EXAM WITH CORRECT VERIFIED
AND WELL ANALYZED ANSWERS
GRADED A+
FIRST STAGE OF LABOR
The first stage occurs from onset of true labor contractions till
dilation and effacement of the uterus.
2nd stage of labor
The hallmark finding in the second stage of labor is the complete
delivery of the baby.
3rd stage of labor
The third stage occurs when the placenta delivers.
Ligaments connect....
Bone to Bone
Tendons connect
Bone to Muscle
START Triage 1st Step
START triage begins by asking patients to get up and walk to a
collection point
START Triage 2nd step
respirations are assessed
,START Triage 3rd Step
if the patient is not breathing, the airway is opened.
START Triage 4th Step
Pulse is then assessed
START Triage 5th Step
Check mental status.
Rule of 9's:Child:BACK
child's back represents 18% of his body surface area
Rule of 9's: Child: Both Legs (Front & Back)
the front and back of both legs each represent 7%
Rule of 9's: Child: Torso (Front & Back)
child's anterior and posterior torso would represent 36%
Primary blast stage
also known as the pressure wave), damages hollow, gas containing
organs of the body such as the lungs, GI system, inner ears, and
sinuses.
Secondary blast
The secondary phase causes cause blunt and penetration injuries
from flying debris.
Tertiary phase of blast
tertiary phase are injuries sustained from the patient being thrown
back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On
examination you note her left foot is rotated laterally. This finding
most likely indicates a
femur fracture
"5 Rights" of medication administration.
right patient, right medication, right route, right dose, and right time.
,If you are responsible for establishing the landing zone for the
helicopter, what is the minimum size of the LZ you should prepare
assuming the rescue efforts are occurring at night?
The minimum size of the landing zone at night is 100' by 100'. During
daylight, the minimum LZ zone is 60' by 60'. In either situation the LZ
should be square, with a marker indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's
reflex) that occurs with traumatic brain injury?
The vital signs are an increased blood pressure, slowing pulse rate,
and irregular respirations (classically seen as Cheyne-Stokes).
Classes of hemorrhage
A Class III hemorrhage is said to occur when the patient has lost 30-
40% of their circulating blood volume. This is a significant bleed due
to the fact that the body's compensatory mechanisms are maximized,
and any additional blood loss will now create significant disturbances
in hemodynamic stability. In Class I and II hemorrhage, blood
pressure remains acceptable, in Class IV hemorrhage the blood
pressure drops dangerously low.
APGAR SCORE
Appearance: 0=blue/pale; 1=blue & pink; 2=no cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting
extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs
The liver is found primarily within the boundaries of the upper right
quadrant.
Organs in Upper Left Quadrant of Abs
The stomach and spleen are typically found in the upper left quadrant.
, Bladder location
The bladder is found on the midline between the lower two quadrants.
Communication "Reflection"
Reflection is a technique where you paraphrase the patient's words to
encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is?
The minimum safe residual pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate
1 to 6L/min
Nasal cannula oxygen concentration
24% to 44%
NRB Flow rate
12 to 15L/min
NRB oxygen delivered
90% to 100%
Venturi mask oxygen delivery
24, 28, 35, 40 percent
BVM flow rate and oxygen delivery
15L /min and nearly 100%
Cheyne-Stokes Respirations
Shows irregular respirations followed by a period of apnea
Ataxic Respirations
irregular, ineffective respirations that may or may not have an
identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms
decreased pulse (Bradycardia), increased B/P (Hypertension),
irregular respirations.