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indicates no electrical activity in the heart - CORRECT ANSWER>>Asystole indicates some residual electrical activity within the heart, but not enough for a pulse - CORRECT ANSWER>>PEA shockable rhythm, heart rhythm problem that occurs when the heart beats with rapid, erratic electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. - CORRECT ANSWER>>Ventricular fibrillation shockable rhythm, in which the lower chambers of your heart (ventricles) beat very quickly because of a problem in your heart's electrical system. your heart may not be able to pump enough blood to your body and lungs because the chambers are beating so fast that they don't have time to properly fill. - CORRECT ANSWER>>Ventricular tachycardia Sing of increased intracranial pressure 3 sings
- Brachicardia
- hypertension
- Altered respirations - CORRECT ANSWER>>Cushing's triad Deliver each breathe over 1 second at a rate of 8 to 10 breathes per minute When an advanced airway is in place, there is no pause in chest compressions to deliver breaths. - CORRECT ANSWER>>After your paramedic partner has intubated an adult cardiac arrest patient, you are providing ventilations as a firefighter performs chest compressions. When ventilating the patient, you should? encourage to cough, heimlich is only performed on complete obstructions - CORRECT ANSWER>>An airway that is not completely obstructed 25 - 50 - CORRECT ANSWER>>Infant respiratory rate The condition of having a slow heartbeat, defined as under 60 beats per minute for an adult. - CORRECT ANSWER>>Bradycardia
progressively increasing systolic blood pressure, leading to widening pulse pressure - CORRECT ANSWER>>Hypertension Jaw-thrust and head-tilt chin-lift spine injury - CORRECT ANSWER>>What are the two methods for opening the airway of an unconscious patient? When would you use one over the other? Could lead to hypoxia - CORRECT ANSWER>>What is the main complication of suctioning the airway for more than 10 seconds? Flow rate: 1-6 lpm When it's used: Nasal cannulas are used to deliver oxygen when a low flow, low or medium concentration is required, and the patient is in a stable state. - CORRECT ANSWER>>What flow rate for a nasal cannula and when should it be used Use when patent needs oxygen but can breath on their own and is getting sufficient tidal volume and O2 percent, flow rate of 10-15 lpm - CORRECT ANSWER>>When should you use a NRM and at what flow rate? Use when patient is unconscious and not breathing adequately or isn't getting enough O2 or has stopped breathing, use 10-15 lpm, if patient is breathing less than 12 times a min or more than 24 use BVM and check to see if it's working by looking at rise and fall of chest - CORRECT ANSWER>>When should you use a bag-valve mask and at what flow rate? If there is a tracheostomy tube in place put the BVM on that and ventilate (after taking mask off) if no tube put a special mask over the stoma and if you don't have a special tracheostomy stoma mask use a child or infant BVM mask cover nose and mouth - CORRECT ANSWER>>How would you ventilate a patient who has a Stoma? patients with known COPD or asthma with acute exacerbations. patients without known respiratory disease who exhibit expiratory wheezing. must be prescribed - CORRECT ANSWER>>What are the indications of a MDI? Airflow obstruction due to foreign body Airflow obstruction and an MI Not used as the first drug to help with congestive heart failure Hypersensitivity, tachycardia, MI. - CORRECT ANSWER>>What are the contraindications of a MDI?
- Dyspnea (difficulty breathing)
- Tachypnea (accelerated breathing)
- Expiatory Wheezes
- Retractions
- Pursed lip
- Dry cough
- Fatigue
- Anxiety
- Barrel chest
- Hypoxic drive- based on 02 levels in lungs, low 02 levels tell you to breath Emphysema is a chronic respiratory disease where there is over-inflation of the air sacs (alveoli) in the lungs, causing a decrease in lung function, and often, breathlessness. - CORRECT ANSWER>>How does Emphysema affect a patient's respiratory effort and breathing? ♣ Position of comfort ♣ O
- 2 - 4L/min
- Re-evaluate/adjust
- PPV BVM
- DO NOT WITHHOLD O Metered-dose-inhaler/ Bronchodilator - CORRECT ANSWER>>What treatment would you administer to a patient with difficulty breathing due to Emphysema?
