EMT Chapter 33: Obstetrics and Neonatal Care Questions and Answers
Graded A+
A 26-year-old female who is 34 weeks pregnant is cut the umbilical cord. During transport, you note that
experiencing a seizure. Her husband tells you that the mother is experiencing moderate vaginal
her blood pressure has been high and that she had bleeding. You should: - ANSWER -firmly
been complaining of a headache for the past few massage the uterine fundus with a circular motion.
days. You should: - ANSWER -place her on her
side, administer high-flow oxygen, and transport.
From what internal female organ is the fetus expelled
during delivery? - ANSWER -Uterus
A history of pelvic inflammatory disease or tubal
ligations increases a woman's risk for: -
ANSWER -an ectopic pregnancy If a baby is born at 7:52, the second Apgar score
should be calculated at: - ANSWER -7:57.
A mother who is pregnant with her first baby is
typically in the first stage of labor for approximately: - The amniotic fluid serves to: - ANSWER -
ANSWER -16 hours insulate and protect the fetus
A nuchal cord is defined as an umbilical cord that: - The presence of meconium in the amniotic fluid
ANSWER -is wrapped around teh baby's neck indicates: - ANSWER -that the baby's airway
may be obstructed.
A pregnant trauma patient may lose a significant
amount of blood before showing signs of shock Three days after delivering her baby, a 30-year-old
because: - ANSWER -pregnant patients have woman complains of a sudden onset of difficulty
an overall increase in blood volume. breathing. Her level of consciousness is decreased
and she is tachycardic. The EMT should suspect: -
ANSWER -pulmonary dmbolism
By the 20th week of pregnancy, the uterus is typically
at or above the level of the mother's: -
ANSWER -belly button When determining the frequency of contractions, you
should time the contractions from the: -
ANSWER -start of one to the start of the next.
Common interventions used to stimulate
spontaneous respirations in the newborn include all
of the following, EXCEPT: - ANSWER -positive- When preparing a pregnant patient for delivery, you
pressure ventilations should position her: - ANSWER -on a firm
surface with her hips elevated 2 to 4 inches.
During your visual inspection of a 25-year-old woman
in labor, you see the baby's head crowning at the Which of the following questions is of LEAST
vaginal opening. What should you do? - pertinence when determining whether a mother will
ANSWER -Apply gentle pressure to the baby's deliver her baby within the next few minutes? -
head as it delivers ANSWER -"Have you had a sonogram?"
Following delivery of a full-term baby, you have You and your partner are both male and are
properly cared for the baby and have clamped and attending to a 28-year-old female patient complaining
1/5
, EMT Chapter 33: Obstetrics and Neonatal Care Questions and Answers
Graded A+
of diffuse abdominal pain. The patient is 34 weeks After the fetus has descended into the pelvis at the
pregnant with her first child. The patient refuses to end of the third trimester, many mothers experience: -
allow you to examine her, and her husband informs ANSWER -easier breathing.
you that their culture does not allow males to
examine or care for pregnant women. You should: -
ANSWER -respect the patient's wishes, ensure An infant is considered to be premature if it: -
that the appropriate documentation is completed, and ANSWER -weighs less than 5 lb or is born
transport the patient. before 36 weeks' gestation.
You are attending to a 23-year-old female patient Braxton-Hicks contractions are characterized by: -
who is 16 weeks pregnant with her second child. The ANSWER -alleviation of pain with movement or
patient has apparently fallen and sustained an injury changing positions.
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 Fetal complications associated with drug- or alcohol-
this information, you should: - ANSWER - addicted mothers include all of the following,
continue your care in a private area, document any EXCEPT: - ANSWER -profound tachycardia
details regarding the scene and the incident, and
reassure her as you provide care.
Following delivery of a pulseless and apneic infant
who has a foul odor, skin sloughing, and diffuse
Your 22-year-old patient is in active labor. Upon blistering, you should: - ANSWER -provide
visual inspection, you note that the infant's leg is
emotional support for the mother
protruding from the vagina. Appropriate management
of this situation includes: - ANSWER -placing
the mother supine with her head down and pelvis Following delivery of the placenta, the mother is
elevated. experiencing vaginal bleeding. After massaging the
uterine fundus and allowing the mother to breastfeed,
the bleeding stops. This occurred because: -
A 33-year-old woman who is 36 weeks pregnant is ANSWER -these actions simulate the
experiencing vaginal bleeding. During transport, you
production of oxytocin and cause uterine contraction.
note that she suddenly becomes diaphoretic,
tachycardic, and hypotensive. You should: -
ANSWER -place her in a left lateral recumbent If a newborn's heart rate is less than 60 beats/min
position
following delivery, you should: - ANSWER -
provide ventilations for 30 seconds.
A precipitous labor and delivery is MOST common in
women who: - ANSWER -have delivered a In contrast to abruptio placenta, placenta previa: -
baby before ANSWER -may not present with heavy vaginal
bleeding.
Abruptio placenta occurs when: - ANSWER -
the placenta prematurely separates from the uterine Most medical models base a pregnant woman's due
wall date: - ANSWER -on the first day of her last
menstrual cycle.
