OB/GYN II

Question 1

If signs of brain herniation (unresponsiveness, asymmetric or bilaterally fixed and dilated pupils, decerabrate posturing, no motor response to painful stimuli) are observed in a brain-injured child, brief periods of mild ___ may be beneficial.

Answer 1

1. Hyperventilation (30 breaths/min);

-Jones & Bartlett Learning, Navigate TestPrep App

Question 2

If a prolapsed umbilical cord is noted during delivery, the paramedic’s priority is to maintain a ___ cord. Position the mother in a ___ position and/or _(procedure)_.

Answer 2

1. Pulsatile;
2. Knee-to-chest;
3. Insert your gloved fingers into her vagina and gently lift the presenting part of the baby off of the umbilical cord.
   * -Jones & Bartlett Learning, Navigate TestPrep App*

Question 3

Should a prolapsed umbilical cord be cut?

Answer 3

1. No;

-Jones & Bartlett Learning, Navigate TestPrep App

Question 4

What treatment should be applied to prolapsed cord itself?

Answer 4

1. Cover the exposed cord with a moist sterile dressing and transport without delay.

-Jones & Bartlett Learning, Navigate TestPrep App

Question 5

A clear, slightly yellowish liquid that surrounds the fetus during pregnancy; contained in the amniotic sac.

Answer 5

1. Amniotic fluid;

-Emergency Care in the Streets, 7th Ed.

Question 6

A mature oocyte.

Answer 6

1. Ovum;

-Emergency Care in the Streets, 7th Ed.

Question 7

A condition present at birth marked by a small lower jaw (micrognathia). The tongue tends to fall back and downward (glossoptosis), and there is a cleft soft palate.

Answer 7

1. Rierre Robin sequence;

-Emergency Care in the Streets, 7th Ed.

Question 8

Intentional expulsion of the fetus.

Answer 8

1. Elective abortion;

-Emergency Care in the Streets, 7th Ed.

Question 9

The stage of labor in which the newborn’s head enters the birth canal, during which contractions become more intense and more frequent.

Answer 9

1. Second stage of labor;

-Emergency Care in the Streets, 7th Ed.

Question 10

A complication of delivery in which there is difficulty delivering the shoulders of a newborn; the shoulder cannot get past the woman’s symphysis pubis.

Answer 10

1. Shoulder dystocia;

-Emergency Care in the Streets, 7th Ed.

Question 11

The conduit connecting the pregnant woman to the fetus via the placenta; contains two arteries and one vein.

Answer 11

1. Umbilical cord;

-Emergency Care in the Streets, 7th Ed.

Question 12

The time that it takes for the fetus to develop in utero, normally 38 weeks.

Answer 12

1. Gestational period;

-Emergency Care in the Streets, 7th Ed.

Question 13

A situation in which a fetus has died during the first 20 weeks of gestation, but has remained in utero.

Answer 13

1. Missed abortion;

-Emergency Care in the Streets, 7th Ed.

Question 14

An infection caused by a parasite that pregnant women may get from handling or eating contaminated food or exposure from handling cat litter; the fetus can become infected.

Answer 14

1. Toxoplasmosis;

-Emergency Care in the Streets, 7th Ed.

Question 15

A potentially fatal complication of childbirth in which the placenta fails to detach properly and results in the uterus turning inside out.

Answer 15

1. Uterine inversion;

-Emergency Care in the Streets, 7th Ed.

Question 16

The vaginal discharge of blood and mucus that occurs following the delivery of a newborn; usually last several days and then gradually decreases over the weeks following delivery.

Answer 16

1. Iochia;

-Emergency Care in the Streets, 7th Ed.

Question 17

The state of the pregnant woman before birth.

Answer 17

1. Prenatal;

-Emergency Care in the Streets, 7th Ed.

Question 18

A situation in which the head of the fetus is larger than the woman’s pelvis; in most cases, cesarean section is required for such a delivery.

