CH 36 Obstetric and Gynecologic Emergencies

Question 1

H-1) The lowest portion of the​ uterus, which must dilate to allow​ childbirth, is called​ the:
A. uterine body.
B. myometrium.
C. cervix.
D. fundus.

Answer 1

C. cervix.

The cervix is the lowest and narrowest portion of the​ uterus, the neck of the uterus at the entrance to the birth canal. The cervix must thin and dilate to allow the fetus to pass from the uterus into the vagina.

Question 2

H-2) Under normal​ circumstances, the fertilized egg is implanted into and develops in​ the:
A. cervix.
B. placenta.
C. fallopian tube.
D. uterus.

Answer 2

D. uterus.

The uterus is the structure in which a fertilized egg is implanted and develops into an​ embryo, and then a​ fetus, during pregnancy.

Question 3

H-3) During​ labor, the cervix​ typically:
A. relaxes and expands.
B. rotates and dilates.
C. thickens and contracts.
D. thins and dilates.

Answer 3

D. thins and dilates.

The cervix thins and​ dilates, allowing the uterus to contract and push the fetus out.

Question 4

H-4) Which of the following statements about pregnancy is​ true?
A. Although blood volume​ increases, the number of red blood cells decreases.
B. The cardiovascular system responds to pregnancy by increasing blood​ volume, increasing cardiac​ output, and increasing heart rate.
C. The blood pressure of a pregnant female is usually slightly increased.
D. The vascularity of the uterus and related structures is decreased.

Answer 4

B. The cardiovascular system responds to pregnancy by increasing blood​ volume, increasing cardiac​ output, and increasing heart rate.

The cardiovascular system responds to pregnancy by increasing blood​ volume, increasing cardiac​ output, and increasing heart rate. Although blood volume​ increases, the number of red blood cells remains the same. This causes a dilution of the​ blood, referred to as anemia​, and it should be remembered that although there is more​ blood, its​ oxygen-carrying capacity is actually decreased. The blood pressure of a pregnant female is usually slightly​ decreased, but high blood pressure can occur as well. There is also a massive increase in vascularity​ (presence of blood and blood​ vessels) in the uterus and related structures.

Question 5

H-5) Which of the following statements about fetal development is​ true?
A. The uterus grows to reach the umbilicus by the third month.
B. The 9 months of pregnancy are divided into three​ 3-month periods, or semesters.
C. There is rapid uterine growth during the first trimester when the fetus is being formed.
D. The uterus grows to reach the epigastrium by the seventh month.

Answer 5

D. The uterus grows to reach the epigastrium by the seventh month.

The 9 months of pregnancy are divided into three​ 3-month periods, or trimesters. During the first​ trimester, the fetus is being formed. Since the fetus remains quite​ small, there is little uterine growth during this period. After the third​ month, the uterus grows​ rapidly, reaching the umbilicus​ (navel) by the fifth month and the epigastrium​ (upper abdomen) by the seventh month.

Question 6

H-6) Your pregnant patient is in the third trimester. You have ruled out possible cervical spine injury. How should you transport the​ patient?
A. Prone
B. On her left side
C. Supine
D. In the Trendelenburg position

Answer 6

B. On her left side

To take the weight off the vena cava and counteract or avoid the possible drop in blood​ pressure, all​ third-trimester patients should be transported on their left sides. A pillow or rolled blanket should be placed behind the back to maintain proper positioning.

Question 7

H-7) You are caring for a pregnant trauma patient with a possible cervical spine injury. She is due to deliver within the next month. How should you transport the​ patient?
A. With spinal​ precautions, as you would do normally
B. Without spinal​ precautions, on her left side
C. With spinal​ precautions, with patient and board tilted to the left as a unit
D. Without spinal​ precautions, on her right side

Answer 7

C. With spinal​ precautions, with patient and board tilted to the left as a unit

​Third-trimester patients should be moved to a lateral position and transported on their left sides to take the weight off the vena​ cava, to counteract or avoid a possible drop in blood pressure. When spinal injury is​ involved, however, you must take spinal precautions while avoiding supine hypotensive syndrome. The patient is not able to be moved to a lateral position. She must be secured to a spine​ board, then the board and patient should be tipped to the left as a​ unit, relieving pressure on the abdominal organs and vena cava.

Question 8

H-8) Which of the following events reliably occurs during the second stage of​ labor?
A. The infant is delivered.
B. The mucus plug is lost.
C. The placenta is delivered.
D. The bag of waters breaks.

Answer 8

A. The infant is delivered.

The second stage of labor is defined as the period from complete cervical dilation through delivery of the infant.

Question 9

H-9) During which stage of labor does the cervix reach full​ dilation?
A. First stage
B. Third stage
C. Braxton-Hicks stage
D. Second stage

Answer 9

A. First stage

The end of the first stage of labor is marked by complete dilation of the cervix.

Question 10

H-10) To assess your pregnant patient for​ crowning, you​ must:
A. wait for ALS personnel to arrive.
B. place the patient in the ambulance.
C. obtain online medical direction.
D. visualize the vaginal opening.

Answer 10

D. visualize the vaginal opening.

Question 11

H-11)  Your pregnant patient is​ contracting, and delivery appears imminent. Part of your care for the mother must​ include:
A. vitals every 5 minutes.
B. immediate transport.
C. emotional support.
D. orthostatic vitals.

Answer 11

C. emotional support.

Emotional support for the mother is an important part of your care during the delivery process.

Question 12

H-12) Which of the following situations is most likely when a woman who is experiencing labor pain states that she needs to go to the bathroom to move her​ bowels?
A. She is in early​ labor, with adequate time for transport.
B. She is in false labor ​(Braxton-Hicks ​contractions).
C. The bag of waters is about to break.
D. Birth is imminent.

