Chapter 34 Flashcards
- Which of the following structures is not a boundary of the pelvic cavity?
a. The diaphragm (superiorly)
b. The ischium (inferiorly)
c. The internal muscles (anteriorly)
d. The sacrum (posteriorly)
a. The diaphragm (superiorly)
b. The ischium (inferiorly)
c. The internal muscles (anteriorly)
d. The sacrum (posteriorly)
Answer: a
Objective: 34-1
Reference: 1069
Which of the following structures is not located within the pelvic cavity?
a. The ovaries
b. The uterus
c. The appendix
d. The fallopian tubes
a. The ovaries
b. The uterus
c. The appendix
d. The fallopian tubes
Answer: c
Objective: 34-1
Reference: 1069
The function of the uterus in pregnancy is to:
a. permit the excretion of wastes from the baby to the mother.
b. protect the abdominal organs during fetal growth.
c. manufacture specific blood cells needed for fetal survival.
d. provide an environment for the ovum to develop into a fetus.
a. permit the excretion of wastes from the baby to the mother.
b. protect the abdominal organs during fetal growth.
c. manufacture specific blood cells needed for fetal survival.
d. provide an environment for the ovum to develop into a fetus.
Answer: d
Objective: 34-2
Reference: 1071
Which of the following statements about the role of the cervix in pregnancy is true?
a. The cervix constricts during the time of delivery to prevent a premature birth.
b. The placenta is normally positioned directly over the cervix.
c. The cervix can be palpated to determine the frequency of the mother’s contractions.
d. “Bloody show” comes from the cervix and is a sign of imminent delivery.
a. The cervix constricts during the time of delivery to prevent a premature birth.
b. The placenta is normally positioned directly over the cervix.
c. The cervix can be palpated to determine the frequency of the mother’s contractions.
d. “Bloody show” comes from the cervix and is a sign of imminent delivery.
Answer: d
Objective: 34-6
Reference: 1079
The second stage of labor ends with:
a. contractions that become regular and occur every 3–4 minutes.
b. delivery of the placenta.
c. delivery of the baby.
d. rupture of the amniotic sac.
a. contractions that become regular and occur every 3–4 minutes.
b. delivery of the placenta.
c. delivery of the baby.
d. rupture of the amniotic sac.
Answer: c
Objective: 34-6
Reference: 1079
In which of the following patients would an OEC Technician recognize a full-term pregnancy?
a. A 21 year old who is 39 weeks pregnant and is feeling dizzy
b. A 40 year old beginning her third trimester whose water just broke
c. A 25 year old who is 220 days into pregnancy and is complaining of pain
d. A 33 year old with twins in the eighth month of pregnancy
a. A 21 year old who is 39 weeks pregnant and is feeling dizzy
b. A 40 year old beginning her third trimester whose water just broke
c. A 25 year old who is 220 days into pregnancy and is complaining of pain
d. A 33 year old with twins in the eighth month of pregnancy
Answer: a
Objective: 34-5
Reference: 1071
Prior to an emergency delivery, an OEC Technician prepares the delivery field. Which of the following instructions describes the best way to do that task?
a. Place sheets from the OB kit over both of the woman’s legs and her abdomen.
b. Use towels to wrap each of the woman’s legs and to cover her abdomen.
c. Use a sheet or a clean blanket from the aid room to cover the woman’s abdomen and groin.
d. Place a clean (or if available, a sterile) sheet or towel under the mother’s buttocks and then unfold it down to her feet.
a. Place sheets from the OB kit over both of the woman’s legs and her abdomen.
b. Use towels to wrap each of the woman’s legs and to cover her abdomen.
c. Use a sheet or a clean blanket from the aid room to cover the woman’s abdomen and groin.
d. Place a clean (or if available, a sterile) sheet or towel under the mother’s buttocks and then unfold it down to her feet.
Answer: d
Objective: 34-11
Reference: 1081
You arrive in the aid room to find an EMT assisting a mother during delivery. You’re told that the patient’s perineum tore and that you need to control the bleeding. Which of the following actions would you take?
a. Place a cold pack on the mother’s abdomen just below the umbilicus.
b. Apply a sterile gauze dressing with gentle pressure above the mother’s vagina.
c. Place a sterile dressing between the mother’s vagina and rectum.
d. Insert sterile gauze into the mother’s vagina and leave it in place until the bleeding stops.
a. Place a cold pack on the mother’s abdomen just below the umbilicus.
b. Apply a sterile gauze dressing with gentle pressure above the mother’s vagina.
c. Place a sterile dressing between the mother’s vagina and rectum.
d. Insert sterile gauze into the mother’s vagina and leave it in place until the bleeding stops.
Answer: c
Objective: 34-11
Reference: 1083
When asked, a young woman with abdominal pain replies that she is not sure whether she is pregnant or not. Which of the following questions would best help you determine whether the patient could be pregnant?
a. “Do you feel pressure in your lower belly?”
b. “When was your last menstrual period?”
c. “Have you been vomiting in the morning?”
d. “Does it feel like the last time you were pregnant?”
a. “Do you feel pressure in your lower belly?”
b. “When was your last menstrual period?”
c. “Have you been vomiting in the morning?”
d. “Does it feel like the last time you were pregnant?”