Answer 18

1. Cephalopelvic disproportion;

-Emergency Care in the Streets, 7th Ed.

Question 19

Delayed transition from fetal to neonatal circulation.

Answer 19

1. Persistent pulmonary hypertension;

-Emergency Care in the Streets, 7th Ed.

Question 20

The interior of the body of the uterus.

Answer 20

1. Uterine cavity;

-Emergency Care in the Streets, 7th Ed.

Question 21

Three or more consecutive pregnancies that end in miscarriage.

Answer 21

1. Habitual abortion;

-Emergency Care in the Streets, 7th Ed.

Question 22

A condition in which there is too much amniotic fluid.

Answer 22

1. Hydramnios;

-Emergency Care in the Streets, 7th Ed.

Question 23

The fluid-filled, bagllike membrane in which the fetus develops.

Answer 23

1. Amniotic sac;

-Emergency Care in the Streets, 7th Ed.

Question 24

The term for an oocyte once it has been fertilized and multiplies into cells.

Answer 24

1. Blastocyst;

-Emergency Care in the Streets, 7th Ed.

Question 25

A delivery in which the buttocks come out first.

Answer 25

1. Breech presentation; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 26

Expulsion of all products of conception from the uterus.

Answer 26

1. Complete abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 27

A vaginal infection that is not technically a sexually transmitted infection, and which can occur in a pregnant or non-pregnant female, but which is more common in pregnancy; also called thrush or a yeast infection.

Answer 27

1. Candidiasis; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 28

A term used to refer to the number of times a woman has been pregnant, regardless of the outcome.

Answer 28

1. Gravidity; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 29

Seizures that result from severe hypertension in a pregnant woman.

Answer 29

1. Exlampsia; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 30

High blood pressure that develops after the 20th week of pregnancy, in women with previously normal blood pressures, and resolve spontaneously in the postpartum period.

Answer 30

1. Pregnancy-induced hypedrtension; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 31

The fetus in the earliest stages after fertilization.

Answer 31

1. Embryo; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 32

Thinning and shortening of the cervix; this is a normal process that occurs as the uterus contracts.

Answer 32

1. Effacement; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 33

The period of time after a woman has given birth.

Answer 33

1. Postpartum; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 34

An incision into the perineal skin made to prevent tearing during childbirth.

Answer 34

1. Episiotomy; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 35

A condition of persistent nausea and vomiting during pregnancy.

Answer 35

1. Hyperemesis gravidarum; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 36

Number of live births a woman has had.

Answer 36

1. Parity; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 37

Scale used to assess the status of a newborn one and five minutes after birth (range, 0 to 10); assigns a number value to each of five areas of assessment.

Answer 37

1. APGAR Score; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 38

A hormone produced by the anterior pituitary gland that is important in the menstrual cycle.

Answer 38

1. Follicle-stimulating hormone (FSH); ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 39

A spontaneous abortion that cannot be prevented.

Answer 39

1. Imminent abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 40

Expulsion of the fetus that is attempting to take place but has not occurred yet; usually occurs in the first trimester.

Answer 40

1. Threatened abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 41

A condition in which the placenta develops over and covers the cervix.

Answer 41

1. Placenta previa; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 42

A delivery in which the fetus lies crosswise in the uterus; one hand may protrude through the vagina.

Answer 42

1. Transverse presentation; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 43

The most common sexually transmitted disease that can cause genital warts and some types of cancer.

Answer 43

1. Human papilloma virus (HPV); ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 44

A plug of mucus, sometimes mixed with the blood, that is expelled from the dilating cervix and discharged from the vagina.

Answer 44

1. Bloody show; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 45

Low blood pressure resulting from compression of the inferior vena cava by the weight of the pregnant uterus when the woman is supine.

Answer 45

1. Supine hypotensive syndrome; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 46

The stage of labor in which the placenta is expelled.