Answer 12

D. Birth is imminent.
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When the baby is in the birth​ canal, it often puts pressure on the​ rectum, causing the sensation that the mother needs to move her bowels. This is an indication that birth is imminent.

Question 13

H-13) Your pregnant patient is contracting. Which of the following questions is most important in determining whether delivery is​ imminent?
A. ​”Are you​ crowning?”
B. ​”Are you experiencing uterine​ contractions?”
C. ​”When did the labor pains​ start?”
D. ​”Do you feel the urge to​ push?”

Answer 13

D. ​”Do you feel the urge to​ push?”

As delivery gets​ close, the mother will feel the urge to push. This signals you to check for crowning and prepare for delivery.

Question 14

H-14) When predicting the need for neonatal​ resuscitation, what is the significance of a pregnant patient in​ labor’s not having seen an​ obstetrician?
A. The patient has likely not received prior prenatal care.
B. The labor was probably induced by drug use.
C. There probably are underlying medical conditions.
D. This indicates a history of problems with pregnancy.

Answer 14

A. The patient has likely not received prior prenatal care.

If the pregnant patient in labor has not seen an obstetrician for her​ pregnancy, she probably​ hasn’t received any prior prenatal care.

Question 15

H-15) Your pregnant patient is contracting. She denies any prenatal care. Why is this a​ concern?
A. The patient likely knows little about her health or that of her baby.
B. The patient is likely uninsured.
C. The patient must be transported to a county or state hospital.
D. The patient is likely not being truthful.

Answer 15

A. The patient likely knows little about her health or that of her baby.

Question 16

H-16) If you cannot loosen or slip the umbilical cord over the​ baby’s head,​ then:
A. the delivery must proceed with the cord in place.
B. push the baby backward gently until you can create enough slack to loosen the cord.
C. pull the baby forward gently until you can create enough slack to loosen the cord.
D. clamp the cord in two places and cut the cord between the clamps.

Answer 16

D. clamp the cord in two places and cut the cord between the clamps.

If you cannot loosen or slip the cord over the​ baby’s head, the baby cannot be delivered.​ Therefore, immediately clamp the cord in two places using the clamps provided in the obstetrics kit. Be very careful not to injure the baby. With extreme​ care, cut the cord between the two clamps. Gently unwrap the ends of the cord from around the​ baby’s neck and proceed with the delivery.

Question 17

H-17) What is NOT typically included in an obstetrics​ kit?
A. One pair of surgical scissors
B. Several individually wrapped sanitary napkins
C. A scalpel
D. Several pairs of sterile surgical gloves

Answer 17

C. A scalpel

Question 18

H-18) At which of the following intervals should you assess an APGAR score on a​ newborn?
A. 5 minutes and 10 minutes after birth
B. 1 minute after birth and every 5 minutes thereafter
C. Every 5 minutes for an unstable newborn and every 15 minutes for a stable infant
D. 1 minute and 5 minutes after birth

Answer 18

D. 1 minute and 5 minutes after birth

Question 19

H-19) What is NOT a reason for keeping a baby​ warm?
A. Ensuring the​ baby’s blood can properly carry oxygen
B. Maintaining the​ baby’s glucose levels
C. Keeping the baby comfortable
D. Maintaining the airway

Answer 19

D. Maintaining the airway

The most important aspect of caring for a neonate is keeping the baby warm. Newly born babies rapidly lose heat. This heat loss not only impacts their comfort but also can drop their glucose levels and even impact their ability to carry oxygen in their blood. For these​ reasons, you must consider heat retention a high priority. Keeping a baby​ warm, however, does not do anything specifically to maintain the airway.

Question 20

H-20) Which of the following is the threshold for beginning chest compressions in a​ newborn?
A. Heart rate​ < 60 per minute
B. Respiratory rate​ < 60 per minute
C. SpO2 ​< 80% one minute after birth
D. Heart rate < 100 per minute

Answer 20

A. Heart rate​ < 60 per minute

A heart rate of less than 60 in a newborn indicates severe bradycardia and inadequate cardiac output. Begin chest compressions in a newborn with a heart rate less than 60.

Question 21

H-21) You have just​ delivered, dried, and warmed a newborn. The newborn has​ slow, gasping respirations. You​ should:
A. begin chest compressions.
B. provide​ blow-by oxygen.
C. provide ventilations at 10-12 per minute.
D. provide ventilations at 40-60 per minute.

Answer 21

D. provide ventilations at 40-60 per minute.

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Question 22

H-22) To find the​ mother’s uterus to initiate uterine massage as a means of managing postpartum uterine​ bleeding, palpate the abdomen until you​ note:
A. an object about the size and shape of a banana.
B. a​ grapefruit-sized object.
C. a​ square-shaped area just beneath the diaphragm.
D. a soft spot toward the lower half of the abdomen.

Answer 22

B. a​ grapefruit-sized object.

Massaging the uterus will help it contract. This will help control the bleeding. Feel the​ mother’s abdomen until you note a​ grapefruit-sized object. This is her uterus. Rub this area lightly with a circular motion. It should contract and become​ firm, and the bleeding should diminish.

Question 23

H-23) Afterbirth tissues should​ be:
A. saved and properly identified.
B. disposed of in a biohazard container.
C. thrown into any standard wastebasket.
D. left where they​ are, for later disposal.

Answer 23

A. saved and properly identified.

Save all afterbirth tissues. The attending physician will want to examine the placenta and other tissues for​ completeness, since any afterbirth tissues remaining in the uterus pose a serious threat of infection and prolonged bleeding to the mother. Try to catch the afterbirth in a container. Place the container in a plastic​ bag, or wrap it in a​ towel, paper, or plastic. If no container is​ available, catch the afterbirth in a​ towel, paper, or a plastic bag. Label this material​ “placenta,” and include the name of the mother and the time the tissues were expelled.

