36

You are in the process of a field delivery and have just delivered the baby's head. Which one of the following should you do next?

A) Turn the baby clockwise and continue delivery.
B) Check the neck for the umbilical cord.
C) Gently pull the baby toward you.
D) Suction the baby's mouth, and then nose.

Question 37

You have determined that you will need to perform a field delivery. What instructions to the patient show that the EMT is properly positioning her?

A) "Please lie on your back, draw your knees upward, and spread your legs apart."
B) "I am going to place you on your left side with your legs up until the baby's head is visible."
C) "Please lie back, and then elevate both legs into the air. Your husband will help you hold them up."
D) "I'd like you to lie flat on the bed and bend your right leg while keeping your left leg straight."

Question 38

You arrive at the side of a pregnant patient in her third trimester who has been vaginally bleeding for several hours. Observation reveals several blood-soaked towels on the bed. She is alert and oriented with a patent airway and adequate breathing. Her pulse is 88 beats per minute and her blood pressure is 104/66 mmHg. In caring for this patient you would:

A) provide rapid transport in a supine position.
B) clean the outside of the vagina with sterile water and peroxide.
C) collect all towels with blood and transporting them with the patient.
D) prepare her for the possibility that she may have miscarried the baby.

Question 39

Which one of the following actions indicates that the EMT is properly suctioning the newborn?

A) He suctions the nose first followed by the mouth.
B) He inserts the bulb syringe deep into the oropharynx to get thick secretions.
C) He uses the portable suction unit on the "high" setting.
D) He squeezes the bulb syringe prior to placing it in the baby's nose.

Question 40

What patient should the EMT be most suspicious of having a spontaneous abortion?

A) 16-year-old, 24 weeks pregnant, with painless contractions
B) 21-year-old, six weeks pregnant, passing vaginal blood clots
C) 32-year-old, in third trimester, passing foul-smelling and bloody vaginal discharge
D) 38-year-old, 36 weeks pregnant, having abdominal pain with painless vaginal bleeding

Question 41

After delivery, you note some blood oozing from the mother's vagina. The sanitary pads that you placed between her legs continue to become soaked. Your next action would be to:

A) transport with lights and sirens.
B) insert sterile gauze into the vaginal canal.
C) perform a uterine massage.
D) place the mother on her left side.

Question 42

The components of the APGAR scoring system include:

A) airway, breathing, circulation.
B) heart rate, activity, respirations.
C) airway, breathing, level of consciousness.
D) grimace, movement, skin moisture.

Question 43

The EMT is performing CPR on a neonate. Which one of the following is the correct compression-to-ventilation ratio?

A) 3 compressions to every 1 ventilation
B) 5 compressions to every 2 ventilations
C) 15 compressions to every 5 ventilations
D) 30 compressions to every 2 ventilations

Question 44

Assessment indicates that a newborn's respiratory rate is 40 breaths per minute and his heart rate is 80 beats per minute. The EMT should:

A) administer high-concentration oxygen.
B) start positive pressure ventilation.
C) continue to monitor the baby.
D) start chest compressions.

Question 45

The EMT should recognize that a newborn is stable when assessment shows:

A) heart rate of 120 beats per minute.
B) respirations of 28 per minute.
C) facial grimace when irritated.
D) heart rate between 60 and 100 beats per minute.

Question 46

A 31-year-old is in labor. After ensuring her airway, breathing, and circulation, you assess her perineum and observe the umbilical cord protruding from the vagina. However, the baby is not visible. Your next action would be to:

A) place the patient in a knee-chest position.
B) prepare and apply high-concentration oxygen to the mother.
C) place a saline-soaked dressing over the cord.
D) gently pull the cord to assist in delivery.

Question 47

Despite positive pressure ventilation, a newborn's heart rate has fallen from 80 beats per minute to 40. He is breathing 40 breaths per minute and has a mottled appearance. Your next action would be to:

A) continue positive pressure ventilation.
B) suction the nose and mouth.
C) start cardiopulmonary resuscitation.
D) attach an AED with pediatric pads.

Question 48

After successfully delivering a baby, the EMT notes that the protruding umbilical cord is lengthening and a small gush of blood came out of the vagina. The appropriate action would be to:

A) massage the patient's uterus.
B) apply a sanitary pad over the vaginal opening.
C) prepare for delivery of the placenta.
D) open the vaginal canal using obstetric forceps.

Question 49

Assessment of a newborn indicates that his heart rate is 120 beats per minute. How many points should he be awarded according to the APGAR scoring system?

A) 0
B) 1
C) 2
D) 3

Question 50

The EMT shows an understanding of newborn resuscitation when she states:

A) "Most newborns require aggressive resuscitation immediately after birth."
B) "The EMT must use high-concentration oxygen sparingly because it can be toxic to a baby."
C) "Interventions should be performed for 30 seconds followed by reassessment."
D) "CPR should only be used when the baby is unresponsive, apneic, and pulseless."

