Chapter 33 Quiz

Question 1

A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days. You should:
Select one:
A. administer oral glucose for presumed hypoglycemia and transport.
B. insert an oral airway and ventilate her with a bag-valve mask.
C. elevate her legs to improve brain perfusion and keep her warm.
D. place her on her side, administer high-flow oxygen, and transport.

Answer 1

D. place her on her side, administer high-flow oxygen, and transport.

Question 2

A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
Select one:
A. preeclampsia.
B. placenta previa.
C. gestational diabetes.
D. an ectopic pregnancy.

Answer 2

D. an ectopic pregnancy.

Question 3

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
Select one:
A. 10 hours.
B. 4 hours.
C. 16 hours.
D. 8 hours.

Answer 3

C. 16 hours.

Question 4

A nuchal cord is defined as an umbilical cord that:
Select one:
A. is wrapped around the baby’s neck.
B. is lacerated due to a traumatic delivery.
C. has separated from the placenta.
D. has abnormally developed blood vessels.

Answer 4

A. is wrapped around the baby’s neck.

Question 5

A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
Select one:
A. pregnant patients can dramatically increase their heart rate.
B. blood is shunted to the uterus and fetus during major trauma.
C. pregnant patients have an overall increase in blood volume.
D. pregnancy causes vasodilation and a lower blood pressure.

Answer 5

C. pregnant patients have an overall increase in blood volume.

Question 6

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
Select one:
A. xiphoid process.
B. superior diaphragm.
C. pubic bone.
D. belly button.

Answer 6

D. belly button.

Question 7

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
Select one:
A. some form of tactile stimulation.
B. thorough drying with a towel.
C. positive-pressure ventilations.
D. suctioning of the upper airway.

Answer 7

C. positive-pressure ventilations.

Question 8

During your visual inspection of a 25-year-old woman in labor, you see the baby’s head crowning at the vaginal opening. What should you do?
Select one:
A. Apply gentle pressure to the baby’s head as it delivers.
B. Place your fingers in the vagina to assess for a nuchal cord.
C. Maintain firm pressure to the head until it completely delivers.
D. Tell the mother not to push and transport her immediately.

Answer 8

A. Apply gentle pressure to the baby’s head as it delivers.

Question 9

Following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should:
Select one:
A. elevate her legs 6 to 8 inches and cover her with a blanket.
B. carefully insert a sterile trauma dressing into her vagina.
C. place her legs together and position her on her left side.
D. firmly massage the uterine fundus with a circular motion.

Answer 9

D. firmly massage the uterine fundus with a circular motion.

Question 10

From what internal female organ is the fetus expelled during delivery?
Select one:
A. Perineum
B. Uterus
C. Vagina
D. Cervix

Answer 10

B. Uterus

Question 11

If a baby is born at 7:52, the second Apgar score should be calculated at:
Select one:
A. 8:00.
B. 7:57.
C. 7:53.
D. 7:59.

Answer 11

B. 7:57.

Question 12

The amniotic fluid serves to:
Select one:
A. transfer oxygen to the fetus.
B. insulate and protect the fetus.
C. remove viruses from the fetus.
D. assist in fetal development.

Answer 12

B. insulate and protect the fetus.

Question 13

The presence of meconium in the amniotic fluid indicates:
Select one:
A. that the baby’s airway may be obstructed.
B. that full newborn resuscitation will be needed.
C. an expected finding in full-term infants.
D. that the fetus is at least 4 weeks premature.

Answer 13

A. that the baby’s airway may be obstructed.

Question 14

Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased and she is tachycardic. The EMT should suspect:
Select one:
A. pulmonary embolism.
B. spontaneous pneumothorax.
C. intrauterine bleeding.
D. acute pulmonary edema.

Answer 14

A. pulmonary embolism.

Question 15

When determining the frequency of contractions, you should time the contractions from the:
Select one:
A. end of one to the end of the next.
B. end of one to the start of the next.
C. start of one to the end of the next.
D. start of one to the start of the next.

Answer 15

D. start of one to the start of the next.

Question 16

When preparing a pregnant patient for delivery, you should position her:
Select one:
A. in a supine position with her legs spread.
B. on a firm surface with her hips elevated 2 to 4 inches.
C. on her left side with the right leg elevated.
D. in a sitting position with her hips elevated 12 inches.

Answer 16

B. on a firm surface with her hips elevated 2 to 4 inches.

Question 17

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
Select one:
A. “Do you feel the need to push?”
B. “When are you due?”
C. “Is this your first baby?”
D. “Have you had a sonogram?”

Answer 17

D. “Have you had a sonogram?”

Question 18

You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should:
Select one:
A. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.
B. inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management.
C. call for the police to ensure that patient assessment is carried out.
D. insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome.

Answer 18

A. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.

Question 19

You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should:
Select one:
A. ask more detailed questions and press the issue until you have a more detailed understanding of the incident.
B. immediately remove the patient from the environment and transport.
C. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.
D. contact police and remain at the scene until they arrive and escort you to the hospital.

Answer 19

C. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.

Question 20

Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant’s leg is protruding from the vagina. Appropriate management of this situation includes:
Select one:
A. placing the mother supine with her head down and pelvis elevated.
B. gently pulling on the infant’s leg in an attempt to facilitate delivery.
C. placing the mother in a recumbent position and rapidly transporting.
D. carefully attempting to push the infant’s leg off of the umbilical cord.

Answer 20

A. placing the mother supine with her head down and pelvis elevated.