Question 24

H-24) As you inspect the perineum of a woman in labor to check for​ crowning, the water breaks. You note that it is pea green in color. What does that finding​ indicate?
A. Meconium staining
B. Stillbirth
C. Preterm labor
D. Multiple birth

Answer 24

A. Meconium staining

​Meconium, the first stool to be passed by an​ infant, can be present in the amniotic fluid if the fetus had a hypoxic event.

Question 25

H-25) If you notice that the patient has a prolapsed cord when you are examining for​ crowning, what should you​ do?
A. Elevate the​ patient’s hips, administer​ oxygen, wrap the cord using a sterile​ towel, and use your hand to prevent the fetal head from compressing the cord
B. Have the patient assume a squatting position over an area that you have prepared with sterile towels
C. Place the patient in​ Fowler’s position
D. Position the patient as for a breech delivery and proceed with the delivery

Answer 25

A. Elevate the​ patient’s hips, administer​ oxygen, wrap the cord using a sterile​ towel, and use your hand to prevent the fetal head from compressing the cord

Instruct the patient not to​ push, so as to avoid compression on the cord. Position the mother with her head down and pelvis raised with a blanket or​ pillow, using gravity to lessen pressure on the birth canal. Administer oxygen to the mother by nonrebreather mask. Wrap the cord with a sterile towel from the obstetrics kit. Insert a​ sterile, gloved hand in the​ vagina, and gently push the presenting part of the fetus​ (head or​ buttocks) up,​ back, or away from the pulsating cord.

Question 26

H-26) Which of the following descriptions characterizes an ectopic​ pregnancy?
A. A fertilized ovum is implanted outside the uterine cavity and begins to develop into an embryo.
B. A pregnancy that continues past the expected due date
C. A​ “hidden” pregnancy that ​is, one that is not discovered until the mother goes into labor
D. The fetus presents in the birth canal feet​ down, rather than head down.

Answer 26

A. A fertilized ovum is implanted outside the uterine cavity and begins to develop into an embryo.

An ectopic pregnancy is when implantation of the fertilized egg is not in the body of the​ uterus, occurring instead in the fallopian tube​ (oviduct), cervix, or abdominopelvic cavity.

Question 27

H-27) Which of the following signs and symptoms is associated with​ eclampsia?
A. Seizures
B. Hyperglycemia
C. Painless vaginal bleeding
D. Supine hypotensive syndrome

Answer 27

A. Seizures

Eclampsia is characterized by​ hypertension, edema, and proteinuria​ (preeclampsia) that have progressed to seizures​ (eclampsia).

Question 28

H-28) When abruptio placentae causes excessive prebirth​ bleeding, you​ should:
A. Push a bulky dressing into the​ vagina, to stem the flow of blood.
B. mop up the blood with bulky dressings that you discard.
C. place a sanitary napkin over the vaginal opening.
D. carefully dispose of​ blood-soaked tissue in biohazard containers.

Answer 28

C. place a sanitary napkin over the vaginal opening.

For excessive prebirth​ bleeding, place a sanitary napkin over the vaginal opening. Note the time of napkin placement. Do not place anything in the vagina. Replace pads as they become​ soaked, but save all pads for use in evaluating blood loss. Save all tissue that is passed.

Question 29

H-29) You suspect that your pregnant patient may be experiencing preeclampsia. Which of the following signs or symptoms is the patient likely​ experiencing?
A. Hypotension
B. Weight loss
C. Hypoglycemia
D. Hypertension

Answer 29

D. Hypertension

Seizures in​ pregnancy, sometimes caused by a condition called eclampsia​, tend to occur late in pregnancy. The seizures are typically a result of a condition called preeclampsia. This condition is often related to​ pregnancy-induced hypertension, and may be well known to the patient. Preeclampsia can be recognized by altered mental​ status; swollen​ hands, feet,​ and/or face; and high blood pressure. Seizures in pregnancy pose a serious threat to both the mother and unborn baby.

Question 30

H-30) You suspect that your patient has been sexually assaulted. You​ should:
A. document who likely committed the assault.
B. ask the patient to notify law enforcement.
C. fulfill any locally mandated reporting requirements.
D. ask the patient to describe exactly what happened.

Answer 30

C. fulfill any locally mandated reporting requirements.

You should document the situation objectively and fulfill any reporting requirements that are locally mandated.

Question 31

H-31) In providing care for a patient with vaginal​ bleeding, which of the following steps is​ last?
A. Ensure an adequate airway.
B. Take Standard Precautions.
C. Administer oxygen.
D. Transport.

Answer 31

D. Transport.

Transporting the patient would follow taking Standard​ Precautions, ensuring an adequate​ airway, and administering​ high-concentration oxygen by nonrebreather mask if signs of shock were present or shock were suspected.

Question 32

PT-1) When should the EMT initiate chest compressions on an​ infant?
A. When respirations are labored or gasping
B. When the heart rate is below 60 beats per minute
C. Anytime the heart rate is below 100 beats per minute
D. Only when there is no brachial pulse

Answer 32

B. When the heart rate is below 60 beats per minute

Question 33

PT-2) When is it appropriate to massage the​ patient's uterus?
A. After delivery of the placenta
B. During labor
C. Anytime before delivery of the baby
D. Only when ALS providers are present

Answer 33

A. After delivery of the placenta
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Will help it to contract and help control bleeding

Question 34

PT-3) Which of the following statements about​ pregnancy-related changes for the mother is​ true?
A. Respiratory rate decreases.
B. Cardiac output decreases.
C. Digestion slows.
D. Musculoskeletal ligaments lose elasticity.