Question 51

The EMT shows he understands care of the post-delivery mother when he states:

A) "Allowing the baby to nurse immediately after delivery can help to control uterine bleeding."
B) "We should be concerned if there is any bleeding from the vagina following delivery."
C) "If blood is observed coming from the vagina after the baby has been delivered, the mother should be placed in the shock position."
D) "Post-delivery hemorrhage can best be controlled by inserting a bulky dressing into the vagina."

Question 52

The APGAR scoring system is useful in determining:

A) type of resuscitation needed.
B) precise age of gestation.
C) status of overall condition.
D) maturity of heart and lungs.

Question 53

A newborn's first APGAR score was 6. His second APGAR score is 9. This indicates which one of the following?

A) Improvement
B) Need for extensive resuscitation
C) Total score of 15
D) Poor heart and lung function

Question 54

The EMT recognizes which one of the following to be a normal respiratory rate for a newborn?

A) 56 breaths per minute
B) 24 breaths per minute
C) 70 breaths per minute
D) 16 breaths per minute

Question 55

It has been 30 minutes and the placenta has yet to deliver. The EMT should:

A) continue to monitor the patient and baby.
B) apply gentle traction to the protruding umbilical cord.
C) place the mother in a knee-chest position.
D) move the patient into a side-lying position.

Question 56

When should the EMT use the APGAR scoring system on a newborn?

A) Before and after the baby is dried and warmed
B) Ten minutes after birth and then at 20 minutes, if needed
C) Just prior to delivery and then five minutes after delivery
D) One and five minutes after the baby has been delivered

Question 57

Which one of the following shows that the EMT is correctly performing a uterine massage?

A) She uses the lower palms of both hands to firmly press downward on the uterus.
B) Both hands are positioned at the symphysis pubis and she pushes with an upward motion.
C) She places her hands on the upper abdomen and pushes the uterus toward the pelvis.
D) Both hands cup the uterus, with one of the hands positioned just above the symphysis pubis.

Question 58

Assessment of a newborn indicates that she has slow and irregular respirations with a weak cry. You should award her how many points according to the APGAR scoring system?

A) 0
B) 1
C) 2
D) 3

Question 59

Which one of the following assessment findings indicates that the newborn is distressed?

A) Loud crying
B) Respiratory rate of 50
C) APGAR score of 8
D) Heart rate of 90

Question 60

After positive pressure ventilation, a newborn's heart rate increases from 80 to 120 beats per minute. The EMT should:

A) document the findings.
B) continue positive pressure ventilation.
C) insert an oral airway.
D) provide blow-by oxygen.

Question 61

Which one of the following statements about a limb presentation is true?

A) The EMT can try one time to deliver the baby.
B) There is little danger unless the umbilical cord is also protruding.
C) The baby is most likely premature.
D) A cesarean section birth will be required.

Question 62

The EMT would recognize which one of the following babies as premature?

A) A baby weighing 8 pounds 6 ounces born at 39 weeks
B) A baby weighing 7 pounds 4 ounces born at 37 weeks
C) A baby weighing 6 pounds 2 ounces born at 38 weeks
D) A baby weighing 8 pounds 6 ounces born at 41 weeks

Question 63

The EMT shows that he understands the seriousness of a prolapsed umbilical cord when he states:

A) "The priority when treating a patient with a prolapsed umbilical cord is keeping the cord moist."
B) "A prolapsed cord can stop the flow of oxygen to the baby and must be addressed immediately."
C) "If the cord is observed protruding from the vagina, it should be clamped and cut immediately."
D) "A baby can bleed to death inside the uterus if the cord is compressed for more than 10 minutes."

Question 64

The EMT shows that he can accurately differentiate placenta previa from abruptio placentae when he states:

A) "Abruptio placentae typically occurs in the first and second trimester; placenta previa occurs in the third trimester."
B) "Bleeding associated with abruptio placentae is typically associated with abdominal pain; bleeding associated with placenta previa is painless."
C) "Abruptio placentae rarely results in the death of the baby; the mortality rate of placenta previa is high."
D) "The blood lost with placenta previa is dark red; the color of blood associated with abruptio placentae is bright red."

Question 65

A young female is complaining of sharp pain to the left lower quadrant of her abdomen. She states that her last period was seven weeks ago. With this information, the EMT should be suspicious of:

A) placenta previa.
B) appendicitis.
C) abruptio placentae.
D) ectopic pregnancy.

Question 66

While delivering a baby in the field, the EMT notices that the baby is covered with a green-brown liquid. The EMT should immediately recognize that:

A) the baby was distressed and may be hypoxic.
B) there is an infection in the amniotic membrane and fluid.
C) the baby is premature and covered with vernix.
D) the amniotic sac has yet to rupture.