Answer 46

1. Third stage of labor; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 47

A situation in which a fetus is large, usually defined as weighing more than 4,500 G or almost 9 pounds; also known as "large for gestational age."

Answer 47

1. Fetal macrosomia; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 48

A premature separation of the placenta from the wall of the uterus.

Answer 48

1. Abruptio placenta; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 49

The total number of times pregnant, including the current pregnancy.

Answer 49

1. Gravid; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 50

The interior of the cervix.

Answer 50

1. Cervical canal; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 51

The dome-shaped top of the uterus.

Answer 51

1. Fundus; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 52

A life-threatening emergency in which the uterus becomes infected following any type of abortion.

Answer 52

1. Septic abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 53

The conduit connecting the pregnant woman to the fetus via the placenta; contains two arteries and one vein.

Answer 53

1. Umbilical cord; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 54

A dark greenish black material that, when appearing in the amniotic fluid; indicates fetal distress; can be aspirated into the fetus's lungs during delivery; the fetus' first bowel movement.

Answer 54

1. Meconium; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 55

A disease of the liver that occurs only during pregnancy, in which hormones affect the gallbladder by slowing down or blocking the normal bile flow from the liver; the most common symptom is profuse, painful itching, particularly of the hands and feet.

Answer 55

1. Cholestasis; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 56

In pregnancy, a feeling of relief of pressure in the upper abdomen; a premonitory sign of labor.

Answer 56

1. Lightening; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 57

Expulsion of the fetus that results in some products of conception remaining in the uterus.

Answer 57

1. Incomplete abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 58

The appearance of the newborn's body part (usually the head) at the vaginal opening at the beginning of labor.

Answer 58

1. Crowning; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 59

A situation in which the umbilical cord is wrapped around the fetus's neck; cord compression may occur during labor, causing the fetal heart rate too slow and resulting in fetal distress.

Answer 59

1. Nuchal cord; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 60

A blood pressure that is equal to or greater than 140/90 mm Hg, which exists prior to pregnancy, occurs before the 20th week of pregnancy, or continues to persist postpartum.

Answer 60

1. Chronic hypertension; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 61

Expulsion of the fetus that occurs naturally; also called miscarriage.

Answer 61

1. Spontaneous abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 62

The developing, unborn infant inside the uterus.

Answer 62

1. Fetus; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 63

The mechanism by which the fetus and the placenta are expelled from the uterus.

Answer 63

1. Labor; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 64

An extremely rare, life-threatening condition that occurs when amniotic fluid and fetal cells enter the pregnant woman's pulmonary and circulatory system through the placenta via the umbilical veins, causing an exaggerated allergic response from the woman's body.

Answer 64

1. Amniotic fluid embolism; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 65

An infection of the genitals, buttocks, or anal area; there are two types of this virus, type 1 and type 2.

Answer 65

1. Herpes; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 66

The stage of labor in which the newborn's head enters the birth canal, during which contractions become more intense and more frequent.

Answer 66

1. Second stage of labor; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 67

The stage of Labor that begins with the onset of regular labor pains, crampy abdominal pains, during which the uterus contracts and the cervix effaces.

Answer 67

1. First stage of labor; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 68

A condition of late pregnancy that involves gradual onset of hypertension, headache, visual changes, and swelling of the hands and feet; also called pregnancy-induced hypertension or toxemia of pregnancy.

Answer 68

1. Preeclampsia; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 69

Expulsion of the fetus, from any cause, before the 20th week of gestation.

Answer 69

1. Abortion; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 70

The tissue attached to the uterine wall that nourishes the fetus through the umbilical cord.

Answer 70

1. Placenta; ## Footnote *-Emergency Care in the Streets, 7th Ed.*

Question 71

Medications used in ___ doses for acute and chronic pain appear to be relatively safe in pregnancy. To minimize fetal risk, initiate drug interventions at the ___ effective dose.

Answer 71

1. Therapeutic; 2. Lowest; * - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2809170/*