2/5
Graded A+
A 26-year-old female who is 34 weeks pregnant is cut the umbilical cord. During transport, you note that
experiencing a seizure. Her husband tells you that the mother is experiencing moderate vaginal
her blood pressure has been high and that she had bleeding. You should: - ANSWER -firmly
been complaining of a headache for the past few massage the uterine fundus with a circular motion.
days. You should: - ANSWER -place her on her
side, administer high-flow oxygen, and transport.
From what internal female organ is the fetus expelled
during delivery? - ANSWER -Uterus
A history of pelvic inflammatory disease or tubal
ligations increases a woman's risk for: -
ANSWER -an ectopic pregnancy If a baby is born at 7:52, the second Apgar score
should be calculated at: - ANSWER -7:57.
A mother who is pregnant with her first baby is
typically in the first stage of labor for approximately: - The amniotic fluid serves to: - ANSWER -
ANSWER -16 hours insulate and protect the fetus
A nuchal cord is defined as an umbilical cord that: - The presence of meconium in the amniotic fluid
ANSWER -is wrapped around teh baby's neck indicates: - ANSWER -that the baby's airway
may be obstructed.
A pregnant trauma patient may lose a significant
amount of blood before showing signs of shock Three days after delivering her baby, a 30-year-old
because: - ANSWER -pregnant patients have woman complains of a sudden onset of difficulty
an overall increase in blood volume. breathing. Her level of consciousness is decreased
and she is tachycardic. The EMT should suspect: -
ANSWER -pulmonary dmbolism
By the 20th week of pregnancy, the uterus is typically
at or above the level of the mother's: -
ANSWER -belly button When determining the frequency of contractions, you
should time the contractions from the: -
ANSWER -start of one to the start of the next.
Common interventions used to stimulate
spontaneous respirations in the newborn include all
of the following, EXCEPT: - ANSWER -positive- When preparing a pregnant patient for delivery, you
pressure ventilations should position her: - ANSWER -on a firm
surface with her hips elevated 2 to 4 inches.
During your visual inspection of a 25-year-old woman
in labor, you see the baby's head crowning at the Which of the following questions is of LEAST
vaginal opening. What should you do? - pertinence when determining whether a mother will
ANSWER -Apply gentle pressure to the baby's deliver her baby within the next few minutes? -
head as it delivers ANSWER -"Have you had a sonogram?"
Following delivery of a full-term baby, you have You and your partner are both male and are
properly cared for the baby and have clamped and attending to a 28-year-old female patient complaining
1/5
, EMT Chapter 33: Obstetrics and Neonatal Care Questions and Answers
Graded A+
of diffuse abdominal pain. The patient is 34 weeks After the fetus has descended into the pelvis at the
pregnant with her first child. The patient refuses to end of the third trimester, many mothers experience: -
allow you to examine her, and her husband informs ANSWER -easier breathing.
you that their culture does not allow males to
examine or care for pregnant women. You should: -
ANSWER -respect the patient's wishes, ensure An infant is considered to be premature if it: -
that the appropriate documentation is completed, and ANSWER -weighs less than 5 lb or is born
transport the patient. before 36 weeks' gestation.
You are attending to a 23-year-old female patient Braxton-Hicks contractions are characterized by: -
who is 16 weeks pregnant with her second child. The ANSWER -alleviation of pain with movement or
patient has apparently fallen and sustained an injury changing positions.
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 Fetal complications associated with drug- or alcohol-
this information, you should: - ANSWER - addicted mothers include all of the following,
continue your care in a private area, document any EXCEPT: - ANSWER -profound tachycardia
details regarding the scene and the incident, and
reassure her as you provide care.
Following delivery of a pulseless and apneic infant
who has a foul odor, skin sloughing, and diffuse
Your 22-year-old patient is in active labor. Upon blistering, you should: - ANSWER -provide
visual inspection, you note that the infant's leg is
emotional support for the mother
protruding from the vagina. Appropriate management
of this situation includes: - ANSWER -placing
the mother supine with her head down and pelvis Following delivery of the placenta, the mother is
elevated. experiencing vaginal bleeding. After massaging the
uterine fundus and allowing the mother to breastfeed,
the bleeding stops. This occurred because: -
A 33-year-old woman who is 36 weeks pregnant is ANSWER -these actions simulate the
experiencing vaginal bleeding. During transport, you
production of oxytocin and cause uterine contraction.
note that she suddenly becomes diaphoretic,
tachycardic, and hypotensive. You should: -
ANSWER -place her in a left lateral recumbent If a newborn's heart rate is less than 60 beats/min
position
following delivery, you should: - ANSWER -
provide ventilations for 30 seconds.
A precipitous labor and delivery is MOST common in
women who: - ANSWER -have delivered a In contrast to abruptio placenta, placenta previa: -
baby before ANSWER -may not present with heavy vaginal
bleeding.
Abruptio placenta occurs when: - ANSWER -
the placenta prematurely separates from the uterine Most medical models base a pregnant woman's due
wall date: - ANSWER -on the first day of her last
menstrual cycle.
2/5