Answer 34

C. Digestion slows.

Question 35

PT-4) A newborn has a pink body but blue hands and feet 1 minute after birth. Which of the following is the correct notation of this​ finding?
A. ​"1" for appearance
B. ​"0" for appearance
C. ​"1" for respiration
D. ​"0" for respiration

Answer 35

A. ​”1” for appearance

Question 36

PT-5) Your patient is in active​ labor, and admits to abusing prescription narcotics. You should​ expect:
A. an uncomplicated​ delivery, if vital signs are normal.
B. the newborn to be Tachycardic on delivery.
C. the possible need for neonatal resuscitation.
D. a more rapid delivery.

Answer 36

C. the possible need for neonatal resuscitation.

Question 37

PT-6) Which of the following statements about​ pregnancy-related changes in the​ mother's cardiovascular system is​ true?
A. There is an increased lung capacity.
B. The blood volume decreases.
C. There is an increased oxygen demand.
D. There is a decreased oxygen demand.

Answer 37

C. There is an increased oxygen demand.

Question 38

PT-7) If a newborn is not breathing upon​ delivery, your first action should be​ to:
A. begin​ bag-valve-mask ventilations.
B. begin chest compressions and ventilations.
C. give​ blow-by oxygen.
D. rub the​ newborn’s back as you dry the newborn.

Answer 38

D. rub the​ newborn’s back as you dry the newborn.

Question 39

PT-8) After delivery of the​ placenta, you observe an unusual amount of heavy bleeding. You​ should:
A. apply the PASG.
B. ask the mother to stop​ breast-feeding.
C. pack the vagina with gauze.
D. massage the uterus.

Answer 39

D. massage the uterus.

Question 40

PT-9) When ovulation​ occurs, the fallopian tubes move the​ egg, or​ ovum, toward the uterus with waves of muscular contraction​ called:
A. hydrolysis.
B. urinalysis.
C. neuralgia.
D. peristalsis.

Answer 40

D. peristalsis.

Question 41

PT-10) Your pregnant patient is contracting. You have determined that delivery is imminent. You​ should:
A. determine the​ mother’s preference.
B. transport immediately.
C. do nothing until ALS personnel arrive.
D. prepare to deliver on scene.

Answer 41

D. prepare to deliver on scene.

Question 42

PT-11) Which of the following conditions would most likely result from trauma to the abdomen in a pregnant patient in the second or third​ trimester?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Eclampsia

Answer 42

A. Abruptio placentae

Question 43

PT-12) Your female patient has trauma to the external genitalia. For this type of​ call, you should​ always:
A. direct the patient to document exactly what happened.
B. notify law enforcement.
C. consider the possibility of assault.
D. fully expose the patient.

Answer 43

C. consider the possibility of assault.

Question 44

PT-13) Which of the following steps is included in proper emergency medical care of a patient who is in active labor in which a normal delivery is​ anticipated?
A. Support the​ infant’s head as it delivers in the birth canal.
B. Have the mother lie flat on her back and place her hands behind her​ knees, to pull them back toward her shoulders as far as possible.
C. As the​ baby’s shoulders begin to​ emerge, guide the baby gently upward to deliver the lower shoulder first.
D. Position the mother on her left side with her right hip and knee flexed.

Answer 44

A. Support the​ infant’s head as it delivers in the birth canal.

Question 45

PT-14) Which of the following statements best describes the​ cervix?
A. It is the opening at the junction of the uterus and the fallopian tube.
B. It is the​ narrow, lower​ end, or​ “neck,” of the uterus.
C. It is the duct through which an egg released from the ovary travels to the uterus.
D. It is the inner lining of the uterus.

Answer 45

B. It is the​ narrow, lower​ end, or​ “neck,” of the uterus.

Question 46

PT-15) What is the typical duration of the first stage of labor in​ first-time mothers?
A. Less than 6 hours
B. About 16 hours
C. About 2 hours
D. At least 24 hours

Answer 46

B. About 16 hours

Question 47

PT-16) Your patient has been sexually assaulted. Law enforcement is on the scene. You​ should:
A. be conscious of the​ patient’s likely need for personal space.
B. withhold treatment until law enforcement has left the scene.
C. expose the patient and document your findings.
D. ask the patient to describe exactly what happened.

Answer 47

A. be conscious of the​ patient’s likely need for personal space.

Question 48

PT-17) The female reproductive structure that houses the fetus during development is​ the:
A. fallopian tube.
B. cervix.
C. uterus.
D. ovary.

Answer 48

C. uterus.

Question 49

PT-18) If it is necessary to begin chest compressions on a​ newborn, what is the correct depth of chest​ compression?
A. 1/2 - 1 inch
B. About​ two-thirds the depth of the chest
C. About​ one-third the depth of the chest
D. 2 - 2 1/2 inches

Answer 49

C. About​ one-third the depth of the chest

Question 50

PT-19) Which of the following signs is LEAST associated with seizures in​ pregnancy?
A. Hypotension
B. Altered mental status
C. Swelling of the​ face, hands,​ ankles, and feet
D. Weight gain

Answer 50

A. Hypotension

Question 51

PT-20) As you are assessing your pregnant patient and preparing for​ delivery, which of the following will NOT help you make a transport​ decision?
A. A series of questions
B. A determination of vital signs
C. An examination for crowning
D. A sense of urgency

Answer 51

D. A sense of urgency

Question 52

PT-21) Traditional methods of treating shock will not be effective​ with:
A. hemorrhagic shock.
B. hypovolemic shock.
C. anaphylaxis.
D. supine hypotensive syndrome.

Answer 52

D. supine hypotensive syndrome

Question 53

PT-22) In supine hypotension​ syndrome, how does the​ mother’s body compensate for​ hypotension?
A. The​ mother’s heart rate decreases.
B. Blood flow is directed toward the fetus.
C. The​ mother’s body stimulates widespread vasodilation.
D. Blood flow is directed away from the fetus.

