Chapter 34 - (BASIC) Obstetrics & Neonatal Care

Question 1

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:

Select one:

A. administer oral glucose for presumed hypoglycemia and transport.

B. insert an oral airway and ventilate her with a bag-valve-mask.

C. elevate her legs to improve brain perfusion and keep her warm.

D. place her on her side, administer high-flow oxygen, and transport.

Answer 1

D. place her on her side, administer high-flow oxygen, and transport.

Question 2

A history of pelvic inflammatory disease or tubal ligations increases a woman’s risk for:

Select one:

A. preeclampsia.

B. placenta previa.

C. gestational diabetes.

D. an ectopic pregnancy.

Answer 2

D. an ectopic pregnancy.

Question 3

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:

Select one:

A. 10 hours.

B. 4 hours.

C. 16 hours.

D. 8 hours.

Answer 3

C. 16 hours.

Question 4

A nuchal cord is defined as an umbilical cord that:

Select one:

A. is wrapped around the baby’s neck.

B. is lacerated due to a traumatic delivery.

C. has separated from the placenta.

D. has abnormally developed blood vessels.

Answer 4

A. is wrapped around the baby’s neck.

Question 5

A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because:

Select one:

A. pregnant patients can dramatically increase their heart rate.

B. blood is shunted to the uterus and fetus during major trauma.

C. pregnant patients have an overall increase in blood volume.

D. pregnancy causes vasodilation and a lower blood pressure.

Answer 5

C. pregnant patients have an overall increase in blood volume.

Question 6

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother’s:

Select one:

A. xiphoid process.

B. superior diaphragm.

C. pubic bone.

D. belly button.

Answer 6

D. belly button.

Question 7

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

Select one:

A. some form of tactile stimulation.

B. thorough drying with a towel.

C. positive-pressure ventilations.

D. suctioning of the upper airway.

Answer 7

C. positive-pressure ventilations.

Question 8

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?

Select one:

A. Apply gentle pressure to the baby’s head as it delivers.

B. Place your fingers in the vagina to assess for a nuchal cord.

C. Maintain firm pressure to the head until it completely delivers.

D. Tell the mother not to push and transport her immediately.

Answer 8

A. Apply gentle pressure to the baby’s head as it delivers.

Question 9

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:

Select one:

A. elevate her legs 6 to 8 inches and cover her with a blanket.

B. carefully insert a sterile trauma dressing into her vagina.

C. place her legs together and position her on her left side.

D. firmly massage the uterine fundus with a circular motion.

Answer 9

D. firmly massage the uterine fundus with a circular motion.

Question 10

From what internal female organ is the fetus expelled during delivery?

Select one:

A. Perineum

B. Uterus

C. Vagina

D. Cervix

Answer 10

B. Uterus

Question 11

If a baby is born at 7:52, the second Apgar score should be calculated at:

Select one:

A. 8:00.

B. 7:57.

C. 7:53.

D. 7:59.

Answer 11

B. 7:57.

Question 12

The amniotic fluid serves to:

Select one:

A. transfer oxygen to the fetus.

B. insulate and protect the fetus.

C. remove viruses from the fetus.

D. assist in fetal development.

Answer 12

B. insulate and protect the fetus.

Question 13

The presence of meconium in the amniotic fluid indicates:

Select one:

A. that the baby’s airway may be obstructed.

B. that full newborn resuscitation will be needed.

C. an expected finding in full-term infants.

D. that the fetus is at least 4 weeks premature.

Answer 13

A. that the baby’s airway may be obstructed.

Question 14

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:

Select one:

A. pulmonary embolism.

B. spontaneous pneumothorax.

C. intrauterine bleeding.

D. acute pulmonary edema.

Answer 14

A. pulmonary embolism.

Question 15

When determining the frequency of contractions, you should time the contractions from the:

Select one:

A. end of one to the end of the next.

B. end of one to the start of the next.

C. start of one to the end of the next.

D. start of one to the start of the next.

Answer 15

D. start of one to the start of the next.

Question 16

When preparing a pregnant patient for delivery, you should position her:

Select one:

A. in a supine position with her legs spread.

B. on a firm surface with her hips elevated 2 to 4 inches.

C. on her left side with the right leg elevated.

D. in a sitting position with her hips elevated 12 inches.

Answer 16

B. on a firm surface with her hips elevated 2 to 4 inches.

Question 17

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

Select one:

A. “Do you feel the need to push?”

B. “When are you due?”

C. “Is this your first baby?”

D. “Have you had a sonogram?”

Answer 17

D. “Have you had a sonogram?”

Question 18

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:

Select one:

A. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.

B. inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management.

C. call for the police to ensure that patient assessment is carried out.

D. insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome.

Answer 18

A. respect the patient’s wishes, ensure that the appropriate documentation is completed, and transport the patient.

Question 19

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:

Select one:

A. ask more detailed questions and press the issue until you have a more detailed understanding of the incident.

B. immediately remove the patient from the environment and transport.

C. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.

D. contact police and remain at the scene until they arrive and escort you to the hospital.

Answer 19

C. continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care.

Question 20

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:

Select one:

A. placing the mother supine with her head down and pelvis elevated.

B. gently pulling on the infant’s leg in an attempt to facilitate delivery.

C. placing the mother in a recumbent position and rapidly transporting.

D. carefully attempting to push the infant’s leg off of the umbilical cord.

Answer 20

A. placing the mother supine with her head down and pelvis elevated.

Question 21

What is a reason a fetus may be in trouble before the mother presents signs of shock?

Answer 21

If the mother has severe trauma, the blood supply to the fetus often reduces.

Question 22

Which of the following is not true regarding delivery with a nuchal cord?

Select One

A. gently slip the cord over the infant’s head or shoulder
B. clamp the cord and cut it before delivering the infant
C. clamp the cord, then suction the airway before cutting the cord
D. Clamp the cord and cut it, then gently unwind it from around the neck if wrapped around more than once

Answer 22

C. clamp the cord, then suction the airway BEFORE cutting the cord

Question 23

Which of the following refers to greenish or foul-smelling amniotic fluid?

Select One

A. nuchal rigidity
B. meconium staining
C. placenta previa
D. bloody show

Answer 23

B. meconium staining

Question 24

Which of the following is not performed immediately following delivery of the infant?

Select One

A. wrap the infant in a towel and place it on one side with head lowered
B. be sure the head is covered and keep the neck in a neutral position
C. use a sterile gauze pad to wipe the infant’s mouth, then suction again
D. obtain an Apgar score

Answer 24

D. obtain an Apgar score

The Apgar score should be calculated at 1 minute and again at 5 minutes after birth. Most newborns will have a score of 7 or 8 at 1 minute and is for 8 to 10 at 5 minutes. (Page 1205)

Question 25

You may help control bleeding by massaging the _________ after delivery of the placenta.

Select One

A. perineum
B. fundus
C. lower back
D. inner thighs

Answer 25

B. fundus

Question 26

The Apgar score should be calculated at ___________ minutes after birth.

Select One

A. 1 and 5
B. 3 and 7
C. 2 and 10
D. 4 and 8

Answer 26

A. 1 and 5

Question 27

Once the infant is delivered, feel for a brachial pulse or the pulsations in the umbilical cord. If the pulse rate is below ________ beats/min, begin assisted ventilations.

Select One

A. 60
B. 80
C. 100
D. 120

Answer 27

C. 100

Question 28

When assisting ventilations in a newborn with a bag-mask device, the rate is ________ breaths/min.

Select One

a. 20-30
b. 30-50
c. 35-45
d. 40-60

Answer 28

d. 40-60​

Question 29

When performing CPR on a newborn, a compression to ventilation ratio of 3:1 should be used; this will yield a total of ________ “actions” per minute.

Select One

A. 90
B. 100
C. 110
D. 120

Answer 29

D. 120

Question 30

You cannot successfully deliver a _________ presentation in the field.

Select One

A. limb
B. breech
C. vertex
D. cephalic

Answer 30

A. limb

Question 31

Which of the following is not performed when caring for a mother with a prolapsed cord?

