EMT Module 6
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. in a sitting position with her hips elevated 12 inches.
D. on her left side with the right leg elevated. - ANS B
A mother who is pregnant with her first baby is typically in the first stage of labor for approximately:
Select one:
A. 8 hours.
B. 4 hours.
C. 16 hours.
D. 10 hours. - ANS C
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock
because:
Select one:
A. pregnant patients have an overall increase in blood volume.
B. blood is shunted to the uterus and fetus during major trauma.
C. pregnant patients can dramatically increase their heart rate.
D. pregnancy causes vasodilation and a lower blood pressure. - ANS A
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
Select one:
A. placenta previa.
,B. gestational diabetes.
C. preeclampsia.
D. an ectopic pregnancy. - ANS D
A nuchal cord is defined as an umbilical cord that:
Select one:
A. has separated from the placenta.
B. is lacerated due to a traumatic delivery.
C. is wrapped around the baby's neck.
D. has abnormally developed blood vessels. - ANS C
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. intrauterine bleeding.
B. spontaneous pneumothorax.
C. pulmonary embolism.
D. acute pulmonary edema. - ANS C
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. - ANS B
Common interventions used to stimulate spontaneous respirations in the newborn include all of the
following, EXCEPT:
Select one:
,A. thorough drying with a towel.
B. some form of tactile stimulation.
C. positive-pressure ventilations.
D. suctioning of the upper airway. - ANS C
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. "Have you had a sonogram?"
B. "Do you feel the need to push?"
C. "When are you due?"
D. "Is this your first baby?" - ANS A
When determining the frequency of contractions, you should time the contractions from the:
Select one:
A. start of one to the end of the next.
B. end of one to the start of the next.
C. start of one to the start of the next.
D. end of one to the end of the next. - ANS C
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. Maintain firm pressure to the head until it completely delivers.
B. Place your fingers in the vagina to assess for a nuchal cord.
C. Apply gentle pressure to the baby's head as it delivers.
D. Tell the mother not to push and transport her immediately. - ANS C
The presence of meconium in the amniotic fluid indicates:
, Select one:
A. an expected finding in full-term infants.
B. that the fetus is at least 4 weeks premature.
C. that full newborn resuscitation will be needed.
D. that the baby's airway may be obstructed. - ANS D
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. call for the police to ensure that patient assessment is carried out.
B. insist that the patient requires proper care and that requires an adequate physical assessment
and that you cannot be responsible for the outcome.
C. respect the patient's wishes, ensure that the appropriate documentation is completed, and
transport the patient.
D. inform the patient that by calling for an ambulance, she is agreeing to the care provided and
continue with your assessment and management. - ANS C
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. carefully insert a sterile trauma dressing into her vagina.
B. place her legs together and position her on her left side.
C. elevate her legs 6 to 8 inches and cover her with a blanket.
D. firmly massage the uterine fundus with a circular motion. - ANS D
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
Select one:
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