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AEMT > Ch. 43 > Flashcards

Ch. 43 Flashcards

1
Q

The muscular organ in which a baby develops during pregnancy is called the:

A) fetal membrane.
B) placenta.
C) uterus.
D) amniotic sac.

A

C) uterus.

Page Ref: 938

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2
Q

Fertilization normally will occur in the:

A) fallopian tube.
B) ovaries.
C) vagina.
D) uterus.

A

A) fallopian tube.

Page Ref: 938

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3
Q

Immediately following fertilization in the fallopian tube, the ovum will:

A) rupture from the ovary.
B) implant in the uterus.
C) begin division.
D) be discharged with menstruation.

A

C) begin division.

Page Ref: 938

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4
Q

A term referring to the period prior to birth of a child is:

A) prenatal.
B) perinatal.
C) preterm.
D) parturition.

A

A) prenatal.

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5
Q

A preterm delivery occurs:

A) any time before 40 weeks.
B) between 30 and 38 weeks.
C) before 37 weeks of gestation.
D) between 28 and 36 weeks.

A

D) between 28 and 36 weeks.

Page Ref: 941

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6
Q

What is the temporary organ of pregnancy, which functions to supply the developing fetus with oxygen and nutrients?

A) Cervix
B) Uterus
C) Amnion
D) Placenta

A

D) Placenta

Page Ref: 940

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7
Q

Which of the following statements about the umbilical cord is TRUE?

A) It contains one artery and two veins.
B) It contains two arteries and one vein.
C) The function is to surround and protect the fetus.
D) It can be over 10 feet long.

A

B) It contains two arteries and one vein.

Page Ref: 940

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8
Q

You are attending a pregnant patient who believes she is in labor. Suddenly, she reports a very large “gush of water” from her vagina. You suspect:

A) ruptured amniotic membrane.
B) spontaneous abortion.
C) placenta previa.
D) pre-term delivery.

A

A) ruptured amniotic membrane.

Page Ref: 943

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9
Q

You are attending to a patient who reports that she is three months pregnant and is receiving pre-natal care. Your partner obtains a blood pressure of 98/60, pulse of 84, and respirations of 14. The patient is complaining of nausea and vomiting. You should suspect:

A) hypovolemia.
B) morning sickness.
C) spontaneous abortion.
D) internal bleeding.

A

B) morning sickness.

Page Ref: 942

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10
Q

Pain associated with an ectopic pregnancy may be referred to the:

A) pelvic girdle.
B) lower back.
C) shoulder.
D) umbilicus.

A

C) shoulder.

Page Ref: 949

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11
Q

If the patient in labor complains of the urge to push, you should:

A) transport immediately as delivery is imminent.
B) cover the vaginal opening with a bulky dressing and transport.
C) examine the vaginal area for crowning.
D) position the patient in a left-lateral recumbent position.

A

C) examine the vaginal area for crowning.

Page Ref: 952

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12
Q

As an infant delivers, you are presented with a feet-first presentation. You should:

A) place the mother in a head-down position and transport immediately.
B) grasp the infant’s feet and attempt to pull the infant from the vagina.
C) rotate the legs to a supine position and gently apply traction.
D) support the body and legs and allow the mother to attempt to deliver on her own.

A

D) support the body and legs and allow the mother to attempt to deliver on her own.

Page Ref: 957

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13
Q

You have just delivered a healthy infant who is breathing well and has an APGAR of 9 at five minutes. As you are awaiting delivery of the placenta, the mother suddenly experiences severe shortness of breath, JVD, and hypotension. You should suspect:

A) pulmonary embolism.
B) autotransfusion.
C) hypovolemic shock.
D) sepsis.

A

A) pulmonary embolism.

Page Ref: 959

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14
Q

A method that is commonly used in the field to assess a newborn’s vital functions is known as the ________ score.

A) AVPU
B) APGAR
C) OPQRST
D) SAMPLE

A

B) APGAR

Page Ref: 960

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15
Q

You are ventilating a neonate but he doesn’t seem to be responding. You know that you MUST begin chest compressions the heart rate drops below ________ beats per minute.

A) 100
B) 80
C) 60
D) 40

A

C) 60

Page Ref: 960

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16
Q

The five components of the top step in the neonatal resuscitation inverted pyramid are:

A) dry, warm, suction, ventilate, stimulate.
B) warm, dry, suction, ventilate, compressions.
C) warm, position, suction, ventilate, compressions.
D) dry, warm, position, suction, stimulate.

A

D) dry, warm, position, suction, stimulate.

Page Ref: 959

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17
Q

You are giving report to the nurse at the hospital regarding your patient who is nine months pregnant. You tell her that the patient reports that her doctor told her that she had recently had protein in her urine. You know that this is indicative of:

A) eclampsia.
B) gestational diabetes.
C) imminent labor.
D) preeclampsia.

A

D) preeclampsia.

Page Ref: 950

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18
Q

Your patient has been pregnant three times with two live deliveries. You should document this as:

A) gravida 3, para 2.
B) gravida 2, para 3.
C) primagravida.
D) para 3, gravida 2.

