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?&#10;A) &#34;I had some belly cramps two weeks ago.&#34;&#10;B) &#34;I was a drug addict when I was a teenager.&#34;&#10;C) &#34;I have not been able to see the doctor this pregnancy.&#34;&#10;D) &#34;My last baby came two weeks late.&#34;

Accepted Answer

The fact that the patient has not been able to see a doctor during her pregnancy is concerning as she may not have received adequate prenatal care and there may be potential complications that have gone unnoticed.

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:&#10;A) place a cold pack on the mother's abdomen just below the umbilicus.&#10;B) apply a sterile gauze dressing with gentle pressure above the vagina.&#10;C) place a sterile dressing between the mother's vagina and rectum.&#10;D) insert sterile gauze into the vagina and leave in place until bleeding stops.

Accepted Answer

Placing a sterile dressing between the mother's vagina and rectum is appropriate for managing a torn perineum and controlling bleeding, as it applies direct pressure to the area without inserting anything into the vagina, which could cause further harm.

Question 3

A female patient is described as primigravida. Consequently, the EMT would recognize that:&#10;A) she is pregnant for the first time.&#10;B) she has only one child.&#10;C) she has never been pregnant.&#10;D) she has been pregnant before but miscarried.

Accepted Answer

Primigravida means a woman who is pregnant for the first time.

Question 4

Which of the following statements best indicates that the patient is in the second stage of labor?&#10;A) &#34;The contractions are beginning to hurt now.&#34;&#10;B) &#34;I think that my water just broke.&#34;&#10;C) &#34;I feel like I have to move my bowels.&#34;&#10;D) &#34;It feels good not to have to push anymore.&#34;

Accepted Answer

The feeling of having to move the bowels is a common sensation during the second stage of labor, as the baby moves down the birth canal and puts pressure on the rectum. This is known as the "pushing stage" and is characterized by strong contractions and the urge to push. The other statements may occur earlier in labor or during later stages.

Question 5

The EMT should recognize a full-term pregnancy in which one of the following patients?&#10;A) 21-year-old who is 39 weeks pregnant and feeling dizzy&#10;B) 40-year-old beginning her third trimester but whose water just broke&#10;C) 25-year-old who is 220 days into pregnancy and complaining of back pain&#10;D) 33-year-old pregnant with twins in the eighth month of pregnancy

Accepted Answer

A patient who is 39 weeks pregnant is considered full-term, which means the fetus has reached its complete development inside the womb. The other options are not full-term pregnancies. B) Although the patient is in her third trimester, the fact that her water broke indicates that she is in labor, which means the fetus has not completed its development inside the womb. C) 220 days into pregnancy would only be approximately 31 weeks, which is not full-term. D) Although the patient is in her eighth month of pregnancy, the fact that she is pregnant with twins means that the fetuses are likely smaller and still developing, which means they may not be full-term yet.

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?&#10;A) &#34;How many times have you been pregnant?&#34;&#10;B) &#34;Is there any possibility you are pregnant?&#34;&#10;C) &#34;Are you having any vaginal discharge?&#34;&#10;D) &#34;Are your menstrual periods regular?&#34;

Accepted Answer

Asking about the possibility of pregnancy is important because it can affect the diagnostic and treatment plan for the patient. It is important to rule out pregnancy as a potential cause for abdominal pain. The other questions may be relevant but are not as crucial to ask first.

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.

Accepted Answer

The answer of A female patient who is eight and...

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.

Accepted Answer

The patient's low blood pressure and high pulse rate suggest that she may be experiencing hypovolemia or shock. Rolling her onto her side can help improve blood flow to the heart and brain and prevent aspiration in case she is vomiting or nauseous. This maneuver can provide immediate benefits to the patient and should be done before any further assessment or intervention. Rechecking the blood pressure may be indicated after the patient has been repositioned and stabilized. Determining any complications of the pregnancy can also be important but may not be immediately necessary in this critical situation. Starting positive pressure ventilation may not be indicated unless the patient's breathing becomes inadequate or compromised.

Question 9

Why is the uterus essential to a healthy pregnancy?&#10;A) Permits the excretion of waste from the baby to the mother&#10;B) Protects abdominal organs during fetal growth&#10;C) Manufactures specific blood cells needed for fetal immunity&#10;D) Powerfully contracts to force the fetus from the mother's body

Accepted Answer

The answer of Why is the uterus essential to a...

