West Coast EMT Block 5 Exam Study Guide, A+ Solutions
menstruation starts - 11-16
purpose of the amniotic sac - protect and insulate fetus
during true labor, contractions: - increase in intensity and become closer together
the end of the third trimester the baby sinks into the birth canal (lightening) which
reliefs what of the mother - breathing
what to do when there is a nuchal cord - try to pull around the baby's neck, if
unsuccessful cut
what to do in the case of a limb presentation - cover the limb and transport the
mother supine, head down, pelvis elevated
only 2 times that you put your gloved hand into a woman's vagina - breech birth
and prolapsed cord
requirements for a baby to be premature - under 36 weeks or less that 5 pounds
grunting in children is - attempt to keep alveoli open by increasing pressure in the
chest cavity
don't access BP in children under - 3
PAT - allows you to forms a general impression of the child quickly and visually
NPAs are rarely used in - infants under 1
what happens in an NPA is too long - stimulate the vagus nerve, slows HR, enters
esophagus and causes gastric distention
most common S&S of head injury in children - nausea and vomiting
,the umbilical cord has - 2 arteries and 1 vein
priority after child is born - airway, then keep warm and dry
respiratory rate of infant 1 month to 1 year - 30 to 60
respiratory rate of toddler 1 to 3 years - 24 to 40
respiratory rate of preschool 4 to 5 years - 22 to 34
respiratory rate of school 6 to 12 years - 18 to 30
respiratory rate of adolescent 13 to 18 years - 12 to 16
pulse rate of newborn to 3 months - 85 to 205
pulse rate of 3 months to 2 years - 100 to 190
pulse rate of 2 years to 10 years - 60 to 140
pulse rate of over 10 year olds - 60 to 100
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak,
and her respirations are 22 breaths/min with adequate depth. She tells you that she
inserted a tampon about 2 hours ago. You should:
A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly.
B. administer high-flow oxygen, place a sterile pad over her vagina, keep her
warm, elevate her lower extremities, and transport without delay.
C. administer high-flow oxygen, perform a detailed assessment of her vaginal area
for signs of trauma, place her on her side, and transport.
D. assist her ventilations with a bag-valve mask, place one sterile dressing into her
vagina, perform a rapid secondary assessment, and transport. - B. administer high-
flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay
, A patient with pelvic inflammatory disease will typically complain of _________.
A. bleeding associated with stress
B. abdominal pain associated with menstruation
C. aches and fever associated with urination
D. nausea and vomiting associated with intercourse - B. abdominal pain associated
with menstruation
Causes of vaginal bleeding include which of the following?
A. Ectopic pregnancy
B. Vaginal trauma
C. Spontaneous abortion
D. All of these answers are correct. - D. All of these answers are correct.
During gynecologic emergencies, in addition to the standard SAMPLE questions,
the EMT should attempt to determine which of the following?
Select one:
A. The amount of time since of the patent's last menstrual cycle
B. The possibility that the patient may be pregnant
C. If the patient is sexually active
D. All of these answers are correct. - D. All of these answers are correct.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
Select one:
A. sheds and is expelled externally.
B. thins and begins to separate.
C. becomes engorged with blood.
D. diverts blood flow to the vagina. - C. becomes engorged with blood.
In cases of sexual assault, it is important to ensure that you do which of the
following?
Select one:
A. Immediately write down your observations of the scene before assessing the
patient.
B. Call for a female EMT or ALS care provider.
menstruation starts - 11-16
purpose of the amniotic sac - protect and insulate fetus
during true labor, contractions: - increase in intensity and become closer together
the end of the third trimester the baby sinks into the birth canal (lightening) which
reliefs what of the mother - breathing
what to do when there is a nuchal cord - try to pull around the baby's neck, if
unsuccessful cut
what to do in the case of a limb presentation - cover the limb and transport the
mother supine, head down, pelvis elevated
only 2 times that you put your gloved hand into a woman's vagina - breech birth
and prolapsed cord
requirements for a baby to be premature - under 36 weeks or less that 5 pounds
grunting in children is - attempt to keep alveoli open by increasing pressure in the
chest cavity
don't access BP in children under - 3
PAT - allows you to forms a general impression of the child quickly and visually
NPAs are rarely used in - infants under 1
what happens in an NPA is too long - stimulate the vagus nerve, slows HR, enters
esophagus and causes gastric distention
most common S&S of head injury in children - nausea and vomiting
,the umbilical cord has - 2 arteries and 1 vein
priority after child is born - airway, then keep warm and dry
respiratory rate of infant 1 month to 1 year - 30 to 60
respiratory rate of toddler 1 to 3 years - 24 to 40
respiratory rate of preschool 4 to 5 years - 22 to 34
respiratory rate of school 6 to 12 years - 18 to 30
respiratory rate of adolescent 13 to 18 years - 12 to 16
pulse rate of newborn to 3 months - 85 to 205
pulse rate of 3 months to 2 years - 100 to 190
pulse rate of 2 years to 10 years - 60 to 140
pulse rate of over 10 year olds - 60 to 100
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak,
and her respirations are 22 breaths/min with adequate depth. She tells you that she
inserted a tampon about 2 hours ago. You should:
A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly.
B. administer high-flow oxygen, place a sterile pad over her vagina, keep her
warm, elevate her lower extremities, and transport without delay.
C. administer high-flow oxygen, perform a detailed assessment of her vaginal area
for signs of trauma, place her on her side, and transport.
D. assist her ventilations with a bag-valve mask, place one sterile dressing into her
vagina, perform a rapid secondary assessment, and transport. - B. administer high-
flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay
, A patient with pelvic inflammatory disease will typically complain of _________.
A. bleeding associated with stress
B. abdominal pain associated with menstruation
C. aches and fever associated with urination
D. nausea and vomiting associated with intercourse - B. abdominal pain associated
with menstruation
Causes of vaginal bleeding include which of the following?
A. Ectopic pregnancy
B. Vaginal trauma
C. Spontaneous abortion
D. All of these answers are correct. - D. All of these answers are correct.
During gynecologic emergencies, in addition to the standard SAMPLE questions,
the EMT should attempt to determine which of the following?
Select one:
A. The amount of time since of the patent's last menstrual cycle
B. The possibility that the patient may be pregnant
C. If the patient is sexually active
D. All of these answers are correct. - D. All of these answers are correct.
In anticipation of receiving a fertilized ovum, the lining of the uterine wall:
Select one:
A. sheds and is expelled externally.
B. thins and begins to separate.
C. becomes engorged with blood.
D. diverts blood flow to the vagina. - C. becomes engorged with blood.
In cases of sexual assault, it is important to ensure that you do which of the
following?
Select one:
A. Immediately write down your observations of the scene before assessing the
patient.
B. Call for a female EMT or ALS care provider.