Answer 53

D. Blood flow is directed away from the fetus

Question 54

PT-23) What is a very late sign of ectopic​ pregnancy?
A. Acute abdominal pain
B. Vaginal bleeding
C. Absent menstrual period
D. Low blood pressure

Answer 54

D. Low blood pressure

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Question 55

PT-24) Which of the following does NOT diffuse from the​ mother's blood vessels across the placenta and enter the blood vessels of the​ fetus?
A. Nicotine
B. Carbon dioxide
C. Alcohol
D. Drugs

Answer 55

B. Carbon dioxide

Question 56

PT-25) Which of the following directions regarding the provision of care to a patient with a breech presentation is​ inappropriate?
A. Place the mother in a​ head-down position, with the pelvis elevated.
B. Initiate rapid transport upon recognition of a breech presentation.
C. Provide​ high-concentration oxygen.
D. Attempt to deliver the baby by pulling on the​ baby’s legs.

Answer 56

D. Attempt to deliver the baby by pulling on the​ baby’s legs.

Question 57

PT-26) Which of the following best describes the first stage of​ labor?
A. Delivery of the infant through delivery of the placenta
B. Onset of contractions to complete dilation of the cervix
C. Loss of the mucus plug to onset of contractions
D. Complete dilation of the cervix to delivery of the infant

Answer 57

B. Onset of contractions to complete dilation of the cervix

Question 58

PT-28) What is the name of the structure that provides nourishment for the developing fetus in the​ female's uterus?
A. Cervix
B. Placenta
C. Mons pubis
D. Progesterone

Answer 58

B. Placenta

Question 59

PT-29) What should be done in the prehospital setting for a limb​ presentation?
A. Place one hand in the​ mother’s vagina, to try to maneuver the infant into a​ head-down position
B. Position the mother as for a breech​ delivery, and proceed with the delivery in the field
C. Proceed as for a normal​ delivery, anticipating that it will take a little longer
D. Place the mother in a​ head-down position with the pelvis​ elevated, administer​ oxygen, and transport without delay

Answer 59

D. Place the mother in a​ head-down position with the pelvis​ elevated, administer​ oxygen, and transport without delay

Question 60

PT-30) When you are assisting a pregnant patient in labor with the delivery of her​ baby, where should your partner be​ positioned?
A. At the​ patient's right side
B. At the​ patient's left side
C. Next to you
D. At the​ patient's head

Answer 60

D. At the​ patient’s head

Question 61

PT-31) A newborn who achieves an APGAR score of 2 for appearance would​ be:
A. pale in the extremities and blue in the trunk.
B. pink all over.
C. blue all over.
D. blue in the extremities.

Answer 61

B. pink all over.

Question 62

PT-32) Which of the following is true of​ multiple-birth deliveries?
A. There is a greater risk for neonatal complications.
B. Hypothermia is unlikely with​ multiple-birth newborns.
C. There is a lower risk for neonatal complications.
D. The newborns will likely be of​ above-average weight.

Answer 62

A. There is a greater risk for neonatal complications.

Question 63

CT-1) Traditionally an APGAR score is taken at what time intervals after​ birth?
A. 2 and 7 minutes
B. 1 and 6 minutes
C. 5 and 10 minutes
D. 1 and 5 minutes

Answer 63

D. 1 and 5 minutes

Question 64

CT-2) 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:
A. ectopic pregnancy.
B. placenta previa.
C. internal bleeding.
D. appendicitis.

Answer 64

A. ectopic pregnancy.

Question 65

CT-3) Which of the following describes the normal appearance of amniotic​ fluid?
A. Thin​ fluid, greenish-yellow in color
B. Clear and colorless fluid
C. Thick​ fluid, greenish-black in color
D. A fluid containing blood and mucus

Answer 65

B. Clear and colorless fluid

Question 66

CT-4) Which of the following is the correct way to time the frequency of contractions in the pregnant​ woman?
A. From the beginning of a contraction to the end of the same contraction
B. From the end of one contraction to the beginning of the next
C. After counting the number of contractions in a​ 15-minute period, multiply by 4
D. From the beginning of one contraction to the beginning of the next

Answer 66

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

Question 67

CT-5) While treating a patient of sexual​ assault, which of the following sequences should your treatment​ follow?
A. Treat immediate life​ threats, treat psychological​ needs, and protect criminal evidence.
B. Maintain scene​ safety, treat immediate life​ threats, and treat only the secondary injuries that may become life threats in order to protect criminal evidence.
C. Maintain scene​ safety, treat immediate life​ threats, treat medical and psychological​ needs, and protect criminal evidence.
D. Maintain scene​ safety, treat immediate life​ threats, allow the patient to shower if the patient is capable to help treat psychological​ needs, and transport.

Answer 67

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

Question 68

CT-6) Which of the following is of greatest concern for the EMT in the prehospital care of a woman with vaginal​ bleeding?
A. Finding out if the patient is currently sexually active
B. Preventing infection
C. Monitoring for hypovolemic shock
D. Obtaining a thorough gynecological history

Answer 68

C. Monitoring for hypovolemic shock

Question 69

CT-7) Which of the following is not relevant in determining whether or not delivery is imminent for a woman in​ labor?
A. Determining whether the patient feels as if she needs to move her bowels
B. Asking how long ago the contractions began
C. Finding out how many times the patient has been pregnant
D. Phoning the​ patient’s obstetrician for advice

Answer 69

D. Phoning the​ patient’s obstetrician for advice

Question 70

CT-8) When delivering a​ baby, you should do all of the following except​:
A. place your fingers in the armpit to assist with delivery by pulling on the baby.
B. position your gloved hands at the vaginal opening.
C. suction the mouth​ first, then the nose.
D. have someone stay at the​ mother’s head if possible.