Question 10

Prior to delivery, the EMT prepares to create a sterile field around the patient's vaginal opening. This is best accomplished by:&#10;A) placing sheets from the OB kit over both the patient's legs and her abdomen.&#10;B) using towels from the patient's residence to wrap each leg and cover her abdomen.&#10;C) using a sheet from the patient's bed to cover her abdomen and groin.&#10;D) placing a sheet from the OB kit under the patient's hips and another over her abdomen and legs.

Accepted Answer

Placing a sheet from the OB kit under the patient's hips and another over her abdomen and legs creates a sterile field around the vaginal opening. Using towels from the patient's residence or a sheet from the patient's bed may not provide adequate sterile coverage. Placing sheets from the OB kit over both the patient's legs and her abdomen may be cumbersome and difficult to maintain during delivery.

Question 11

Which of the following lists the stages of labor in the order in which they occur?&#10;A) Uterine, delivery, and recovery&#10;B) Dilation, expulsion, and placental&#10;C) Uterine, expulsion, placental, and recovery&#10;D) Dilation, delivery, placental, and afterbirth

Accepted Answer

The answer of Which of the following lists the stages...

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

Accepted Answer

The answer of You are assessing a female patient who...

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?&#10;A) &#34;It contains fluid and surrounds and protects the uterus.&#34;&#10;B) &#34;It contains a fluid called Wharton's jelly that enables the baby to breathe and move.&#34;&#10;C) &#34;It must rupture during the second trimester of pregnancy for fetal development to progress.&#34;&#10;D) &#34;It protects and insulates the baby during pregnancy.&#34;

Accepted Answer

The answer of An EMT is presenting a continuing education...

Question 14

A patient is 7 cm dilated and complaining of painful contractions. What stage of labor should the EMT identify?&#10;A) First stage&#10;B) Expulsion&#10;C) Third stage&#10;D) Uterine

Accepted Answer

The answer of A patient is 7 cm dilated and...

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?"

Accepted Answer

The answer of When asked, a young female with abdominal...

Question 16

The EMT would use the sterile scissors found in the OB kit to cut which of the following?&#10;A) Towels to create a sterile field&#10;B) Umbilical cord&#10;C) Patient's clothing&#10;D) Amniotic sac (if not ruptured)

Accepted Answer

The answer of The EMT would use the sterile scissors...

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."

Accepted Answer

The answer of A woman informs you that she is...

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?&#10;A) Several painless contractions&#10;B) Increased desire to eat&#10;C) Increased weight over the past month&#10;D) Intermittent vaginal bleeding

Accepted Answer

The answer of You have completed the assessment of a...

Question 19

Which statement regarding the role and function of the cervix during pregnancy is true?&#10;A) &#34;The cervix constricts near the time of delivery to prevent a premature birth.&#34;&#10;B) &#34;The cervix becomes plugged with mucus to prevent contamination of the uterus.&#34;&#10;C) &#34;The EMT can palpate the cervix to measure the contractions that the mother is having.&#34;&#10;D) &#34;The 'bloody show' comes from the cervix and confirms pregnancy in the first trimester.&#34;

Accepted Answer

The answer of Which statement regarding the role and function...

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

Accepted Answer

The answer of Five minutes after delivering a baby, the...

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

Accepted Answer

The answer of You are responding to a low-income apartment...

Question 22

When cutting the umbilical cord, how should the baby be positioned?&#10;A) Six inches below the vaginal opening&#10;B) Upright and on the mother's chest (if possible)&#10;C) Level with the vaginal opening&#10;D) Prone and in a head-down position

Accepted Answer

The answer of When cutting the umbilical cord, how should...

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?&#10;A) &#34;If you want another child, wait a few months and then get pregnant again.&#34;&#10;B) &#34;It is best to stay strong; your other child needs your support.&#34;&#10;C) &#34;I think in the long run you will be okay and things will work out.&#34;&#10;D) &#34;Is there anything that I can do to help you right now?&#34;

Accepted Answer

The answer of You are transporting a young female who...

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:&#10;A) avoid immobilization, given the stage of pregnancy.&#10;B) immobilize her, and then tilt the long spine board to the left.&#10;C) transport in a semi-Fowler's position with a cervical collar in place.&#10;D) apply a cervical collar and transport her on her side.

Accepted Answer

The answer of A 31-year-old female in her third trimester...