Select One

A. clamp and cut the cord
B. provide high-flow oxygen and rapid transport
C. use your fingers to physically hold the infant’s head off the cord
D. position the mother to keep the weight of the infant off the cord

Answer 31

A. clamp and cut the cord

A prolapse of the umbilical cord is a representation that must be treated in the hospital. The situation is dangerous because the fetus had will compress the cord during birth and cut off circulation, depriving the fetus of oxygenated blood. Your job is to try to keep the fetus’s head from compressing the cord. (Pages 1207-1208)

Question 32

When handling a delivery involving a drug- or alcohol-addicted mother, your first concern should be for:

Select One

A. the mother’s airway
B. your personal safety
C. the infant’s airway
D. the need for CPR for the infant

Answer 32

B. your personal safety

Question 33

Which of the following is not a stage of labor?

Select One

A. rupture of amniotic fluid
B. expulsion of the baby
C. delivery of the placenta
D. dilation of the cervix

Answer 33

A. rupture of amniotic fluid

Question 34

The first stage of labor begins with the onset of contractions and ends when:

Select One

A. the infant is born
B. the cervix is fully dilated
C. the water breaks
D. the placenta is delivered

Answer 34

B. the cervix is fully dilated

Question 35

Which of the following is not a sign of the beginning of labor?

Select One

A. bloody show
B. contractions of the uterus
C. crowning
D. rupture of the amniotic sac

Answer 35

C. crowning

Question 36

The second stage of labor begins when the cervix is fully dilated and ends when:

Select One

A. the infant is born
B. the water breaks
C. the placenta is delivered
D. the uterus stops contracting

Answer 36

A. the infant is born

Question 37

The third stage of labor begins with the birth of the infant and ends with the:

Select One

A. release of milk from the breasts
B. cessation of uterine contractions
C. delivery of the placenta
D. cutting of the umbilical cord

Answer 37

C. delivery of the placenta

Question 38

The difference between preeclampsia and eclampsia is the onset of:

Select One

A. seeing spots
B. seizures
C. swelling in the hands and feet
D. headaches

Answer 38

B. seizures

Question 39

You should consider the possibility of a(n) ___________ in women who have missed a menstrual cycle and complain of a sudden stabbing and usually unilateral pain in the lower abdomen.

Select One

A. PID
B. ectopic pregnancy
C. miscarriage
D. placenta abruptio

Answer 39

B. ectopic pregnancy

Question 40

Which of the following is not a reason for delivery of the fetus at the scene?

Select One

A. delivery can be expected within a few minutes
B. there is a natural disaster
C. there is severe inclement weather
D. the amniotic sac has ruptured

Answer 40

D. the amniotic sac has ruptured

Question 41

Which of the following statements regarding pregnancy is true?

Select One

A. a patient in the third trimester is at a decreased risk for aspiration
B. as the pregnancy continues, the patient will experience slower and deeper breathing
C. by the 20th week of pregnancy, the uterus is at or above the belly button
D. maternal blood volume increases up to 10% by the end of pregnancy

Answer 41

C. by the 20th week of pregnancy, the uterus is at or above the belly button

Question 42

Low blood pressure resulting from compression of the inferior vena cava by the weight of the fetus when the mother is supine is called:

Select One

A. pregnancy-induced hypertension
B. placenta previa
C. placenta abruptio
D. supine hypotensive syndrome

Answer 42

D. supine hypotensive syndrome

Question 43

__________ is a situation in which the umbilical cord comes out of the vagina before the infant.

Select One

A. eclampsia
B. placenta previa
C. abruptio placenta
D. prolapsed cord

Answer 43

D. prolapsed cord

Question 44

Premature separation of the placenta from the wall of the uterus is known as:

Select One

A. eclampsia
B. placenta previa
C. abruptio placenta
D. prolapsed cord

Answer 44

C. abruptio placenta

Question 45

__________ is a condition in which the placenta develops over and covers the cervix.

Select One

A. eclampsia
B. placenta previa
C. placenta abruptio
D. prolapsed cord

Answer 45

B. placenta previa

Question 46

___________ is heralded by the onset of convulsions, or seizures, resulting from severe hypertension in the pregnant woman.

Select One

A. eclampsia
B. placenta previa
C. placenta abruptio
D. supine hypotensive syndrome

Answer 46

A. eclampsia

Question 47

Which of the following is not considered a possible effect to the fetus when the mother is a known substance abuser?

Select One

A. low birth weight
B. spina bifida
C. prematurity
D. severe respiratory depression

Answer 47

B. spina bifida

Question 48

You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. Which of the following signs tell you that the birth is imminent?