Question 67

You have been called to a home for a female patient in labor. On scene the family tells you that the 37-year-old patient is 42 weeks pregnant and wanted to have her baby at home naturally. They tell you that she has been in labor for over 24 hours and suddenly began complaining of severe and tearing abdominal pain. What condition should the EMT suspect?

A) Placenta previa
B) Preeclampsia
C) Ectopic pregnancy
D) Ruptured uterus

Question 68

You are transporting a female patient who is seven months pregnant. She has been diagnosed with preeclampsia and is currently hypertensive. Which one of the following statements made by the patient indicates she may be transitioning from preeclampsia to eclampsia?

A) "I feel like I am going to have a seizure."
B) "My legs and feet are more swollen."
C) "I have gained 10 pounds just this month."
D) "I think that I may have to vomit."

Question 69

Which one of the following statements about the umbilical cord is true?

A) It connects the placenta and uterus.
B) It detoxifies blood before delivery to the baby.
C) It contains one vein and two arteries.
D) It produces hormones for the baby.

Question 70

You have been dispatched for a young female in labor. On arrival you find an arm protruding from the vagina. Which of the following should you do next?

A) Attempt to replace the arm into the vaginal canal.
B) Place the mother in a knee-chest position.
C) Insert a gloved hand into the vagina to locate the baby's head.
D) Have the mother push when she feels a contraction.

Question 71

In which of the following abnormal birth presentations is it permissible for the EMT to place a gloved hand into the vaginal canal?

A) Placenta previa
B) Multiple birth delivery
C) Prolapsed umbilical cord
D) Limb presentation

Question 72

Assessment of a pregnant patient in labor reveals what appears to be the baby's buttocks presenting at the vaginal opening. The EMT would immediately:

A) lay the patient on her left side and administer high-concentration oxygen.
B) place both hands on the abdomen and attempt to turn the baby into a head-down position.
C) put the patient in a semi-Fowler's position on the stretcher and immediately transport.
D) place the mother in a supine, head-down position with hips elevated and administer high-concentration oxygen.

Question 73

You have been called to a residence for a 21-year-old female in labor. On location you immediately see that the head of the baby is out of the vagina. While delivering the head, the mother screams that she is having twins. The EMT should immediately:

A) place the mother on her left side.
B) provide blow-by oxygen to the baby.
C) call for another EMT crew.
D) place her on the stretcher for transport.

Question 74

In a normal fertilization, the egg and sperm meet in which structure?

A) Uterus
B) Fallopian tube
C) Cervix
D) Vaginal canal

Question 75

The mother is 34 weeks along, and you are delivering the baby. As soon as the baby is completely delivered, you should immediately:

A) check the baby's breath sounds.
B) administer high-concentration oxygen to the baby.
C) thoroughly suction the airway.
D) dry the baby with a warm towel.

Question 76

You arrive at the residence of a physician who informs you that his pregnant wife requires immediate transport to the hospital because she is bleeding and has a history of abruptio placentae. As a knowledgeable EMT, you should recognize that the greatest threat to the baby is:

A) infection.
B) maternal shock.
C) hypoxia.
D) fluid loss.

Question 77

You have been called to a crisis shelter for a patient possibly having a baby. On scene you find an older female patient who is mentally retarded and cannot communicate normally. Staff states that the patient just came to the shelter and they know nothing about her, other than that she is pregnant. Assessment reveals crowning, and you proceed to deliver what appears to be a healthy baby boy. When assessing the mother after delivery, which one of the following signs should increase the EMT's suspicion that the woman may be carrying twins?

A) The mother continues to bleed vaginally.
B) The woman's abdomen becomes soft and boggy following delivery.
C) A large placenta is delivered within seconds of the first baby.
D) The mother's abdomen remains large after delivery of the baby.

Question 78

Which finding is of greatest concern when assessing a 33-year-old female who is eight months pregnant?

A) Shortness of breath when lying flat
B) Recent onset of a fever of 99.3°F
C) Daily contractions that are irregular and painful
D) Vaginal bleeding not associated with pain

Question 79

When faced with the possibility of delivering twins, the EMT must remember that:

A) there will only be one umbilical cord that needs to be cut.
B) twins are typically born after 40 weeks, making them larger.
C) both babies are typically in the vaginal canal at the same time.
D) a significant number of the second infants are born breech.

Question 80

The EMT shows she has a proper understanding of Braxton-Hicks contractions when she says:

A) "They often are called false contractions and do not require hospital evaluation."
B) "They are often irregular and painless and should be evaluated in the hospital."
C) "They are painless, but are capable of delivering the baby very quickly."
D) "They can be differentiated from labor contractions by the presence of vaginal discharge."