EMT Exam 6 Chap 33-41 (JBL) Questions With Complete 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. correct answer: 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. correct answer: 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. C) the placenta affixes itself to the outer layer of the uterus. D) the placenta develops over and covers the cervical opening. correct answer: 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. correct answer: 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. correct answer: B 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. correct answer: 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 correct answer: C 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. correct answer: 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. correct answer: 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 correct answer: C 11. If a baby is born at 7:52, the second Apgar score should be calculated at: A) 7:53. B) 7:57. C) 7:59. D) 8:00. correct answer: B 12. The presence of meconium in the amniotic fluid indicates: A) an expected finding in full-term infants. B) that the baby's airway may be obstructed. C) that the fetus is at least 4 weeks premature. D) that full newborn resuscitation will be needed correct answer: B 13. 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: A) immediately remove the patient from the environment and transport. B) contact police and remain at the scene until they arrive and escort you to the hospital. C) ask more detailed questions and press the issue until you have a more detailed understanding of the incident. D) continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care. correct answer: D 14. A nuchal cord is defined as an umbilical cord that: A) has separated from the placenta. B) is wrapped around the baby's neck. C) is lacerated due to a traumatic delivery. D) has abnormally developed blood vessels. correct answer: B 15. Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes? A) "When are you due?" B) "Is this your first baby?" C) "Have you had a sonogram?" D) "Do you feel the need to push?" correct answer: C 16. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: A) belly button. B) pubic bone. C) xiphoid process. D) superior diaphragm. correct answer: A 17. Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: A) suctioning of the upper airway. B) thorough drying with a towel. C) positive-pressure ventilations. D) some form of tactile stimulation. correct answer: C 18. A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A) preeclampsia.