Select One

a. her water has not broken
b. her contractions are 3-6 minutes apart
c. she is a primigravida
d. the infant is crowning

Answer 48

d. the infant is crowning

Question 49

You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. If the baby is crowning and the amniotic sac has not yet ruptured, you should:

Select One

A. leave it in place and wait for ALS
B. puncture the sac only after ordered to do so by medical control
C. puncture the sac, allow the fluid to drain, and leave the sac in place
D. puncture the sac away from the head and then push the sac away from the infant’s face

Answer 49

D. puncture the sac away from the head and then push the sac away from the infant’s face

Question 50

You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. As you perform a visual exam, you note crowning. This means that:

Select One

A. the baby is making a crowing-type of sound
B. the baby cannot be visualized
C. you can visualize the baby’s head
D. the father is excited and needs care

Answer 50

C. you can visualize the baby’s head

Question 51

You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. Once the infant’s head has been delivered:

Select One

A. suction the infant’s nose, and then mouth
B. apply oxygen over the mother’s vagina
C. suction the infant’s mouth, then the nose
D. apply a nasal cannula at 3 L/min to the infant

Answer 51

C. suction the infant’s mouth, then the nose

Question 52

You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. Concerning the delivery of the placenta, which of the following are emergency situations?

Select One

A. more than 30 minutes have elapsed and the placenta has not delivered
B. there is more than 500mL of bleeding before delivery of the placenta
C. there is significant bleeding after delivery of the placenta
D. all of the above

Answer 52

D. all of the above

Question 53

Ovulation occurs approximately _________ before menstruation.

Select One

A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks

Answer 53

B. 2 weeks

Question 54

Fertilization usually occurs when the egg is inside the:

Select One

A. ovary
B. uterus
C. fallopian tube
D. endometrium

Answer 54

C. fallopian tube

Question 55

Which of the following statements is false?

Select One

A. gestational diabetes will clear up in most women after delivery

B. the leading cause of abruptio placenta is an ectopic pregnancy

C. as pregnancy progresses, the uterus enlarges and rises out of the pelvis

D. some cultures may not permit male EMTs to examine a female patient

Answer 55

B. the leading cause of abruptio placenta is an ectopic pregnancy

Question 56

The “P” in Apgar stands for:

Select One

A. perfusion

B. pulse

C. pupils

D. position

Answer 56

B. pulse

Question 57

Which of the following statements regarding multiple gestations is false?

Select One

A. you should consider the possibility of twins when the first infant is small and the mother’s abdomen remains fairly large after the birth

B. you should record the time of birth on each twin separately

C. there is only one placenta with the birth of twins

D. the second baby will usually be born within 45 minutes of the first

Answer 57

C. there is only one placenta with the birth of twins

Question 58

An infant delivered before _________ weeks is considered premature.

Select One

A. 36

B. 37

C. 38

D. 39

Answer 58

A. 36

Question 59

All of the following are correct regarding postterm pregnancy except:

Select One

A. infants can be larger, sometimes weighing 10lbs or more

B. there is an increased risk of meconium aspirations

C. postterm is considered past 2 weeks gestation

D. ultrasounds are not accurate at determining due dates

Answer 59

D. ultrasounds are not accurate at determining due dates

Question 60

A patient presents with a sudden onset of shortness of breath three days following a delivery. What is likely the underlying cause of this condition?

Select One

A. pulmonary hypertension

B. pulmonary inflammation

C. pulmonary embolism

D. pulmonary fibrosis

Answer 60

C. pulmonary embolism

Question 61

After delivery, if the infant does not begin breathing after _______ seconds, you should begin resuscitation efforts.

Select One

A. 5-10

B. 10-15

C. 15-20

D. 20-25

Answer 61

B. 10-15

Question 62

True or False

The small mucous plug from the cervix that is discharged from the vagina, often at the beginning of labor, is called a bloody show.

Answer 62

True

Question 63

True or False

Crowning occurs when the baby’s head obstructs the birth canal, preventing normal delivery.

Answer 63

False

Question 64

True or False

Labor begins with the rupture of the amniotic sac and ends with the delivery of the baby’s head.

Answer 64

False

Question 65

True or False

A woman who is having her first baby is called a multigravida.

