Q37 - The APGAR scoring system is useful in determining:
status of overall condition.
Q37 - Assessment of a newbon indicates that his heart rate is 120 beats per minute. How many points should he be awarded according to the APGAR scoring system?
Q37 - 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?
Q37 - You have been dispatched to a residence for a female patient who is dizzy and "passing out". An EMR meets you at the door and reports that the patient is lying supine 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 oxymetry of 97%. Which one of the following should you do as soon as you reach the patient's side?
Roll her onto her side.
Q37 - A 25 year old patient presents with abdominal pain. She appears thin and healthy, but in obvious distress. Which one of the following questions should the EMT ask first?
"Is there any possibility you are pregnant?"
Q37 - 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:
immobilize her, and then tilt the long spine board to the left.
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?
Intermittent vaginal bleeding.
Q37 - You are assessing a non-pregnant 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?
Gravida IV; Para 1
Q37 - Which one of the following actions shows that the EMT is properly caring for the cord after delivery?
There is a six-inch segment of cord still connected to the baby.
Q37 - As soon as the baby is delivered from the vaginal canal, it is critical that the EMT immediately:
dry and warm the newborn.
Q37 - You are assessing a 29 year old who has signs of imminent delivery. Her past medical history includes HIV infection. In relations to a patient with no infectious disease, how will BSI precautions differ from this patient?
Gloves, a gown, and goggles must be worn for both the patient with HIV and the noninfectious patient.
Q37 - While delivering a baby, you note that the umbilical cord is wrapped around the baby's neck. Which one of the following should you do immediately?
Slip the cord over the baby's head.
Q37 - When should the EMT instruct his partner to cut the umbilical cord?
Following delivery and after the baby has been dried and suctioned.
Q37 - At what point in the delivery process should the EMT first suction the baby?
After the head is delivered, but before the torso is out of the vaginal opening.
Q37 - You are delivering a baby in the patient's house. As the baby's head appears at the vaginal opening, you notice that the amniotic membrane is still intact. Which one of the following should you do next?
Break open the amniotic sac with your fingers.
Q37 - When cutting the umbilical cord, how should the baby be positioned?
Level with the vaginal opening.
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?
Check the neck for the umbilical cord.
Q37 - 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. What should the EMT do in response?
Prepare for delivery of the placenta.
Q37 - Which one of the following shows that the EMT is correctly performing a uterine massage?
Both hands cup the uterus, with one of the hands positioned just above the symphysis pubis.
Q37 - After delivery, you note some blood oozing from the mother's vaginal canal. The sanitary pads that you placed between her legs continue to be soaked. Which one of the following should you do next?
Perform a uterine massage.
Q37 - Which one of the following actions indicates that the EMT is properly suctioning the newborn?
He squeezes the bulb syringe prior to placing it in the baby's nose.
Q37 - You have determined that you will need to perform a field delivery. What instructions provided to the patient show that the EMT is properly positioning the patient?
"Please lie on your back, draw your knees upward, and spread your legs apart."
Q37 - The EMT shows she understands resuscitation of the newborn when she states:
"Interventions should be performed for 30 seconds followed by reassessment."
Q37 - 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:
initiate positive pressure ventilation.
Q37 - After positive pressure ventilation, a newborn's heart rate improves from 80 to 120 beats per minute. The EMT should:
provide blow by oxygen.
Q37 - When should the EMt use the APGAR scoring system on a newborn?
one and five minutes after the baby has been delivered.
Q37 - The EMT should recognize that a newborn is stable when assessment shows:
heart rate of 120 beats per minute.
Q37 - Despite positive pressure ventilation, a newborn's heart rate has fallen from 80 beats per minute to 40. He is breathing 40 beats per minute, and he has a mottled appearance. Which one of the following should the EMT do immediately?
Q37 - The EMT is performing CPR on a neonate. Which one of the following is the correct compression to ventilation ratio?
3 compressions to every 1 ventilation.
Q37 - Which one of the following lists the stages of labor in the order in which they occur?
Dilation, expulsion, and placental.
Q37 - Which one of the following statements made by a pregnant patient in labor should be of most concern to the EMT?