Answer: b
Objective: 34-4
Reference: 1089
When assessing a 27-year-old woman who is pregnant, which of the following statements would concern you the most?
a. “I had some cramps two weeks ago.”
b. “I was a drug addict when I was a teenager.”
c. “I have not been able to see a doctor during this pregnancy.”
d. “My last baby came two weeks late.”
a. “I had some cramps two weeks ago.”
b. “I was a drug addict when I was a teenager.”
c. “I have not been able to see a doctor during this pregnancy.”
d. “My last baby came two weeks late.”
Answer: c
Objective: 34-8
Reference: 1079
You have completed an assessment of a 32-year-old woman in the seventh month of pregnancy. Which of the following assessment findings would concern you the most?
a. Several painless contractions
b. An increased desire to eat
c. Increased weight gain over the past month
d. Intermittent vaginal bleeding
a. Several painless contractions
b. An increased desire to eat
c. Increased weight gain over the past month
d. Intermittent vaginal bleeding
Answer: d
Objective: 34-8
Reference: 1078
A 16 year old has come to the aid room complaining of vaginal bleeding. She tells you that she is pregnant and has been bleeding for about 3 hours. After having her lie down, your care would include:
a. placing a sterile pad in her vagina to stop the bleeding.
b. having her keep her legs apart so the bleeding can occur freely and you can tell how much blood she has lost.
c. offering her a sanitary napkin to place over her vagina to slow the bleeding.
d. putting a sterile-gloved hand into her vagina to apply pressure to stop the bleeding.
a. placing a sterile pad in her vagina to stop the bleeding.
b. having her keep her legs apart so the bleeding can occur freely and you can tell how much blood she has lost.
c. offering her a sanitary napkin to place over her vagina to slow the bleeding.
d. putting a sterile-gloved hand into her vagina to apply pressure to stop the bleeding.
Answer: c
Objective: 34-8
Reference: 1091
You would most suspect the occurrence of a spontaneous abortion in which of the following patients?
a. A 16 year old who is 24 weeks pregnant and is having painless contractions
b. A 21 year old who is 6 weeks pregnant and is passing blood clots from her vagina
c. A 32 year old who is 7 months pregnant and is passing a foul-smelling and bloody vaginal discharge
d. A 38 year old who is 36 weeks pregnant and is having abdominal pain and painless vaginal bleeding
a. A 16 year old who is 24 weeks pregnant and is having painless contractions
b. A 21 year old who is 6 weeks pregnant and is passing blood clots from her vagina
c. A 32 year old who is 7 months pregnant and is passing a foul-smelling and bloody vaginal discharge
d. A 38 year old who is 36 weeks pregnant and is having abdominal pain and painless vaginal bleeding
Answer: b
Objective: 34-8
Reference: 1078
A 21 year old is five weeks pregnant and is experiencing vaginal bleeding. When reviewing the possible causes of the bleeding, you would suspect:
a. a ruptured uterus.
b. a dysfunctional placenta.
c. drug addiction.
d. a spontaneous abortion.
a. a ruptured uterus.
b. a dysfunctional placenta.
c. drug addiction.
d. a spontaneous abortion.
Answer: d
Objective: 34-8
Reference: 1078
A 25-year-old woman arrives in the aid room with her husband. She is 37 weeks pregnant and in labor. Your exam reveals crowning with 60-second contractions occurring at 50-second intervals. Which of the following actions would you take?
a. Tell her husband that the hospital is only 10 minutes away and that he should take her there.
b. Obtain her vital signs and call for an ambulance to take her to the hospital.
c. Open and prepare an obstetrical kit.
d. Have her hold her legs together to prevent delivery until an ALS ambulance arrives.
a. Tell her husband that the hospital is only 10 minutes away and that he should take her there.
b. Obtain her vital signs and call for an ambulance to take her to the hospital.
c. Open and prepare an obstetrical kit.
d. Have her hold her legs together to prevent delivery until an ALS ambulance arrives.
Answer: c
Objective: 34-11
Reference: 1092
You are with a 29-year-old woman who has signs of imminent delivery. She tells you that she has a history of HIV infection. Compared to a patient who has no infectious disease, how will Standard Precautions differ for this patient?
a. Gloves, a gown, and goggles should be used for this patient; only gloves and a gown are required for a noninfectious patient in labor.
b. Gloves are needed for a noninfectious patient in labor; goggles and gloves must be worn for a patient with HIV.
c. A HEPA filter mask should be used for a patient with HIV, but not for a noninfectious patient.
d. Gloves, a gown, and goggles must be worn for both patients with HIV and noninfectious patients.
a. Gloves, a gown, and goggles should be used for this patient; only gloves and a gown are required for a noninfectious patient in labor.
b. Gloves are needed for a noninfectious patient in labor; goggles and gloves must be worn for a patient with HIV.
c. A HEPA filter mask should be used for a patient with HIV, but not for a noninfectious patient.
d. Gloves, a gown, and goggles must be worn for both patients with HIV and noninfectious patients.
Answer: c
Objective: Supplemental
Reference: 1080