Question 25

Which statement indicates an understanding of the relationship between seizures and pregnancy?&#10;A) &#34;Prolonged seizures can easily cause the mother and baby to become hypoxic.&#34;&#10;B) &#34;A short seizure in the pregnant female with a seizure history generally does not require transport.&#34;&#10;C) &#34;Seizure activity in the pregnant female is typically not life-threatening unless the patient has had seizures in the past.&#34;&#10;D) &#34;If the pregnant patient is seizing, the EMT must quickly make a decision to administer or withhold her antiseizure medications.&#34;

Accepted Answer

The answer of Which statement indicates an understanding of the...

Question 26

Which one of the following statements regarding the placenta after the baby has been born is accurate?&#10;A) &#34;The EMT must deliver the placenta by applying gentle pressure to the abdomen after the baby has been born.&#34;&#10;B) &#34;The placenta is full of bacteria and should not be transported in the ambulance near the baby.&#34;&#10;C) &#34;It is essential that the mother not be moved until the placenta has been delivered.&#34;&#10;D) &#34;The placenta typically delivers itself within 20 minutes of the birth of the baby.&#34;

Accepted Answer

The answer of Which one of the following statements regarding...

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.

Accepted Answer

The answer of You are assessing a 29-year-old who has...

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:&#10;A) cut the sac with the sterile scissors in the OB kit.&#10;B) transfer the patient to the stretcher for immediate transport.&#10;C) continue with the delivery of the baby.&#10;D) break open the amniotic sac with your fingers.

Accepted Answer

The answer of You are delivering a baby in the...

Question 29

While delivering a baby, you note that the umbilical cord is wrapped around the baby's neck. You would:&#10;A) clamp and cut the cord.&#10;B) stop the delivery and transport.&#10;C) slip the cord over the baby's shoulders.&#10;D) contact medical direction.

Accepted Answer

The answer of While delivering a baby, you note that...

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."

Accepted Answer

The answer of You have been called for a 16-year-old...

Question 31

As soon as the baby is delivered from the vaginal canal, it is critical that the EMT immediately:&#10;A) clamp and cut the umbilical cord.&#10;B) dry and warm the newborn.&#10;C) perform the APGAR assessment.&#10;D) obtain a pulse oximetry reading.

Accepted Answer

The answer of As soon as the baby is delivered...

Question 32

When should the EMT instruct his partner to cut the umbilical cord?&#10;A) Immediately after delivery of the placenta&#10;B) Following delivery and after the baby has been dried and suctioned&#10;C) Just prior to passage of the legs through the vaginal canal&#10;D) After the 1-minute APGAR score has been obtained

Accepted Answer

The answer of When should the EMT instruct his partner...

Question 33

Which one of the following actions shows that the EMT is properly caring for the cord after delivery?&#10;A) The cord is cut 1 inch from the baby's abdomen.&#10;B) The clamps are removed from the cord after cutting.&#10;C) The cord is clamped but not cut until arrival at the hospital.&#10;D) There is a 6-inch segment of cord still connected to the baby.

Accepted Answer

The answer of Which one of the following actions shows...

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:&#10;A) place the patient on the cot in the left lateral recumbent position, and then proceed with emergency transport.&#10;B) have the patient hold her legs together, and then move her to the ambulance for delivery of the baby.&#10;C) obtain vital signs, and then move to the ambulance for a nonemergency transport.&#10;D) place the patient on her back, and then open and prepare the OB kit.

Accepted Answer

The answer of You have arrived at the side of...

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.

Accepted Answer

The answer of While en route for a pregnant patient...

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?&#10;A) Turn the baby clockwise and continue delivery.&#10;B) Check the neck for the umbilical cord.&#10;C) Gently pull the baby toward you.&#10;D) Suction the baby's mouth, and then nose.

Accepted Answer

The answer of You are in the process of a...

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?&#10;A) &#34;Please lie on your back, draw your knees upward, and spread your legs apart.&#34;&#10;B) &#34;I am going to place you on your left side with your legs up until the baby's head is visible.&#34;&#10;C) &#34;Please lie back, and then elevate both legs into the air. Your husband will help you hold them up.&#34;&#10;D) &#34;I'd like you to lie flat on the bed and bend your right leg while keeping your left leg straight.&#34;

Accepted Answer

The answer of You have determined that you will need...

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.

Accepted Answer

The answer of You arrive at the side of a...

Question 39

Which one of the following actions indicates that the EMT is properly suctioning the newborn?&#10;A) He suctions the nose first followed by the mouth.&#10;B) He inserts the bulb syringe deep into the oropharynx to get thick secretions.&#10;C) He uses the portable suction unit on the &#34;high&#34; setting.&#10;D) He squeezes the bulb syringe prior to placing it in the baby's nose.

