Question 1

Any fetal heart rate less than 120 beats per minute is cause for concern and the patient needs further medical evaluation.

Accepted Answer

False

Question 2

The Paramedic should consider palpating for the fetal outline if the patient is at least 24 weeks' pregnant and birth may be imminent.

Accepted Answer

False

Question 3

The EDD can be calculated by Naegle's rule, which is based on the first day of the last menstrual period.

Accepted Answer

Naegle's rule is based on the first day of the last menstrual period and is commonly used to estimate the EDD (expected date of delivery) for pregnant women.

Question 4

A patient's syncope may have nothing to do with her pregnancy, but may instead relate to some preexisting medical condition.

Accepted Answer

It is possible for a patient's syncope (fainting) to be related to a preexisting medical condition, such as heart disease or dehydration, and not be directly related to her pregnancy. It is important for healthcare providers to consider and evaluate all possible causes of syncope in a pregnant patient.

Question 5

It is estimated that up to ____ of women have some spotting in the first trimester.

Accepted Answer

It is estimated that up to 25% of women experience some spotting during the first trimester of pregnancy.

Question 6

Magnesium sulfate can be administered intramuscularly, but it is painful and its uptake can be erratic.

Accepted Answer

Magnesium sulfate can indeed be administered intramuscularly, but it is known to be a painful method of administration and its absorption can be variable. Other routes of administration such as intravenous may be preferred when immediate effects are required.

Question 7

Over half the pregnancies in the United States are unplanned.

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), more than half (approximately 50-54%) of pregnancies in the United States are unintended or unplanned.

Question 8

Toxoplasmosis is a parasitic disease whose primary host is the common house cat.

Accepted Answer

Toxoplasmosis is caused by the Toxoplasma gondii parasite, which primarily infects cats and their feces. Humans can also acquire the disease through contact with contaminated cat litter, soil, or undercooked meat.

Question 9

By the seventh week of development, the embryonic period is completed.

Accepted Answer

By the end of the seventh week of development, the embryonic period is completed and the fetal period begins.

Question 10

A Pfannenstiel incision is a vertical scar along the midline of the abdomen.

Accepted Answer

A Pfannenstiel incision is actually a horizontal incision made across the lower abdomen. It is commonly used in gynecological and obstetric surgeries, as well as in some cases of abdominal surgery.

Question 11

Typically, it is easiest to hear the fetal heart tones over the fetus's back.

Accepted Answer

The fetal heart tones are easiest to hear over the fetal back. The fetal back is the surface closest to the front of the mother's abdomen, making it the most accessible area for the healthcare provider to listen for the heartbeat using a fetal Doppler or fetoscope. However, the position of the fetus can affect the location where the heart tones are heard most clearly, so the healthcare provider may need to move the Doppler or fetoscope around to locate the best spot.

Question 12

The second trimester starts at the second month and continues to the end of the fifth month.

Accepted Answer

The second trimester starts at the beginning of the fourth month (around week 13) and continues to the end of the sixth month (around week 27-28).

Question 13

Abdominal pain is uncommon during pregnancy.

Accepted Answer

Abdominal pain is actually a common symptom during pregnancy and can be caused by a variety of reasons such as round ligament pain, contractions, gas and bloating, constipation, and more serious conditions like ectopic pregnancy or placental abruption. It is important to always discuss any abdominal pain with a healthcare provider during pregnancy.

Question 14

Hormonal changes contribute to nausea and vomiting in up to 70% to 85% of women in their first trimester of pregnancy.

Accepted Answer

Hormonal changes, specifically the rise of human chorionic gonadotropin (hCG) and estrogen, are a common cause of nausea and vomiting in early pregnancy.

Question 15

For women with regular menstrual cycles, the absence of menstruation, or ____, is an indication of possible pregnancy.

Accepted Answer

Amenorrhea is defined as the absence of menstruation for three to six months or longer, depending on the individual's typical menstrual cycle. For women with regular menstrual cycles, the absence of menstruation may indicate pregnancy. Menorrhagia is excessive menstrual bleeding, dysmenorrhea is painful menstruation, and oligomenorrhea is infrequent menstrual periods.

Question 16

Women who are pregnant are prone to hypoglycemia.

Accepted Answer

During pregnancy, the body produces several hormones that can lead to insulin resistance, which can cause low blood sugar levels (hypoglycemia). Pregnant women are also advised to eat frequent small meals throughout the day to help maintain their blood sugar levels.

Question 17

Pregnancy is divided into trimesters, each lasting approximately ____ weeks.

Accepted Answer

Pregnancy is typically divided into three trimesters, each lasting about 13 weeks. This division helps in monitoring the development of the fetus and the health of the mother throughout the pregnancy.

Question 18

During a normal pregnancy the woman's blood volume decreases markedly from about the sixth week of pregnancy until weeks 32 to 34.

Accepted Answer

During a normal pregnancy, the woman's blood volume actually increases by about 30-50% to support the growing fetus and prepare for delivery.

Question 19

The ____ is a vital organ with three main functions: metabolism, transfer of nutrients and waste, and endocrine functions.

Accepted Answer

The answer of The ____ is a vital organ with...

Question 20

The ovum implants itself into the uterine wall during the ____ trimester.

Accepted Answer

The ovum implants itself into the uterine wall during the first trimester of pregnancy, typically around six to ten days after fertilization.

Quiz 35: Normal Pregnancy