"My water broke two days ago."
Q37 - Why is the uterus essential to a healthy pregnancy?
Powerfully contracts to force the fetus from the mother's body.
Q37 - Which one of the following statements about the umbilical cord is true?
It contains one vein and two arteries.
Q37 - Five minutes after delivering a baby, the mother states that she feels the suddern urge to push, just as a gush of blood comes from the vagina. Given that the mother is not delivering twins, what stage of labor should the EMT identify?
Q37 - In a normal fertilization, the egg and sperm meet in which structure?
Q37 - Which one of the following statements best indicates that the patient is in the second stage of labor?
"I feel like I have to move my bowels."
Q37 - Which one of the following statements about the role and function of the cervix in pregnancy is true?
"The cervix becomes plugged with mucous to prevent contamination of the uterus."
Q37 - 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. What should you do?
Place a sterile dressing between the mother's vagina and rectum.
Q37 - A patient is 7 cm dilated and complaining of painful contractions. What stage of labor should the EMT identify?
Q37 - 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 one of the following points?
"It protects and insulates the baby during pregnancy."
Q37 - 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?
"When was your last menstrual period?"
Q37 - An EMT has been called for a 16 year old female with vaginal bleeding. On scene he finds out that the patient is pregnant and has been bleeding for three hours. Which one of the following statements indicates that the EMT is providing proper care?
"I am going to put this sanitary napkin between your legs to slow the bleeding."
Q37 - A female patient is described as primigravida. Which one of the following statements about the patient is true?
She is pregnant for the first time.
Q37 - Assessment of a pregnant patient in labor reveals what appears to be the baby's buttocks presenting at the vaginal opening. Which one of the following should the EMT do immediately?
Place the mother in a supine, head-down position with hips elevated and admiister high-flow oxygen.
Q37 - When treating a patient you believe to be suffering from an ectopic pregnancy, you know that the primary threat to the patient's life is:
Q37 - Which one of the following statements about the placenta after the baby has been born is accurate?
"The placenta typically delivers itself within 20 minutes of the birth of the baby."
Q37 - Prior to delivery, the EMT prepares to create a sterile field around his patient's vaginal opening. Which one of the following describes the best way to do that?
Place a sheet from the OB kit under the patient's hips and another over her abdomen and legs.
Q37 - A 22 year old female, who is eight months pregnant, calls 911 for vaginal bleeding. Your assessment reveals no threats to the ABC's, but she does have some evidence of blood in her underwear. The patient denies pain. Her vital signs are normal. Given these findings, the EMT should be suspicious of:
Q37 - You are caring for an emotionally distraught female who just suffered a miscarriage. During transport, which one of the following statements is most appropriate?
"I really do not know what to say, but let me konw how I can help you."
Q37 - The EMT shows that he understands the seriousness of a prolapsed cord when he states:
"A prolapsed cord can stop the flow of oxygen to the baby."
Q37 - Which one of the following patients should the EMT be most suspicious of having a spontaneous abortion?
21 year old, six weeks pregnant, passing vaginal blood clots.
Q37 - Which one of the following statements about a limb presentation is true?
A cesarean section birth will be required.`
Q37 - 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 suspicous of:
Q37 - The EMT recognizes the underlying pathophysiology associated with an ectopic pregnancy as a fertilized egg that is:
lodged in a fallopian tube.
Q37 - The EMT should recognize which one of the following babies as premature?
A baby weighing 7 pound 4 ounces born at 36 weeks.
Q37 - In which one of the following abnormal presentations is it permissible for the EMT to place a gloved hand into the vaginal canal?
Prolapsed umbilical cord.
Q37 - While delivering a baby in the field, the EMT notices that the baby is covered with a green-brown liquid. Which of the following is true regarding the green-brown liquid?
The baby was distressed and may be hypoxic.
Q37 - 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 with you. 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?
The mother's abdoment remains large after delivering the baby.
Q37 - 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 thta 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?
The EMT shows that he can accurately differentiate placenta previa from abrupto placenta when he states:
"Bleeding associated with abrupto placenta is typically associated with abdominal pain; bleeding associated with placentia previa is painless."