Maternal Peds Final exam

You are dispatched to care for a 9 month pregnant patient whose family reports confusion and epigastric pain. HR of 112; RR of 24. Patient is disoriented, agitated, and slightly combative. Which of the following is the most likely explanation?
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What is the usual cause of endometritis?Retained PlacentaWhat is the result of an increase in blood and plasma volume without a corresponding increase in red blood cells?Hemodilution and anemiaWhy is aspiration a higher risk in an unconscious pregnant patient????Why are pregnant patients at higher risk for blood clots?They have an increase in fibrinogenWhy is fundal height important to the paramedic?Estimates fetal viabilityWhat is a risk factor for ectopic pregnancy?Previous tubal surgeriesWhat is a complication to pregnancy of a TORCH infection?MicrocephalyHow much blood volume does a pregnant patient loose before showing signs of shock?30-35%What medication is given to a pregnant patient in the context of trauma to try to prevent Rh sensitization?RhoGAMA 24-year-old pregnant patient was involved in a minor motor vehicle collision. The car has only minor scratches to the bumper. The patient is complaining of a sudden onset of severe tearing abdominal pain. The abdomen is tender and rigid. What is your differential diagnosis?Placenta AbruptionA 28-year-old pregnant patient presents with copious amounts of bright red vaginal bleeding. The patient denies pain and states the due date is in 3 weeks. What is your differential diagnosis?Placenta PreviaWhat is dysmenorrhea?Pain during mentruationWhat is the cause of supine hypotensive syndrome?Uterine compression of the inferior vena cavaWhat is a normal newborn findingMongolians spotWhat is the creamy looking substance on newborns calledVernixWhat looks like little pimples on a newborns face?MiliaWhich skin sign would you expect to see in a 42-week gestation neonate?PeelingWhich congenital defect of the airway is treated by inserting an OPA?choanal atresiaWhich congenital airway defect is treated by inserting an ET tube into the neonate's nostril like an NPA?Pierre Robin SyndromeWhich congenital defect presents in the neonate with respiratory distress and a flat abdomen and is treated with intubation?Diaphragmatic herniaWhich finding in the neonate's hand may indicate Down Syndrome or Fetal Alcohol Syndrome?Simian CreaseWhat condition occurs after the first 24 hours of life and is the result of the combination of an immature liver, excessive red blood cells at birth, and the shorter life span of fetal red blood cells?Non-Hemolytic JaundiceAt what stage of labor does the amniotic sac usually break?First StageWhich of the following is a sign of the imminent delivery of the placenta?Lengthening of the umbilical cordWhich cardinal movement is defined as rotation to a transverse position after the head is born?External RotationWhich breech presentation presents with both the hips and knees flexed?Complete BreechWhy is gestational diabetes a risk factor for shoulder dystocia?It leads to big babiesWhat is considered a preterm birth?Born before 37 weeks or less than 5.5 poundsWhat is a prolapsed uterus?Fundus protrudes into the cervixWhat is the turtle sign?Fetal head retracts against the perineumWhat is the correct treatment for a diaphragmatic hernia?IntubationWhich congenital abnormality found in the first 2 or 3 weeks of life causes forceful vomiting immediately after eating?Transesophageal FistulaWhat causes physiologic jaundice in a neonate?Excess Bilirubin and immature liverThe combination of fever and rash would make you most concerned about:MeningitisYou are called to a home because parents are worried about their 15 month old who seems lethargic and "extra sleepy," and has a rash. On your exam, child is hot to the touch. Of the following, which is the most likely diagnosis?MiningitisWhat is the most common cause or contributing factor to cardiac arrest in children?Respiratory FailureWhich of the following is the most common rhythm of cardiopulmonary arrest in children?AsystoleIn differentiating SVT from Sinus Tach in children, which one of the following is NOT a characteristic of SVT?History includes fever or vomitingYou are called to see a 3 month old infant who has a one day history of poor feeding, sweating, and rapid breathing. HR is 260/minute, her color is gray, and perfusion is poor. EKG shows narrow complex tachycardia. Your initial treatment in this child should be:Synchronized CardioversionWhat is the most common cardiac rhythm in children?Sinus asrrhythmiaAt what age does stranger anxiety begin in kids?6 monthsWhich of the following is an example of disordered control of breathing?Drug overdoseWhat is the fluid bolus for a 3 year-old experiencing cardiogenic shock?10mL/kgWhat is the most common congenital heart defect in children?tetralogy of fallotYou respond to a 9 month-old with a heart rate of 230 beats per minute. The child is alert appropriate for their age and interactive with their environment. BP: 72/46 and RR: 30. What is your initial treatment?Place ice on the childs foreheadWhat is the recommended rate for pacing a 4 year-old patient?100 bPmIn which of the following situations would it be most appropriate to "stay and play" with a pediatric patient?Decompensated shockWhat is the dose of Amiodarone for a 6 year-old child in v.fib cardiac arrest?5mg/kgWhich age groups share the characteristics of increased mobility and risk taking behaviors?Toddlers and adolecentsWhich of the following is a difference between the adult and pediatric airway?The pediatric epiglottis is omega shaped, large and floppyWhich development level is characterized by an improvement in fine and gross motor skills, becoming lean and less pudge, and can express themselves well in most cases?preschoolerWhich part of the immune system causes inflammation?CytokinesWhich of the following is a risk factor for early onset neonatal sepsis?Maternal Group B strepWhat is a complication of measles?PneumoniaWhich illness causes swelling of the liver and brain?Reye SyndromeWhich symptom of meningitis is specific to infants?High pitched cryWhich respiratory emergencies presents with rales for lung sounds?Lung tissue disease