CH 36: OB Flashcards
Which of the following is not relevant in determining whether or not delivery is imminent for a woman in labor?
Phoning the patient’s obstetrician for advice
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:
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.
Which of the following best describes placenta previa?
The placenta is implanted over the opening of the cervix.
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?
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.
By which of the following means does the fetal blood pick up nourishment from the mother?
diffusion
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?
1 to 2 inches higher on the sternum
An infant’s birth weight is considered low if it is less than ________ pounds.
5.5
Traditionally an APGAR score is taken at what time intervals after birth?
1 and 5 minutes
Which of the following best describes the term crowning?
Presenting part of the baby being visible at the vaginal opening
Which of the following is true of premature infants?
They can easily develop hypothermia.
B.
They are at risk for respiratory difficulty.
C.
They are more susceptible to infection.
The muscular organ in which a baby develops during pregnancy is called the:
uterus
While treating a pregnant patient in cardiac arrest, which of the following is the best way to keep the fetus alive?
Attempt to resuscitate the patient as you would any other cardiac arrest patient.
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:
ectopic pregnancy.
Which of the following is appropriate when caring for a premature baby?
Wrapping the infant in a blanket, covering his head, and keeping the temperature in the ambulance between 90degreesF and 100degreesF
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?
first stage
Which of the following is true concerning prehospital delivery of twins?
The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm.
Which of the following should be done when the infant’s head has been delivered?
Suction the mouth.
B.
Check to see if the umbilical cord is around the neck.
C.
Suction the nose.
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?
Place oxygen tubing near the infant’s face at a flow rate of 10 to 12 liters per minute.
Which of the following describes the normal appearance of amniotic fluid?
Clear and colorless fluid
While treating a patient of sexual assault, which of the following sequences should your treatment follow?
Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence.
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?
Rub the infant’s back, tap the bottom of his foot, begin bag-valve-mask ventilations, and check the pulse.
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?
Try to slip the cord over the baby’s head and shoulder.
Which of the following is true regarding a pregnant woman?
Diabetes may be made worse during pregnancy.
Which of the following best describes the events that occur during the first stage of labor?
Thinning and dilation of the cervix
The condition in which the placenta separates from the uterine wall is known as which of the following?
Abruptio placentae
What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nutrients?
placenta
Which of the following is not advisable following complete birth of the infant?
Hold the infant by the ankles to allow the airway to drain.
All of the following are signs of adequate breathing and circulation in the newborn
A.
vigorous crying.
C.
cyanosis of only the hands and feet.
D.
heart rate greater than 100.
Which of the following is true regarding ectopic pregnancies?
The fallopian tubes cannot stretch to accommodate a fetus.
Supine hypotensive syndrome is easily prevented by transporting all third-trimester patients in which of the following positions?
lying on left side
Seizures due to complications of pregnancy generally occur during which of the following time periods?
late in pregnancy
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:
time her contractions.
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?
Apply gentle pressure to the head with your gloved hand.
Which of the following describes a breech presentation?
The infant presents buttocks first.
The infant presents with both feet first.
Which of the following is not part of a basic obstetrics kit?
Packet of suture material
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?
9
The term for a baby developing inside the mother’s womb after 8 weeks is:
fetus
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:
getting to the hospital.
Which of the following should the EMT do to control maternal bleeding after delivery of the baby?
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.
Normal maternal blood loss during delivery of an infant usually does not exceed how much?
500 cc
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?
The infant must be breathing on his or her own before you cut the cord.
When delivering a baby, you should do all of the following
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.
Which of the following is true concerning trauma in the pregnant woman?
She may lose up to 35 percent of her blood volume before exhibiting signs of shock.
Which of the following is the correct technique to check for crowning in the assessment of a woman in labor?
Cover her with a sheet, have her remove her underwear, wait for a contraction, and then visualize the vaginal opening.
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:
keep the baby off of the cord.
When clamping the umbilical cord, the clamp closest to the baby should be approximately ________ inch(es) from the infant’s body.
7
By definition, a premature infant is one who is born before how many weeks of pregnancy?
37
Which of the following is a cause of gynecological emergencies?
Soft-tissue trauma to the external genitalia
B.
Sexual assault
C.
Disorders of the female reproductive organs
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:
supine hypotensive syndrome.
Which of the following is the highest priority for the EMT when delivering an infant with meconium-stained amniotic fluid?
Being prepared to suction the infant immediately before he takes a breath
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?
Pair of shoelaces
Which of the following conditions should be present before the umbilical cord is cut?
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.
Which of the following poses the greatest danger to the pregnant woman and her fetus when trauma occurs?
Hemorrhagic shock
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?
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.
Which of the following may result from a woman in her third trimester of pregnancy lying in a supine position?
A.
Maternal compensation for a decrease in blood pressure
B.
Fetal compromise
C.
Maternal hypotension
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?
The mother has not had prenatal care.
During which stage of labor is the baby born?
2nd
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:
prepare to deliver the baby on-scene.
Which of the following is true concerning a stillborn baby?
The death may occur weeks before delivery.
The muscle contraction mechanism that moves an egg down the fallopian tube toward the uterus is the same mechanism that moves:
food from the esophagus to the stomach.
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:
placenta previa
What term is used to describe delivery of the fetus and placenta before the 20th week of pregnancy?
Spontaneous abortion
Which of the following is a common sign of a pre-delivery emergency?
There is profuse vaginal bleeding.
Which of the following is an appropriate question to ask while evaluating a woman in labor?
Is this your first pregnancy?
Which of the following is indicated in the prehospital management of a prolapsed umbilical cord?
Place the mother in a head-down position with pillows under her hips.
If the baby’s head is delivered with the amniotic sac still intact, which of the following should be done first?
Use your fingers to tear the sac away from the baby’s face.
Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal bleeding?
Monitoring for hypovolemic shock
Which of the following is the correct way to time the frequency of contractions in the pregnant woman?
From the beginning of one contraction to the beginning of the next
