EMT Final Exam (OB and Peds) Graded A+ 2022|2023

EMT Final Exam (OB and Peds) Graded A+ 2022|2023 In which of the following situations would the EMT MOST likely deliver a baby at the scene? A tornado has struck and blocked the only route to the hospital. The 5-minute Apgar assessment of a newborn reveals a heart rate of 130 beats/min, cyanosis to the hands and feet, and rapid respirations. The infant cries when you flick the soles of its feet and resists attempts to straighten its legs. These findings equate to an Apgar score of: 9 Upon delivery of the baby's head, you note that the umbilical cord is wrapped around its neck. You should: make one attempt to gently remove the cord from around its neck. A prolapsed umbilical cord is dangerous because the: baby's head may compress the cord, cutting off its supply of oxygen. Which of the following assessment parameters is a more reliable indicator of perfusion in infants than adults? Capillary refill A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your partner prepares the AED. The appropriate compression to ventilation ratio for this child is: 30:2 The MAIN reason why small children should ride in the backseat of a vehicle is because: they can experience severe injury or death if the airbag deploys. When is it MOST appropriate to clamp and cut the umbilical cord? As soon as the cord has stopped pulsating After attaching the AED to a 7-year-old child in cardiac arrest, you push the analyze button and receive a shock advised message. After delivering the shock, you should: immediately perform CPR. A 4-year-old boy with a tracheostomy tube is experiencing respiratory distress. He has intercostal retractions, a heart rate of 80 beats/min, and an oxygen saturation of 85%. During his attempts to breathe, a gurgling sound is heard in the tracheostomy tube. You should: carefully suction the tracheostomy tube. A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the scene and approach the child, you see him lying supine approximately 15 feet from the car. Based on the child's age and mechanism of injury, which of the following should you suspect to be his PRIMARY injury? Pelvic injury Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord? Supine with hips elevated The transition phase of the pediatric assessment process would be the LEAST appropriate if: the child is unstable and needs rapid transport You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be assessing the need for ventilation assistance. Which of the following statements regarding crowning is correct? Gentle pressure should be applied to the baby's head during crowning. Following delivery of a newborn and placenta, you note that the mother has moderate vaginal bleeding. The mother is conscious and alert and her vital signs are stable. Treatment for her should include: administering oxygen and massaging the uterus. Management for a women who presents with a prolapsed umbilical cord includes all of the following, EXCEPT: relieving pressure off of the cord by gently pulling on it Following the initial steps of resuscitation, a newborn remains apneic and cyanotic. You should: begin ventilations with a bag-mask device. Which of the following statements regarding the length-based resuscitation tape measure is correct? The tape measure can be used in children who weigh up to 75 pounds. You have just delivered a baby girl. Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should: keep the newborn warm, give oxygen to the mother if needed, and transport. You will know that the third stage of labor has begun when: the entire baby has delivered. Oxygen and other nutrients are transferred to the developing fetus via the: umbilical vein.