A

A) gravida 3, para 2.

Page Ref: 947

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19
Q

You are obtaining a history from an obese, 15-year-old girl who is pregnant. She tells you this is her first pregnancy and she called 911 because her stomach has been cramping. Which part of her history would lead you to be concerned about gestational diabetes?

A) First pregnancy
B) Stomach cramps
C) Her weight
D) Her age

A

C) Her weight

Page Ref: 949

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20
Q

Which of the following is TRUE regarding preeclampsia?

A) Occurs when the blood pressure surpasses 160/90 mmHg.
B) Usually occurs to women who are over the age of 35.
C) It can develop within 48 hours after delivery.
D) Presents with seizures and hypertension.

A

C) It can develop within 48 hours after delivery.

Page Ref: 950

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21
Q

All of the following are complications that can result from preeclampsia EXCEPT:

A) hemorrhagic stroke.
B) decreased deep tendon reflexes.
C) sudden placental abruption.
D) acute kidney failure.

A

B) decreased deep tendon reflexes.

Page Ref: 950

22
Q

All of the following are signs of preeclampsia EXCEPT:

A) visual disturbances.
B) headache.
C) altered mental status.
D) peripheral edema.

A

C) altered mental status.

Page Ref: 950

23
Q

Your 23-year-old patient is seven months pregnant and has called 911 for vaginal bleeding. She reports that she bent down to pick up some toys when she began bleeding. She says it is not painful, but she is frightened by the gush of bright red blood. You should suspect:

A) placenta previa.
B) a ruptured uterus.
C) prolapsed cord.
D) abruptio placenta.

A

A) placenta previa.

Page Ref: 950

24
Q

Fetal heart tones can be heard with a Doppler at about ________ weeks.

A) 20
B) 15
C) 10
D) 5

A

C) 10

Page Ref: 947

25
Q

Which newborn is MOST in need of neonatal resuscitation?

A) Gestation 41 weeks, strong cry, good muscle tone
B) Gestation 37 weeks, APGAR score of 9
C) Gestation 36 weeks, strong cry, active movement
D) Gestation 32 weeks, weak cry, limp

A

D) Gestation 32 weeks, weak cry, limp

Page Ref: 960

26
Q

As you are evaluating a pregnant patient who is supine on a couch, your partner informs you that the patient’s blood pressure is 78/50, pulse of 100, and respirations of 16. You should:

A) place her on her left side and retake vitals.
B) give rapid IV fluid boluses and transport immediately.
C) start chest compressions to keep BP above 80.
D) give dextrose 5 percent by IV titrated to 100 mmHg systolic.

A

A) place her on her left side and retake vitals.

Page Ref: 946

27
Q

If your patient in labor complains that she “needs to move my bowels,” you should:

A) apply direct pressure to the vaginal opening.
B) assess the patient for crowning.
C) place her in Trendelenburg position.
D) leave for the hospital immediately.

A

B) assess the patient for crowning.

Page Ref: 952

28
Q

You are transferring care of a mother and her newborn to the emergency department. What information is MOST important for you to include in your report to the emergency department personnel?

A) Initial vital signs of the mother, history of contractions
B) Name of the mother’s primary care physician and obstetrician
C) Time of birth, APGAR scores, and gender of the newborn
D) Name of the newborn, name of the legal parents of the newborn

A

C) Time of birth, APGAR scores, and gender of the newborn

Page Ref: 956, 960

29
Q

Pregnant patients are more susceptible to life-threatening injury because of:

A) the position and increased vascularity of the uterus.
B) decreased cardiac output associated with pregnancy.
C) decreased vascular volume during pregnancy.
D) higher rate of infections associated with pregnancy.

A

A) the position and increased vascularity of the uterus.

Page Ref: 951

30
Q

An ectopic pregnancy MOST commonly occurs in the:

A) pelvic cavity.
B) fallopian tube.
C) uterus.
D) abdominal cavity.

A

B) fallopian tube.

Page Ref: 949

31
Q

Bleeding that occurs with placenta previa is usually:

A) painful and bright red.
B) painful, dark, and clotted.
C) painless, dark, and clotted.
D) painless and bright red.

A

D) painless and bright red.

Page Ref: 950

32
Q

________ is the premature separation of the placenta from the uterine wall.

A) Abruptio placentae
B) Cervical dilation
C) Eclampsia
D) Placenta previa

A

A) Abruptio placentae

Page Ref: 950-951

33
Q

You are treating a multigravida female who is not receiving prenatal care. The patient is 42-years-old and is in her third trimester of pregnancy. She admits to using cocaine earlier in the day and throughout her pregnancy. She is currently experiencing a painful, rigid abdomen and signs and symptoms of shock. You should suspect:

A) spontaneous abortion.
B) placenta previa.
C) eclampsia.
D) abruptio placentae.

A

D) abruptio placentae.