Answer 70

A. place your fingers in the armpit to assist with delivery by pulling on the baby.

Question 71

CT-9) 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?
A. Pair of shoelaces
B. White cotton thread
C. Clothespin
D. Section of wire coat hanger

Answer 71

A. Pair of shoelaces

Question 72

CT-10) Which of the following is true of premature​ infants?
A. They can easily develop hypothermia.
B. They are at risk for respiratory difficulty.
C. They are more susceptible to infection.
D. All of the above

Answer 72

D. All of the above

Question 73

CT-11) Which of the following is a cause of gynecological​ emergencies?
A. Disorders of the female reproductive organs
B. Sexual assault
C. ​Soft-tissue trauma to the external genitalia
D. All of the above

Answer 73

D. All of the above

Question 74

CT-12) The condition in which the placenta separates from the uterine wall is known as which of the​ following?
A. Placenta previa
B. Preeclampsia
C. Ectopic pregnancy
D. Abruptio placentae

Answer 74

D. Abruptio placentae

Question 75

CT-13) Which of the following poses the greatest danger to the pregnant woman and her fetus when trauma​ occurs?
A. Hemorrhagic shock
B. Neurogenic shock
C. Supine hypotensive
D. Distributive shock

Answer 75

A. Hemorrhagic shock

Question 76

CT-14) Which of the following is not part of a basic obstetrics​ kit?
A. Packet of suture material
B. Baby blanket
C. Surgical scissors
D. Umbilical cord clamps or hemostats

Answer 76

A. Packet of suture material

Question 77

CT-15) When clamping the umbilical​ cord, the clamp closest to the baby should be approximately​ \_\_\_\_\_\_\_\_ inch(es) from the​ infant's body.
A. 12
B. 3
C. 7
D. 1

Answer 77

C. 7

Question 78

CT-16) If the​ baby’s head is delivered with the amniotic sac still​ intact, which of the following should be done​ first?
A. Use your fingers to tear the sac away from the​ baby’s face.
B. Call medical control before taking action.
C. Leave the sac intact until the entire body is delivered.
D. Use the scissors in the obstetrics kit to cut the sac away from the​ baby’s head.

Answer 78

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

Question 79

CT-17) What term is used to describe delivery of the fetus and placenta before the 20th week of​ pregnancy?
A. Spontaneous abortion
B. Induced abortion
C. Stillbirth
D. Eclampsia

Answer 79

A. Spontaneous abortion

Question 80

CT-18) Which of the following is not advisable following complete birth of the​ infant?
A. Keep the infant at the level of the​ mother’s vagina until the cord is clamped and cut.
B. Dry the infant and wrap him in a blanket.
C. Hold the infant by the ankles to allow the airway to drain.
D. Place the infant on his side with his head slightly lower than his body.

Answer 80

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

Question 81

CT-19) Seizures due to complications of pregnancy generally occur during which of the following time​ periods?
A. Late in pregnancy
B. In the second trimester
C. Before the mother even knows she is pregnant
D. In the first trimester

Answer 81

A. Late in pregnancy

Question 82

CT-20) Which of the following is true regarding ectopic​ pregnancies?
A. The fallopian tubes cannot stretch to accommodate a fetus.
B. The fertilized egg usually implants in the wall of the uterus.
C. It may cause painless bright red bleeding.
D. It usually occurs during the second trimester.

Answer 82

A. The fallopian tubes cannot stretch to accommodate a fetus.

Question 83

CT-21) The muscular organ in which a baby develops during pregnancy is called​ the:
A. placenta.
B. uterus.
C. fetal membrane.
D. amniotic sac.

Answer 83

B. uterus.

Question 84

CT-22) 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?
A. Fourth stage
B. First stage
C. Third stage
D. Second stage

Answer 84

B. First stage

Question 85

CT-23) 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.
D. All of the above

Answer 85

D. All of the above

Question 86

CT-24) 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:
A. placenta previa.
B. supine hypotensive syndrome.
C. ​Braxton-Hicks contractions.
D. contracted food poisoning.

Answer 86

B. supine hypotensive syndrome.

Question 87

CT-25) During which stage of labor is the baby​ born?
A. Second
B. Third
C. First
D. Primary

Answer 87

A. Second

Question 88

CT-26) While treating a pregnant patient in cardiac​ arrest, which of the following is the best way to keep the fetus​ alive?
A. Transport the patient to the closest pediatric center.
B. Do not use an AED to defibrillate the patient.
C. Attempt to resuscitate the patient as you would any other cardiac arrest patient.
D. Do an emergency cesarean section of the fetus.

Answer 88

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

Question 89

CT-27) Which of the following is the highest priority for the EMT when delivering an infant with​ meconium-stained amniotic​ fluid?
A. Checking for fever
B. Being prepared to suction the infant immediately before he takes a breath
C. Vigorously rubbing the​ infant’s back immediately upon delivery to stimulate breathing
D. None of the above

Answer 89

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

Question 90

CT-28) 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:
A. assembling your delivery kit.
B. getting to the hospital.
C. calling for a​ back-up unit.
D. preparing for the delivery.

Answer 90

B. getting to the hospital.

Question 91

CT-29) Which of the following describes a breech​ presentation?
A. The infant presents buttocks first.
B. The infant presents with both feet first.
C. The infant presents face first.
D. Both A and B

Answer 91

D. Both A and B

Question 92

CT-30) Which of the following is a common sign of a​ pre-delivery emergency?
A. Contractions become more intense and closer together.
B. There is profuse vaginal bleeding.
C. The amniotic sac ruptures.
D. A sensation of lightening as the baby drops into the birth canal.