Answer 65

False

Question 66

True or False

Once labor has begun, it can be slowed by holding the patient’s legs together.

Answer 66

False

Question 67

True or False

Delivery of the buttocks before the baby’s head is called a breach delivery.

Answer 67

True

Question 68

True or False

Massaging the abdomen after delivery helps to control bleeding.

Answer 68

True

Question 69

True or False

The placenta and cord should be properly disposed of in a biohazard container after delivery.

Answer 69

False

Question 70

True or False

The umbilical cord may be gently pulled to aid in delivery of the placenta.

Answer 70

False

Question 71

True or False

A limb presentation occurs when the baby’s arm, leg, or foot is emerging from the vagina first.

Answer 71

True

Question 72

True or False

Multiple births may have more than one placenta.

Answer 72

True

Question 73

True or False

Pregnant teenagers may not know that they are pregnant.

Answer 73

True

Question 74

True or False

After delivery of the head, suction the nose first.

Answer 74

False

Question 75

True or False

Abuse during the pregnancy increases the chance of miscarriage, premature delivery, and low birth weight.

Answer 75

True

Question 76

True or False

If called to deliver an infant who may have died in the uterus, you could notice skin blisters and dark discoloration to the infant.

Answer 76

True

Question 77

True or False

Most premature infants have vernix on their skin when delivered.

Answer 77

False

Question 78

True or False

Excessive bleeding after birth is usually caused by the muscles of the uterus not fully contracting.

Answer 78

True

Question 79

You assess an infant after delivery and note that the child has a loud cry and withdraws to pain. The heart rate is 94 beats/min, the extremities are cyanotic, respirations are rapid, and the infant strongly resists your attempts to straighten the knees. Determine the Apgar score.

Select One

A. 2

B. 10

C. 8

D. 4

Answer 79

C. 8

Question 80

You arrive at the scene of a home delivery. Upon entering the scene, the father appears upset and hands you a limp baby. The child has a weak cry, is completely cyanotic, and has a pulse of 70 beats/min. Respirations are slow.

Determine the Apgar score.

A. 3

B. 9

C. 2

D. 7

Answer 80

A. 3

Question 81

You arrive on scene to assist another crew with a delivery. Upon your arrival, the crew on scene informs you that the delivery has already taken place and that you are going to be responsible for care of the infant. As you approach, you hear a very loud cry. The infant appears completely pink and moves his foot away when you flick the sole of his foot. The pulse is 120 beats/min and respirations are rapiD. The infant has great muscle tone and resists your attempt to straighten the hips.

Determine the Apgar score.

A. 6

B. 10

C. 1

D. 8

Answer 81

B. 10

Question 82

During delivery, after the head has been delivered and the shoulder appears:

Select One

A. guide the head down slightly to deliver the shoulder

B. apply a nasal cannula to the infant

C. guide the head up slightly, to deliver the shoulder

D. pull gently

Answer 82

A. guide the head down slightly to deliver the shoulder

Question 83

When giving chest compressions to an infant:

Select One

A. use the hands-encircling technique or the two-finger technique

B. press the palm of your had over the sternum, compressing 1” to 1 1/2” deep

C. compress at a rate of 60 to 80 times a minute

D. compress the sternum one quarter the depth of the chest

Answer 83

A. use the hands-encircling technique or the two-finger technique

Question 84

Which of the following would not be a typical question to ask when taking a history on a woman in labor?

Select One

A. are you having a boy or a girl?

B. when is your due date?

C. did your physician mention the possibility of any complications?

D. is this your first pregnancy?

Answer 84

A. are you having a boy or a girl?

Question 85

Once the infant is completely delivered, you should:

Select One

A. dry and wrap the infant in a blanket

B. keep the infant at the level of the vagina until the umbilical cord is cut

C. use sterile gauze and wipe out the infant’s mouth

D. all of the above

Answer 85

D. all of the above

Question 86

When cutting the umbilical cord:

Select One

A. place the clamps 7” to 10” apart

B. place the clamps 2” to 4” apart

C. tie the cord with shoelaces if you don’t have any clamps

D. tie the cord with string if you don’t have any clamps

Answer 86

B. place the clamps 2” to 4” apart

Question 87

When determining the duration of contractions, you should time the contractions from the:

Select one:

A. end of one to the end of the next.

B. end of one to the start of the next.

C. start of one to the end of the same.

D. start of one to the start of the next.

Answer 87

C. start of one to the end of the same.

Question 88

In contrast to a full-term infant, a premature infant:

has an even proportionately larger head.

is often covered with excess vernix material.

is one who is born before 38 weeks’ gestation.

retains heat better because of excess body hair.

