EMT Chapter33 – Flashcards
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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:
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A. insert an oral airway and ventilate her with a bag-valve mask. B. administer oral glucose for presumed hypoglycemia and transport. C. place her on her side, administer high-flow oxygen, and transport. Correct D. elevate her legs to improve brain perfusion and keep her warm.
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A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
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A. placenta previa. B. gestational diabetes. C. preeclampsia. D. an ectopic pregnancy. Correct
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A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
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A. 16 hours. Correct B. 8 hours. C. 10 hours. D. 4 hours.
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A nuchal cord is defined as an umbilical cord that:
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A. is wrapped around the baby's neck. Correct B. has separated from the placenta. C. is lacerated due to a traumatic delivery. D. has abnormally developed blood vessels.
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A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:
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A. pregnant patients can dramatically increase their heart rate. B. blood is shunted to the uterus and fetus during major trauma. C. pregnancy causes vasodilation and a lower blood pressure. D. pregnant patients have an overall increase in blood volume. Correct
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By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
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A. belly button. Correct B. superior diaphragm. C. pubic bone. D. xiphoid process.
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Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:
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A. thorough drying with a towel. B. suctioning of the upper airway. C. some form of tactile stimulation. D. positive-pressure ventilations. Correct
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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?
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A. Apply gentle pressure to the baby's head as it delivers. Correct B. Place your fingers in the vagina to assess for a nuchal cord. C. Tell the mother not to push and transport her immediately. D. Maintain firm pressure to the head until it completely delivers.
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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:
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A. firmly massage the uterine fundus with a circular motion. Correct B. elevate her legs 6 to 8 inches and cover her with a blanket. C. place her legs together and position her on her left side. D. carefully insert a sterile trauma dressing into her vagina.
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From what internal female organ is the fetus expelled during delivery?
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A. Cervix B. Perineum C. Uterus Correct D. Vagina
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If a baby is born at 7:52, the second Apgar score should be calculated at:
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A. 7:59. B. 7:53. C. 7:57. Correct D. 8:00.
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The amniotic fluid serves to:
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A. remove viruses from the fetus. B. transfer oxygen to the fetus. C. assist in fetal development. D. insulate and protect the fetus. Correct
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The presence of meconium in the amniotic fluid indicates:
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A. that the fetus is at least 4 weeks premature. B. an expected finding in full-term infants. C. that full newborn resuscitation will be needed. D. that the baby's airway may be obstructed. Correct
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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:
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A. acute pulmonary edema. B. pulmonary embolism. Correct C. spontaneous pneumothorax. D. intrauterine bleeding.
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When determining the frequency of contractions, you should time the contractions from the:
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A. start of one to the end of the next. B. start of one to the start of the next. Correct C. end of one to the end of the next. D. end of one to the start of the next.
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When preparing a pregnant patient for delivery, you should position her:
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A. in a supine position with her legs spread. B. in a sitting position with her hips elevated 12 inches. C. on her left side with the right leg elevated. D. on a firm surface with her hips elevated 2 to 4 inches. Correct
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Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
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A. "Have you had a sonogram?" Correct B. "Is this your first baby?" C. "When are you due?" D. "Do you feel the need to push?"
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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:
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A. inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management. B. insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome. C. call for the police to ensure that patient assessment is carried out. D. respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient. Correct
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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:
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A. contact police and remain at the scene until they arrive and escort you to the hospital. B. immediately remove the patient from the environment and transport. C. ask more detailed questions and press the issue until you have a more detailed understanding of the incident. D. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care. Correct
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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:
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A. gently pulling on the infant's leg in an attempt to facilitate delivery. B. carefully attempting to push the infant's leg off of the umbilical cord. C. placing the mother in a recumbent position and rapidly transporting. D. placing the mother supine with her head down and pelvis elevated. Correct