Answer 92

B. There is profuse vaginal bleeding.

Question 93

CT-31) By which of the following means does the fetal blood pick up nourishment from the​ mother?
A. Osmosis
B. Indirect circulation
C. Direct circulation
D. Diffusion

Answer 93

D. Diffusion

Question 94

CT-32) Which of the following is appropriate when caring for a premature​ baby?
A. Encouraging family members to hold the infant
B. Wrapping the infant in a​ blanket, covering his​ head, and keeping the temperature in the ambulance between 90F and 100F
C. Applying​ high-concentration oxygen with a neonatal nonrebreather mask
D. Deeply suctioning the airway with a rigid​ tonsil-tip

Answer 94

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

Question 95

CT-33) Which of the following should be done when the​ infant’s head has been​ delivered?
A. Suction the mouth.
B. Check to see if the umbilical cord is around the neck.
C. Suction the nose.
D. All of the above

Answer 95

D. All of the above

Question 96

CT-34) 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?
A. Begin​ bag-valve-mask ventilations, suction the airway with a rigid tonsil​ tip, and begin CPR.
B. Rub the​ infant’s back, tap the bottom of his​ foot, begin​ bag-valve-mask ventilations, and check the pulse.
C. Perform a series of back blows and chest thrusts interposed with​ mouth-to-mouth ventilation.
D. Transport without further intervention.

Answer 96

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

Question 97

CT-35) Which of the following should the EMT do to control maternal bleeding after delivery of the​ baby?
A. 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.
D. All of the above

Answer 97

D. All of the above

Question 98

CT-36) Normal maternal blood loss during delivery of an infant usually does not exceed how​ much?
A. 250 cc
B. ​1,000 cc
C. 500 cc
D. 100 cc

Answer 98

C. 500 cc

Question 99

CT-37) 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?
A. The mother has a blood pressure of​ 130/82.
B. The mother has not had prenatal care.
C. The​ mother’s water has already broken.
D. The mother does not intend to breastfeed.

Answer 99

B. The mother has not had prenatal care.

Question 100

CT-38) Which of the following is true concerning prehospital delivery of​ twins?
A. The infants will probably be smaller than a single infant and special attention should be paid to keeping them warm.
B. This is a true emergency and cannot be managed outside the hospital setting without additional help.
C. There are always two placentas.
D. The umbilical cord of the first infant must not be cut until the second infant is born.

Answer 100

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

Question 101

CT-39) By​ definition, a premature infant is one who is born before how many weeks of​ pregnancy?
A. 40
B. 28
C. 37
D. 34

Answer 101

C. 37
(page 1085)

37 weeks or weighs less than 5 1/2 pounds

Question 102

CT-40) Which of the following best describes the events that occur during the first stage of​ labor?
A. Rupture of the amniotic sac
B. Expulsion of the placenta
C. Expulsion of the fetus through the birth canal
D. Thinning and dilation of the cervix

Answer 102

D. Thinning and dilation of the cervix

Question 103

CT-41) 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?
A. Place a neonatal nonrebreather mask on the​ infant’s face.
B. Begin CPR with a compression rate of​ 120/minute.
C. Perform ventilations with a​ bag-valve-mask device and supplemental oxygen.
D. Place oxygen tubing near the​ infant’s face at a flow rate of 10 to 12 liters per minute.

Answer 103

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

Question 104

CT-42) 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?
A. Check for crowning.
B. Pull on the baby.
C. Advise the mother not to push or strain.
D. Apply gentle pressure to the head with your gloved hand.

Answer 104

D. Apply gentle pressure to the head with your gloved hand.

Question 105

CT-43) Which of the following conditions should be present before the umbilical cord is​ cut?
A. The cord is no longer pulsating.
B. The infant is breathing on his or her own.
C. The cord is clamped in two places.
D. All of the above

Answer 105

D. All of the above

Question 106

CT-44) Which of the following is true regarding a pregnant​ woman?
A. Her respirations usually remain the same during pregnancy.
B. Her pulse rate should be lower than normal.
C. Her blood pressure is usually higher during pregnancy.
D. Diabetes may be made worse during pregnancy.

Answer 106

D. Diabetes may be made worse during pregnancy.

Question 107

CT-45) All of the following are signs of adequate breathing and circulation in the newborn except​:
A. relaxation of the extremities.
B. heart rate greater than 100.
C. vigorous crying.
D. cyanosis of only the hands and feet.

Answer 107

A. relaxation of the extremities.

Question 108

CT-46) Supine hypotensive syndrome is easily prevented by transporting all​ third-trimester patients in which of the following​ positions?
A. Lying on the left side
B. Supine with the head lower than the hips
C. Tilted slightly onto the right side
D. On the hands and knees with the hips elevated

Answer 108

A. Lying on the left side

Question 109

CT-47) 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:
A. placenta disruption.
B. placenta previa.
C. unstable placenta.
D. abruptio placentae.

Answer 109

B. placenta previa.

(Page 1088)

Placenta is formed in an abnormal location (low in the uterus and close to or over the cervical opening), will not allow for normal delivery. Bleeding can be caused when fetus is entering birth canal. With the patient telling you that her doctor was concerned about the location of the placenta, it leads this EMT to think that this instead of abruptio placentae would be the probable issue

Question 110

CT-48) An​ infant's birth weight is considered low if it is less than​ \_\_\_\_\_\_\_\_ pounds.
A. 5.5
B. 2.5
C. 3.5
D. 4.5

Answer 110

A. 5.5

page 1085

Question 111

CT-49) Which of the following is true concerning a stillborn​ baby?
A. The parents should never be allowed to see the​ baby, especially if it has begun to deteriorate.
B. The death may occur weeks before delivery.
C. Resuscitation must always be attempted.
D. Infants born in cardiopulmonary arrest should not be resuscitated.

