Section 11 Quiz Questions Flashcards

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1
Q

While en route for a call involving a pregnant patient, an Emergency Medical Responder (EMR) on scene contacts you and reports that the patient is actively seizing. The EMR reports that she is seven months pregnant and has not been feeling well for the past three days (per family). Which instruction is critical for you to relay to the EMR?

A

Provide oxygen at 15 lpm

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2
Q

Which statement made by the EMT indicates an understanding of the 5 relationships between seizures and pregnancy?

A

“Prolonged seizures can easily cause the mother and baby to become hypoxic.”

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3
Q

You arrive at the residence of a physician who informs you that his pregnant wife requires immediate transport to the hospital because she is bleeding and has a history of abruptio placentae. As a knowledgeable EMT, you should recognize that the greatest threat to the baby is:

A

hypoxia

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4
Q

If the placenta attaches over the cervix, the patient and fetus would be at risk for which condition?

A

placenta previa

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5
Q

You are in the process of performing a field delivery and have just delivered the baby’s head. What should you do next?

A

Check the neck for the umbilical cord

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6
Q

What would the expected preductal SpO2 reading be at 5 minutes after birth?

A

at least 80%

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7
Q

You have determined that you will need to perform a field delivery. Which instructions to the patient show that the EMT is properly positioning her?

A

“Please lie on your back, draw your knees upward, and spread your legs apart.”

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8
Q

You arrive at the side of a pregnant patient in her third trimester who has had vaginal bleeding for several hours. Observation reveals several blood-soaked towels on the bed. She is alert and oriented with a patent airway and adequate breathing. Her pulse is 88 beats per minute and her blood pressure is 104/66
mmHg. In caring for this patient you would:

A

Collect all towels with blood and transport them with the patient

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9
Q

You have been called for a 27-year-old female who is 32 weeks pregnant. She states that she is experiencing uterine contractions but feels no pain with them,
just a tightening in her abdomen. The contractions began three days ago and seem to be increasing in frequency today. She denies discharge or rupture of her membranes. Given this presentation, you should recognize:

A

Probable false labor, but have the patient transported to the hospital for evaluation

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10
Q

When treating a patient whom you believe has an ectopic pregnancy, you know that the primary threat to the patient’s life is:

A

hemmorhage

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11
Q

When cutting the umbilical cord, how should the baby be positioned?

A

Level with the mother’s uterus

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12
Q

A newborn’s first Apgar score was 6. His second Apgar score is 9. What does this information mean to the EMT?

A

Improvement

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13
Q

What are the stages of labor in the order in which they occur?

A

Dilation, expulsion, and placental delivery

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14
Q

How many newborns will require a level of care that falls below the top tier of the neonatal resuscitation pyramid?

A

80%

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15
Q

According to the neonatal resuscitation pyramid, which level of care will most newborns require?

A

Tactile stimulation and drying

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16
Q

After delivery, you note blood still escaping from the mother’s vagina. The sanitary pads that you placed earlier between her legs continue to become soaked. Your next action would be to:

A

Perform a uterine massage

17
Q

In normal fertilization, the egg and sperm meet in which structure?

A

Fallopian tube

18
Q

After positive pressure ventilation, a newborn’s heart rate increases from 80 to 120 beats per minute. The EMT should:

A

Stop positive pressure ventilation and provide blow-by oxygen

19
Q

A woman informs you that she is eight months pregnant and fatigues easily. She is apprehensive because when she lies down, she gets dizzy and feels as though she is going to vomit. What is the EMT’s best response?

A

“Check with your obstetrician, but you may want to rest and sleep on your left or right side.”

20
Q

Five minutes after delivering a baby, the mother feels the sudden urge to push and a gush of blood comes from the vagina. Given that the mother is not delivering twins, which stage of labor should the EMT recognize?

A

Placental

21
Q

During which abnormal birth presentation is it permissible for the EMT to place a gloved hand into the vaginal canal?

A

Prolapsed umbilical cord