Page Ref: 951

34
Q

The differentiation of preeclampsia and eclampsia is:

A) visual disturbances.
B) full body edema.
C) hypertension.
D) seizures.

A

D) seizures.

Page Ref: 950

35
Q

All of the following are appropriate in treating the patient who is suspected of having preeclampsia EXCEPT:

A) left-lateral recumbent position.
B) high-flow oxygen.
C) IV fluid bolus.
D) reduce sensory stimulation.

A

C) IV fluid bolus.

Page Ref: 950

36
Q

Your patient, who is expecting her second child in two days, reports a mucous-like vaginal discharge that was pink in color prior to your arrival. The patient is experiencing abdominal cramping intermittently. You suspect this is:

A) preeclampsia.
B) placenta previa.
C) a mucous plug.
D) a threatened miscarriage.

A

C) a mucous plug.

Page Ref: 951

37
Q

In preparation for delivery, you should do all of the following EXCEPT:

A) Have tepid water available for cleansing the fetus.
B) Deliver an IV fluid bolus of isotonic fluids.
C) Drape the mother with sterile sheets if time permits.
D) Put on sterile gloves, mask, and gown.

A

A) Have tepid water available for cleansing the fetus.

Page Ref: 952-954

38
Q

A layer of the extraembryonic membrane that develops blood vessels within finger-like projections is called the:

A) endometrium.
B) villi.
C) chorion.
D) placenta.

A

C) chorion.

Page Ref: 940

39
Q

During delivery, you note bulging of the perineal area when the mother bears down to expel the fetus from the birth canal. You should:

A) tear the perineum with a gloved finger to prevent further trauma.
B) apply gentle pressure to the head of the fetus to prevent explosive delivery.
C) use water-based lubricant to facilitate delivery.
D) attempt to spread the labial folds further to assist delivery.

A

B) apply gentle pressure to the head of the fetus to prevent explosive delivery.

Page Ref: 952

40
Q

You are delivering a baby and the head delivers normally, but then retracts back into the birth canal. You should suspect:

A) shoulder dystocia.
B) breech delivery.
C) precipitous delivery.
D) uterine inversion.

A

A) shoulder dystocia.

Page Ref: 959

41
Q

The risk of ________ is substantially increased by pulling on the umbilical cord in an attempt to speed delivery of the placenta.

A) placenta previa
B) uterine inversion
C) abruptio placenta
D) uterine rupture

A

B) uterine inversion

Page Ref: 959

42
Q

Pulmonary embolism is more common in patients who have had:

A) pelvic inflammatory disease (PID).
B) placenta previa.
C) trauma during pregnancy.
D) a cesarean section.

A

D) a cesarean section.

Page Ref: 959

43
Q

All of the following increase the risk for neonatal resuscitation EXCEPT:

A) The mother is over the age of 25.
B) The mother has taken cocaine during pregnancy.
C) A baby is born at 36 weeks of gestation.
D) The mother has type 1 diabetes.

A

A) The mother is over the age of 25.

Page Ref: 960

44
Q

Which of the following characteristics of a neonate would require some form of resuscitation?

A) Baby born at 39 weeks of gestation.
B) A baby who is crying loudly.
C) A baby who is moving vigorously.
D) A baby whose heart rate is 90.

A

D) A baby whose heart rate is 90.

Page Ref: 960

45
Q

You have initiated ventilations and chest compressions for a neonate with a pulse rate of 50, and he is not improving. You should next:

A) increase ventilations to 30 breaths per minute.
B) gain IV access and deliver IV fluids.
C) continue chest compressions at 80 per minute.
D) cut the umbilical cord and tie it off.

A

B) gain IV access and deliver IV fluids.

Page Ref: 960

46
Q

You should attempt resuscitation if the fetus is at least ________ weeks or beyond unless death is obvious.

A) 18
B) 20
C) 22
D) 24

A

B) 20

Page Ref: 963

47
Q

All of the following is correct regarding premature infants EXCEPT:

A) The thermoregulatory mechanism is immature.
B) Glycogen stores may be inadequate.
C) The cranium protects the fragile brain tissue.
D) The lungs are underdeveloped and lack surfactant.

A

C) The cranium protects the fragile brain tissue.

Page Ref: 963

48
Q

________ occurs in about one in 8500 births and is characterized by a shorter-than-normal chin and large tongue that easily leads to airway obstruction.

A) Choanal atresia
B) Cleft palate
C) Omphalocele
D) Pierre Robin syndrome

A

D) Pierre Robin syndrome

Page Ref: 963

49
Q

Labor is divided into four stages. If the woman’s cervix shows complete effacement, what stage is she in?

A) Stage one
B) Stage two
C) Stage three
D) Stage four

A

B) Stage two

Page Ref: 943

50
Q

You should assume any female of childbearing age who is suffering from lower abdominal pain and a missed period to have:

A) pelvic inflammatory disease.
B) acute appendicitis.
C) ectopic pregnancy.
D) spontaneous abortion.

A

C) ectopic pregnancy.

Page Ref: 949

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