Answer 111

B. The death may occur weeks before delivery.

Question 112

CT-50)  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?
A. 8
B. 7
C. 10
D. 9

Answer 112

D. 9

2 - Pulse
2 - Grimace
2 - Activity
2 - Respiratory Effort
1 - Pink trunk with blue extremities

Question 113

CT-51) What is the temporary organ of​ pregnancy, which functions to supply the developing fetus with oxygen and​ nutrients?
A. Cervix
B. Uterus
C. Placenta
D. Amnion

Answer 113

C. Placenta

Question 114

CT-52) 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?
A. 0.5 to 1 inch lower on the sternum
B. 0.5 to 1 inch higher on the sternum
C. 1 to 2 inches higher on the sternum
D. 1 to 2 inches lower on the sternum

Answer 114

C. 1 to 2 inches higher on the sternum

page 1094

Question 115

CT-53) Which of the following is an appropriate question to ask while evaluating a woman in​ labor?
A. When was the last time you were sexually​ active?
B. Is this your first​ pregnancy?
C. Do you know who the father is and his medical​ history?
D. None of the above

Answer 115

B. Is this your first​ pregnancy?

Question 116

CT-54) 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:
A. keep the baby off of the cord.
B. provide oxygen to the mother.
C. gently push the cord back into the vaginal space.
D. wrap the cord to prevent heat loss.

Answer 116

A. keep the baby off of the cord.

Question 117

CT-55) Which of the following best describes the term crowning​?
A. Delivery of the head during a breech​ birth, completing delivery
B. Discharge of bloody mucus
C. Complete dilation of the cervix
D. Presenting part of the baby being visible at the vaginal opening

Answer 117

D. Presenting part of the baby being visible at the vaginal opening

Question 118

CT-56) The muscle contraction mechanism that moves an egg down the fallopian tube toward the uterus is the same mechanism that​ moves:
A. food from the esophagus to the stomach.
B. sweat to the surface of the skin.
C. air down the bronchial tubes to the alveoli.
D. fluid into and out of the cell.

Answer 118

A. food from the esophagus to the stomach.

Question 119

CT-57) Which of the following is the correct technique to check for crowning in the assessment of a woman in​ labor?
A. Place your hand on the​ woman’s abdomen, just above the​ umbilicus, and check for the firmness of the uterus during contractions.
B. Ask the woman to​ “push” or​ “bear down” as you inspect the vaginal opening.
C. Cover her with a​ sheet, have her remove her​ underwear, wait for a​ contraction, and then visualize the vaginal opening.
D. None of the above

Answer 119

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

Question 120

CT-58) 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?
A. Try to slip the cord over the​ baby’s head and shoulder.
B. Transport emergently without further intervention.
C. Clamp the cord in two​ places, but do not cut it until the baby is delivered.
D. Immediately cut the cord before delivering the baby.

Answer 120

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

Question 121

CT-59) Which of the following best describes placenta​ previa?
A. The placenta is implanted over the opening of the cervix.
B. The placenta prematurely separates from the uterine wall.
C. The umbilical cord is the presenting part.
D. The pregnancy is lost before the 20th week of gestation.

Answer 121

A. The placenta is implanted over the opening of the cervix.

Question 122

CT-60) 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?
A. Tell the patient she needs to be transported immediately and using the bathroom will have to wait until she arrives at the hospital.
B. Allow the patient to use the bathroom because it will make transport and delivery more comfortable.
C. 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.
D. Advise the patient that this could be a sign of a serious​ complication, have her lie on her left​ side, apply​ high-concentration oxygen, and transport immediately.

Answer 122

C. 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 123

CT-61) The term for a baby developing inside the​ mother's womb after 8 weeks​ is:
A. fetus.
B. embryo.
C. neonate.
D. infant.

Answer 123

A. fetus.
(page 1056)

The first 7 weeks, it is an embryo

Question 124

CT-62) 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
D. All of the above

Answer 124

D. All of the above

Question 125

CT-63) 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:
A. prepare to deliver the baby​ on-scene.
B. delay delivery until arrival at the hospital.
C. begin transport and plan to deliver in the ambulance.
D. contact medical direction for orders.

Answer 125

A. prepare to deliver the baby​ on-scene.

Question 126

CT-64) Which of the following is true concerning trauma in the pregnant​ woman?
A. The​ mother’s body will preferentially protect the life of the fetus over that of the mother.
B. She may lose up to 35 percent of her blood volume before exhibiting signs of shock.
C. The increase in blood volume during pregnancy makes shock an unlikely cause of death.
D. She may lose up to 15 percent of her blood volume before exhibiting signs of shock.

Answer 126

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

Question 127

CT-65) 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:
A. prepare to deliver the baby​ on-scene.
B. delay delivery until arrival at the hospital.
C. begin transport and plan to deliver in the ambulance.
D. contact medical direction for orders.

Answer 127

A. prepare to deliver the baby​ on-scene.

Question 128

CT-66) 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:
A. check the level of the fundus.
B. time her contractions.
C. check for cervical dilation.
D. complete a set of vital signs.

Answer 128

B. time her contractions.

Question 129

CT-67) Which of the following is indicated in the prehospital management of a prolapsed umbilical​ cord?
A. Immediately clamp the cord in two places and cut it between the clamps.
B. Encourage the mother to push forcefully in order to speed delivery.
C. Place the mother in a​ head-down position with pillows under her hips.
D. Use your gloved hand to push the umbilical cord back up through the cervix.

Answer 129

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

Question 130

CT-68) 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 except​:
A. elevating the​ mother’s feet.
B. massaging the uterus to control bleeding.
C. having the mother squeeze her legs together to provide direct pressure.
D. applying firm pressure with a sanitary napkin over the vaginal opening.

Answer 130

C. having the mother squeeze her legs together to provide direct pressure.