Answer 88

has an even proportionately larger head.

Question 89

The leading cause of maternal death during the first trimester of pregnancy is:

A. blunt trauma to the abdomen during a motor vehicle crash.
B. unrecognized or untreated supine hypotensive syndrome.
C. massive brain damage secondary to a prolonged seizure.
D. internal bleeding caused by a ruptured ectopic pregnancy.

Answer 89

D. internal bleeding caused by a ruptured ectopic pregnancy.

Question 90

Which of the following processes occurs immediately following ovulation?

Certain female hormone levels decrease significantly in quantity.

The endometrium sheds its lining and is expelled from the vagina.

The inner lining of the uterus thickens in preparation for implantation.

Numerous follicles mature and release eggs into the fallopian tubes.

Answer 90

The inner lining of the uterus thickens in preparation for implantation.

Question 91

An abortion occurs when the fetus and placenta deliver before:

20 weeks.

24 weeks.

26 weeks.

28 weeks.

Answer 91

20 weeks.

Question 92

You have just delivered a full-term infant. His respirations are rapid and irregular, and he has a strong cry. What should you do next?

Allow the mother to hold her baby.

Clamp and cut the umbilical cord.

Check the pulse rate at the brachial artery.

Begin assisting the newborn’s breathing.

Answer 92

Check the pulse rate at the brachial artery.

Question 93

Eclampsia is MOST accurately defined as:

high levels of protein in the patient’s urine.

hypertension in the 20th week of pregnancy.

seizures that result from severe hypertension.

a blood pressure greater than 140/90 mm Hg.

Answer 93

seizures that result from severe hypertension.

Question 94

CPR is in progress on a pulseless and apneic 29-year-old woman who is 37 weeks pregnant. When treating this patient, the EMT should:

deliver a compression rate of 120 to 140 per minute.

manually displace the patient’s uterus to the left.

avoid defibrillation because it may harm the fetus.

perform compressions slightly lower on the sternum.

Answer 94

manually displace the patient’s uterus to the left.

Question 95

You are attending to a 26-year-old female patient who is at 37 weeks’ gestation with her second pregnancy. The patient is in labor and delivery is imminent. The patient is on your stretcher. You should now:

move the stretcher to the ambulance and transport immediately.

open the OB kit and continue to prepare for the delivery.

encourage the patient to push.

hold the patient’s legs together until you are ready for the delivery.

Answer 95

open the OB kit and continue to prepare for the delivery.

Question 96

You are attending to a 28-year-old female patient in labor. Her newborn baby boy has just been delivered, and you have dried and wrapped the newborn in a clean blanket. The umbilical cord has stopped pulsating. Based on this information, you should now:

A. clamp the cord utilizing two clamps, placed approximately 6 inches from the newborn and 2 to 4 inches apart.

B. clamp the cord, utilizing one clamp approximately 6 inches from the newborn and cut it on the maternal side of the clamp.

C. pull the cord off of the newborn utilizing a consistent force and wrap in a clean towel.

D. wrap the cord in a clean towel and transport mother and newborn together.

Answer 96

A. clamp the cord utilizing two clamps, placed approximately 6 inches from the newborn and 2 to 4 inches apart.

Question 97

During delivery, it is MOST important to position your partner at the mother’s head because:

the mother may become nauseated and vomit.

the mother needs to be apprised of the situation.

she may need emotional support during the delivery.

mothers often need assisted ventilation during delivery.

Answer 97

the mother may become nauseated and vomit.

Question 98

If a pregnant patient requires spinal immobilization, you should secure her to the backboard and then:

place a folded towel behind her head to make it easier to breathe.

elevate the right side of the board with rolled towels or blankets.

raise the foot of the board 12 inches in order to maintain blood pressure.

elevate the head of the board 6 inches to prevent breathing impairment.

Answer 98

elevate the right side of the board with rolled towels or blankets.

*This positions the patient on the left side of her body relieving pressure on the vena cava