CH 36: OB

Question 1

Which of the following is not relevant in determining whether or not delivery is imminent for a woman in​ labor?

Answer 1

Phoning the​ patient’s obstetrician for advice

Question 2

You are called for a woman who is about to deliver. During the labor​ process, your​ patient’s water breaks. She experiences a rush of amniotic fluid and an increase in uterine contractions. The purpose of this amniotic fluid is​ to:

Answer 2

A.
allow the fetus to float during development.
B.
provide lubrication during the delivery of the baby.
C.
help maintain a constant fetal body temperature.

Question 3

Which of the following best describes placenta​ previa?

Answer 3

The placenta is implanted over the opening of the cervix.

Question 4

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?

Answer 4

B.
massaging the uterus to control bleeding.
C.
applying firm pressure with a sanitary napkin over the vaginal opening.
D.
elevating the​ mother’s feet.

Question 5

By which of the following means does the fetal blood pick up nourishment from the​ mother?

Answer 5

diffusion

Question 6

When performing chest compressions on a pregnant patient who has gone into cardiac​ arrest, what change do you need to make in the placement of your​ hands?

Answer 6

1 to 2 inches higher on the sternum

Question 7

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

Answer 7

5.5

Question 8

Traditionally an APGAR score is taken at what time intervals after​ birth?

Answer 8

1 and 5 minutes

Question 9

Which of the following best describes the term crowning​?

Answer 9

Presenting part of the baby being visible at the vaginal opening

Question 10

Which of the following is true of premature​ infants?

Answer 10

They can easily develop hypothermia.
B.
They are at risk for respiratory difficulty.
C.
They are more susceptible to infection.

Question 11

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

Answer 11

uterus

Question 12

While treating a pregnant patient in cardiac​ arrest, which of the following is the best way to keep the fetus​ alive?

Answer 12

Attempt to resuscitate the patient as you would any other cardiac arrest patient.

Question 13

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:

Answer 13

ectopic pregnancy.

Question 14

Which of the following is appropriate when caring for a premature​ baby?

Answer 14

Wrapping the infant in a​ blanket, covering his​ head, and keeping the temperature in the ambulance between 90degreesF and 100degreesF

Question 15

You are assessing a patient in labor. Her contractions are 2 minutes​ apart, lasting 30 seconds with increasing pain. She states that she does not yet feel the urge to push. These signs indicate she has reached which stage of​ delivery?

Answer 15

first stage

Question 16

Which of the following is true concerning prehospital delivery of​ twins?

Answer 16

The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm.

Question 17

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

Answer 17

Suction the mouth.
B.
Check to see if the umbilical cord is around the neck.
C.
Suction the nose.

Question 18

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?

Answer 18

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

Question 19

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

Answer 19

Clear and colorless fluid

Question 20

While treating a patient of sexual​ assault, which of the following sequences should your treatment​ follow?

Answer 20

Maintain scene​ safety, treat immediate life​ threats, treat medical and psychological​ needs, and protect criminal evidence.

Question 21

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?

Answer 21

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

Question 22

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?

Answer 22

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

Question 23

Which of the following is true regarding a pregnant​ woman?

Answer 23

Diabetes may be made worse during pregnancy.

Question 24

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

Answer 24

Thinning and dilation of the cervix

Question 25

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

Answer 25

Abruptio placentae

Question 26

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

Answer 26

placenta

Question 27

Which of the following is not advisable following complete birth of the​ infant?

Answer 27

Hold the infant by the ankles to allow the airway to drain.

Question 28

All of the following are signs of adequate breathing and circulation in the newborn

Answer 28

A. vigorous crying. C. cyanosis of only the hands and feet. D. heart rate greater than 100.

Question 29

Which of the following is true regarding ectopic​ pregnancies?

Answer 29

The fallopian tubes cannot stretch to accommodate a fetus.

Question 30

Supine hypotensive syndrome is easily prevented by transporting all​ third-trimester patients in which of the following​ positions?

Answer 30

lying on left side

Question 31

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

Answer 31

late in pregnancy

Question 32

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:

Answer 32

time her contractions.

Question 33

When assisting with a delivery in the​ field, which of the following should be done as the​ baby's head begins to emerge from the​ vagina?

Answer 33

Apply gentle pressure to the head with your gloved hand.

Question 34

Which of the following describes a breech​ presentation?