Accepted Answer

The answer of Which one of the following actions indicates...

Question 40

What patient should the EMT be most suspicious of having a spontaneous abortion?&#10;A) 16-year-old, 24 weeks pregnant, with painless contractions&#10;B) 21-year-old, six weeks pregnant, passing vaginal blood clots&#10;C) 32-year-old, in third trimester, passing foul-smelling and bloody vaginal discharge&#10;D) 38-year-old, 36 weeks pregnant, having abdominal pain with painless vaginal bleeding

Accepted Answer

The answer of What patient should the EMT be most...

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:&#10;A) transport with lights and sirens.&#10;B) insert sterile gauze into the vaginal canal.&#10;C) perform a uterine massage.&#10;D) place the mother on her left side.

Accepted Answer

The answer of After delivery, you note some blood oozing...

Question 42

The components of the APGAR scoring system include:&#10;A) airway, breathing, circulation.&#10;B) heart rate, activity, respirations.&#10;C) airway, breathing, level of consciousness.&#10;D) grimace, movement, skin moisture.

Accepted Answer

The answer of The components of the APGAR scoring system...

Question 43

The EMT is performing CPR on a neonate. Which one of the following is the correct compression-to-ventilation ratio?&#10;A) 3 compressions to every 1 ventilation&#10;B) 5 compressions to every 2 ventilations&#10;C) 15 compressions to every 5 ventilations&#10;D) 30 compressions to every 2 ventilations

Accepted Answer

The answer of The EMT is performing CPR on a...

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:&#10;A) administer high-concentration oxygen.&#10;B) start positive pressure ventilation.&#10;C) continue to monitor the baby.&#10;D) start chest compressions.

Accepted Answer

The answer of Assessment indicates that a newborn's respiratory rate...

Question 45

The EMT should recognize that a newborn is stable when assessment shows:&#10;A) heart rate of 120 beats per minute.&#10;B) respirations of 28 per minute.&#10;C) facial grimace when irritated.&#10;D) heart rate between 60 and 100 beats per minute.

Accepted Answer

The answer of The EMT should recognize that a newborn...

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.

Accepted Answer

The answer of A 31-year-old is in labor. After ensuring...

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.

Accepted Answer

The answer of Despite positive pressure ventilation, a newborn's heart...

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:&#10;A) massage the patient's uterus.&#10;B) apply a sanitary pad over the vaginal opening.&#10;C) prepare for delivery of the placenta.&#10;D) open the vaginal canal using obstetric forceps.

Accepted Answer

The answer of After successfully delivering a baby, the EMT...

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?&#10;A) 0&#10;B) 1&#10;C) 2&#10;D) 3

Accepted Answer

The answer of Assessment of a newborn indicates that his...

Question 50

The EMT shows an understanding of newborn resuscitation when she states:&#10;A) &#34;Most newborns require aggressive resuscitation immediately after birth.&#34;&#10;B) &#34;The EMT must use high-concentration oxygen sparingly because it can be toxic to a baby.&#34;&#10;C) &#34;Interventions should be performed for 30 seconds followed by reassessment.&#34;&#10;D) &#34;CPR should only be used when the baby is unresponsive, apneic, and pulseless.&#34;

Accepted Answer

The answer of The EMT shows an understanding of newborn...

Question 51

The EMT shows he understands care of the post-delivery mother when he states:&#10;A) &#34;Allowing the baby to nurse immediately after delivery can help to control uterine bleeding.&#34;&#10;B) &#34;We should be concerned if there is any bleeding from the vagina following delivery.&#34;&#10;C) &#34;If blood is observed coming from the vagina after the baby has been delivered, the mother should be placed in the shock position.&#34;&#10;D) &#34;Post-delivery hemorrhage can best be controlled by inserting a bulky dressing into the vagina.&#34;

Accepted Answer

The answer of The EMT shows he understands care of...

Question 52

The APGAR scoring system is useful in determining:&#10;A) type of resuscitation needed.&#10;B) precise age of gestation.&#10;C) status of overall condition.&#10;D) maturity of heart and lungs.

Accepted Answer

The answer of The APGAR scoring system is useful in...

Question 53

A newborn's first APGAR score was 6. His second APGAR score is 9. This indicates which one of the following?&#10;A) Improvement&#10;B) Need for extensive resuscitation&#10;C) Total score of 15&#10;D) Poor heart and lung function

Accepted Answer

The answer of A newborn's first APGAR score was 6....

