EMT EXAM 6 CHAP 33-41 (JBL) QUESTIONS AND
ANSWERS WITH SOLUTIONS
Placenta previa is defined as:
A) delivery of a portion of the placenta before the baby.
B) premature placental separation from the uterine wall.
C) abnormal development and functioning of the placenta.
D) development of the placenta over the cervical opening.
D
2. Braxton-Hicks contractions are characterized by:
A) regular contractions of progressively increasing intensity.
B) alleviation of pain with movement or changing positions.
C) pink or red bloody show in conjunction with the
contractions.
D) a rupture of the amniotic sac just before the contractions
begin.
B
3. Abruptio placenta occurs when:
A) the placenta prematurely separates from the uterine wall.
B) a tear in the placenta causes severe internal hemorrhage.
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,C) the placenta affixes itself to the outer layer of the uterus.
D) the placenta develops over and covers the cervical
opening.
A
4. The onset of labor begins with:
A) thinning of the uterus.
B) full dilation of the cervix.
C) increased fetal movement.
D) contractions of the uterus.
D
5. Supine hypotensive syndrome occurs when:
A) a supine position kinks the ascending aorta.
B) the pregnant uterus compresses the inferior vena cava.
C) the superior vena cava is compressed by the uterus.
D) blood pressure decreases as a result of hypovolemia.
B
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,6. Following delivery of the placenta, the mother is
experiencing vaginal bleeding. After massaging the uterine
fundus and allowing the mother to breastfeed, the bleeding
stops. This occurred because:
A) breastfeeding causes uterine blood vessels to dilate.
B) a portion of the placenta was retained in the uterus.
C) uterine massage increases blood flow to the uterus.
D) these actions simulate the production of oxytocin and
cause uterine contraction.
D
7. You have just delivered a baby boy. His body is pink, but
his hands and feet are blue. His heart rate is approximately
110 beats/min and his respirations are rapid and irregular. He
has a weak cry when stimulated and resists attempts to
straighten his legs. His Apgar score is:
A) 6
B) 7
C) 8
D) 9
C
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, 8. You have just delivered a premature baby. Your assessment
reveals that he is breathing adequately; however, his heart rate
is 90 beats/min. You should:
A) keep him warm and ventilate with a BVM.
B) begin chest compressions and reassess in 30 seconds.
C) clamp and cut the umbilical cord and keep him warm.
D) assess his skin color and give free-flow oxygen as needed.
A
9. Which of the following occurs during true labor?
A) Uterine contractions decrease in intensity.
B) The uterus becomes very soft and movable.
C) Uterine contractions become more regular.
D) Uterine contractions last about 10 seconds.
C
10. Which of the following is NOT generally considered an
obstetrical emergency?
A) Failure of the placenta to deliver after 30 minutes
B) Significant bleeding after delivery of the placenta
C) Return of contractions following delivery of the baby
D) More than 500 mL of blood loss before placental delivery
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ANSWERS WITH SOLUTIONS
Placenta previa is defined as:
A) delivery of a portion of the placenta before the baby.
B) premature placental separation from the uterine wall.
C) abnormal development and functioning of the placenta.
D) development of the placenta over the cervical opening.
D
2. Braxton-Hicks contractions are characterized by:
A) regular contractions of progressively increasing intensity.
B) alleviation of pain with movement or changing positions.
C) pink or red bloody show in conjunction with the
contractions.
D) a rupture of the amniotic sac just before the contractions
begin.
B
3. Abruptio placenta occurs when:
A) the placenta prematurely separates from the uterine wall.
B) a tear in the placenta causes severe internal hemorrhage.
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,C) the placenta affixes itself to the outer layer of the uterus.
D) the placenta develops over and covers the cervical
opening.
A
4. The onset of labor begins with:
A) thinning of the uterus.
B) full dilation of the cervix.
C) increased fetal movement.
D) contractions of the uterus.
D
5. Supine hypotensive syndrome occurs when:
A) a supine position kinks the ascending aorta.
B) the pregnant uterus compresses the inferior vena cava.
C) the superior vena cava is compressed by the uterus.
D) blood pressure decreases as a result of hypovolemia.
B
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,6. Following delivery of the placenta, the mother is
experiencing vaginal bleeding. After massaging the uterine
fundus and allowing the mother to breastfeed, the bleeding
stops. This occurred because:
A) breastfeeding causes uterine blood vessels to dilate.
B) a portion of the placenta was retained in the uterus.
C) uterine massage increases blood flow to the uterus.
D) these actions simulate the production of oxytocin and
cause uterine contraction.
D
7. You have just delivered a baby boy. His body is pink, but
his hands and feet are blue. His heart rate is approximately
110 beats/min and his respirations are rapid and irregular. He
has a weak cry when stimulated and resists attempts to
straighten his legs. His Apgar score is:
A) 6
B) 7
C) 8
D) 9
C
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, 8. You have just delivered a premature baby. Your assessment
reveals that he is breathing adequately; however, his heart rate
is 90 beats/min. You should:
A) keep him warm and ventilate with a BVM.
B) begin chest compressions and reassess in 30 seconds.
C) clamp and cut the umbilical cord and keep him warm.
D) assess his skin color and give free-flow oxygen as needed.
A
9. Which of the following occurs during true labor?
A) Uterine contractions decrease in intensity.
B) The uterus becomes very soft and movable.
C) Uterine contractions become more regular.
D) Uterine contractions last about 10 seconds.
C
10. Which of the following is NOT generally considered an
obstetrical emergency?
A) Failure of the placenta to deliver after 30 minutes
B) Significant bleeding after delivery of the placenta
C) Return of contractions following delivery of the baby
D) More than 500 mL of blood loss before placental delivery
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