Answer 34

The infant presents buttocks first. The infant presents with both feet first.

Question 35

Which of the following is not part of a basic obstetrics​ kit?

Answer 35

Packet of suture material

Question 36

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?

Answer 36

9

Question 37

The term for a baby developing inside the​ mother's womb after 8 weeks​ is:

Answer 37

fetus

Question 38

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:

Answer 38

getting to the hospital.

Question 39

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

Answer 39

Apply direct pressure with a sanitary napkin over the vaginal opening. B. Allow the infant to​ nurse, if possible. C. Massage the uterus until it is firm.

Question 40

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

Answer 40

500 cc

Question 41

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?

Answer 41

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

Question 42

When delivering a​ baby, you should do all of the following

Answer 42

position your gloved hands at the vaginal opening. C. have someone stay at the​ mother's head if possible. D. suction the mouth​ first, then the nose.

Question 43

Which of the following is true concerning trauma in the pregnant​ woman?

Answer 43

She may lose up to 35 percent of her blood volume before exhibiting signs of shock.

Question 44

Which of the following is the correct technique to check for crowning in the assessment of a woman in​ labor?

Answer 44

Cover her with a​ sheet, have her remove her​ underwear, wait for a​ contraction, and then visualize the vaginal opening.

Question 45

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:

Answer 45

keep the baby off of the cord.

Question 46

When clamping the umbilical​ cord, the clamp closest to the baby should be approximately​ ________ inch(es) from the​ infant's body.

Answer 46

7

Question 47

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

Answer 47

37

Question 48

Which of the following is a cause of gynecological​ emergencies?

Answer 48

Soft-tissue trauma to the external genitalia B. Sexual assault C. Disorders of the female reproductive organs

Question 49

You have been called for a young female in labor. She is lying on the floor in obvious distress from 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:

Answer 49

supine hypotensive syndrome.

Question 50

Which of the following is the highest priority for the EMT when delivering an infant with​ meconium-stained amniotic​ fluid?

Answer 50

Being prepared to suction the infant immediately before he takes a breath

Question 51

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?

Answer 51

Pair of shoelaces

Question 52

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

Answer 52

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.

Question 53

Which of the following poses the greatest danger to the pregnant woman and her fetus when trauma​ occurs?

Answer 53

Hemorrhagic shock

Question 54

You are assessing a​ 27-year-old female who is 9 months pregnant with her first child. 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. Which of the following is the best course of​ action?

Answer 54

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.

Question 55

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

Answer 55

A. Maternal compensation for a decrease in blood pressure B. Fetal compromise C. Maternal hypotension

Question 56

You are called for a possible imminent delivery. Your patient is a​ 15-year-old girl who​ is, by 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 indicate that there may be a need for neonatal​ resuscitation?

Answer 56

The mother has not had prenatal care.

Question 57

During which stage of labor is the baby​ born?

Answer 57

2nd

Question 58

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:

Answer 58

prepare to deliver the baby​ on-scene.

Question 59

Which of the following is true concerning a stillborn​ baby?

Answer 59

The death may occur weeks before delivery.

Question 60

The muscle contraction mechanism that moves an egg down the fallopian tube toward the uterus is the same mechanism that​ moves:

Answer 60

food from the esophagus to the stomach.

Question 61

You are assessing a pregnant woman whose chief complaint is vaginal bleeding. She is 8 months pregnant and has​ moderate, bright red bleeding with no abdominal pain. She says that her doctor was concerned about the location of the placenta. This condition is known​ as:

Answer 61

placenta previa

Question 62

What term is used to describe delivery of the fetus and placenta before the 20th week of​ pregnancy?

Answer 62

Spontaneous abortion

Question 63

Which of the following is a common sign of a​ pre-delivery emergency?

Answer 63

There is profuse vaginal bleeding.

Question 64

Which of the following is an appropriate question to ask while evaluating a woman in​ labor?

Answer 64

Is this your first​ pregnancy?

Question 65

Which of the following is indicated in the prehospital management of a prolapsed umbilical​ cord?

Answer 65

Place the mother in a​ head-down position with pillows under her hips.

Question 66

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

Answer 66

Use your fingers to tear the sac away from the​ baby's face.

Question 67

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

Answer 67

Monitoring for hypovolemic shock

Question 68

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

Answer 68

From the beginning of one contraction to the beginning of the next