Question 54

The EMT recognizes which one of the following to be a normal respiratory rate for a newborn?&#10;A) 56 breaths per minute&#10;B) 24 breaths per minute&#10;C) 70 breaths per minute&#10;D) 16 breaths per minute

Accepted Answer

The answer of The EMT recognizes which one of the...

Question 55

It has been 30 minutes and the placenta has yet to deliver. The EMT should:&#10;A) continue to monitor the patient and baby.&#10;B) apply gentle traction to the protruding umbilical cord.&#10;C) place the mother in a knee-chest position.&#10;D) move the patient into a side-lying position.

Accepted Answer

The answer of It has been 30 minutes and the...

Question 56

When should the EMT use the APGAR scoring system on a newborn?&#10;A) Before and after the baby is dried and warmed&#10;B) Ten minutes after birth and then at 20 minutes, if needed&#10;C) Just prior to delivery and then five minutes after delivery&#10;D) One and five minutes after the baby has been delivered

Accepted Answer

The answer of When should the EMT use the APGAR...

Question 57

Which one of the following shows that the EMT is correctly performing a uterine massage?&#10;A) She uses the lower palms of both hands to firmly press downward on the uterus.&#10;B) Both hands are positioned at the symphysis pubis and she pushes with an upward motion.&#10;C) She places her hands on the upper abdomen and pushes the uterus toward the pelvis.&#10;D) Both hands cup the uterus, with one of the hands positioned just above the symphysis pubis.

Accepted Answer

The answer of Which one of the following shows that...

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?&#10;A) 0&#10;B) 1&#10;C) 2&#10;D) 3

Accepted Answer

The answer of Assessment of a newborn indicates that she...

Question 59

Which one of the following assessment findings indicates that the newborn is distressed?&#10;A) Loud crying&#10;B) Respiratory rate of 50&#10;C) APGAR score of 8&#10;D) Heart rate of 90

Accepted Answer

The answer of Which one of the following assessment findings...

Question 60

After positive pressure ventilation, a newborn's heart rate increases from 80 to 120 beats per minute. The EMT should:&#10;A) document the findings.&#10;B) continue positive pressure ventilation.&#10;C) insert an oral airway.&#10;D) provide blow-by oxygen.

Accepted Answer

The answer of After positive pressure ventilation, a newborn's heart...

Question 61

Which one of the following statements about a limb presentation is true?&#10;A) The EMT can try one time to deliver the baby.&#10;B) There is little danger unless the umbilical cord is also protruding.&#10;C) The baby is most likely premature.&#10;D) A cesarean section birth will be required.

Accepted Answer

The answer of Which one of the following statements about...

Question 62

The EMT would recognize which one of the following babies as premature?&#10;A) A baby weighing 8 pounds 6 ounces born at 39 weeks&#10;B) A baby weighing 7 pounds 4 ounces born at 37 weeks&#10;C) A baby weighing 6 pounds 2 ounces born at 38 weeks&#10;D) A baby weighing 8 pounds 6 ounces born at 41 weeks

Accepted Answer

The answer of The EMT would recognize which one of...

Question 63

The EMT shows that he understands the seriousness of a prolapsed umbilical cord when he states:&#10;A) &#34;The priority when treating a patient with a prolapsed umbilical cord is keeping the cord moist.&#34;&#10;B) &#34;A prolapsed cord can stop the flow of oxygen to the baby and must be addressed immediately.&#34;&#10;C) &#34;If the cord is observed protruding from the vagina, it should be clamped and cut immediately.&#34;&#10;D) &#34;A baby can bleed to death inside the uterus if the cord is compressed for more than 10 minutes.&#34;

Accepted Answer

The answer of The EMT shows that he understands the...

Question 64

The EMT shows that he can accurately differentiate placenta previa from abruptio placentae when he states:&#10;A) &#34;Abruptio placentae typically occurs in the first and second trimester; placenta previa occurs in the third trimester.&#34;&#10;B) &#34;Bleeding associated with abruptio placentae is typically associated with abdominal pain; bleeding associated with placenta previa is painless.&#34;&#10;C) &#34;Abruptio placentae rarely results in the death of the baby; the mortality rate of placenta previa is high.&#34;&#10;D) &#34;The blood lost with placenta previa is dark red; the color of blood associated with abruptio placentae is bright red.&#34;

Accepted Answer

The answer of The EMT shows that he can accurately...

Deck 37: Obstetrics and Care of the Newborn