- Allergic reaction creating a spasm of the airways; difficulty exchanging air - CORRECT ANSWER>>When a patient states that they are having an asthma attack, what is happening inside their body? Their inhaler that is not expired
- Position of comfort (tripod) • O2 o NRM 10-15L/min o Humidified o PPV BVM o Pt.'s Inhaler (do not administer yourself), albuterol - CORRECT ANSWER>>What treatment would you administer for a patient having an asthma attack? A facetious term sometimes used by doctors to describe patients breathless from CHRONIC lung disease but still able to maintain sufficient oxygenation of the blood to avoid CYANOSIS A descriptive term for a patient with COPD and severe emphysema, who has a pink complexion and dyspnea - CORRECT ANSWER>>What medical condition is "pink puffer" referring to and why does it have this name?
does he suffer from COPD or asthma and does he have an MDI non-rebreather mask at 15lpm - CORRECT ANSWER>>You walk into an office and find a 38-yearold male in the tripod position. He is speaking in one-word sentences and appears very anxious. What information will be important to gather during your assessment? What should your first medical intervention be? Continuous Positive Airway Pressure and is udes for COPD and asthma - CORRECT ANSWER>>What does CPAP stand for and what kind of medical emergency is it used for? strapped to your face and forces oxygen threw the nose - CORRECT ANSWER>>How is CPAP administered? a non-expanding collection of air around the lung. - CORRECT ANSWER>>Simple pneumothorax: The accumulation of air under pressure in the pleural space. - CORRECT ANSWER>>Tension pneumothorax Use on someone with low SPO2 saturation levels (under 94%) - CORRECT ANSWER>>When to use supplemental oxygen? venturi mask - CORRECT ANSWER>>What kind of mask gives the most accurate flow rate? Rhonchi are breathing sounds that are indicative of an airway obstruction - CORRECT ANSWER>>Ronchi Hypoxia In children, hypoxia often presents as altered mental status and bradycardia. Hypoxia occurs when there is a deprivation of oxygen to the body. - CORRECT ANSWER>>Your patient is a 9year-old female who is unusually quiet according to her mother. She looks distant and is responding to verbal commands. When you take her vitals, you notice a slowed pulse. You suspect she is experiencing? Jaw-thrust - CORRECT ANSWER>>An elderly man is found lying unresponsive next to his bed. His wife is unsure what happened or why he is lying unconscious. The patient has a strong carotid pulse. What is your next priority? Epiglottitis - CORRECT ANSWER>>You have been dispatched for a respiratory distress call. Upon your arrival, you find a 34-year-old male in the tripod position and you can hear stridorous respirations from the doorway. The patient is drooling and feels hot to the touch. What lifethreatening condition does your patient have?
from the brain and heart. - CORRECT ANSWER>>Which of the following is the only acceptable reason to withhold compressions for longer than ten seconds? In cases of chest pain, it is easy to assume a heart attack, and rightfully so. In this case, the patient is experiencing Angina Pectoris, which is considered a precursor to a heart attack. The pain was sudden for the patient, and he is slowly starting to show symptoms of a heart attack. The heart is responding to decreased oxygen flow to the heart muscles. If the heart continues to receive less and less oxygen, the muscles can die, leading to a heart attack (or myocardial infarction). In this case as well as full-blown heart attacks, it is important to work quickly and get the patient to the hospital as soon as possible. - CORRECT ANSWER>>When you enter the home, you find a 56-year-old male sitting on a chair, leaning forward. He is holding his chest and breathing rapidly. He says that he feels like an elephant is sitting on his chest. He is also feeling dizzy and nauseated. The pain has occurred suddenly, within the last 30 minutes. His symptoms suggest that he is experiencing which of the following? The chest pain you feel with angina happens because there isn't enough blood flowing to part of your heart. It's a symptom of heart disease, and it's caused when something blocks the arteries that bring oxygen-rich blood to your heart. Angina pectoris, commonly known as angina, is the sensation of chest pain, pressure, or squeezing, often due to ischemia of the heart muscle from obstruction - CORRECT ANSWER>>Angina Pectoris In an elderly patient, exercise intolerance is a key symptom of angina. It indicates increased stress on the heart. - CORRECT ANSWER>>Your 84-year-old patient complains that he is intolerant to his daily exercise routine of walking around the block. This is a key symptom of: The AHA has reviewed numerous studies and found that a rate between 100-120 is best when performing chest compressions to help maintain blood flow to the vital organs. - CORRECT ANSWER>>During CPR, compressions should be performed at which of the following rates? Pumping blood to the lungs - CORRECT ANSWER>>The right ventricle is responsible for which of the following actions? High quality compressions and quick defibrillation - CORRECT ANSWER>>You respond to a 23year-old male in cardiac arrest. CPR is in progress when you arrive and you quickly take over compressions. The most important interventions that will affect this patient's outcome are? The top number is the maximum pressure your heart exerts while beating (systolic pressure), and the bottom number is the amount of pressure in your arteries between beats (diastolic pressure). The numeric difference between your systolic and diastolic blood pressure is called
your pulse pressure. - CORRECT ANSWER>>What is the difference between systolic blood pressure and diastolic blood pressure?
- Pain, pressure, or discomfort in chest or abdomen
- Difficulty breathing
- Palpitations
- Sudden onset of sweating and nausea
- Anxiety or irritability
- Abnormal pulse
- Abnormal BP - CORRECT ANSWER>>Give seven signs/symptoms of cardiac compromise
- They have a circular shape to increase surface area to volume ratio to increase absorption efficiency *no nucleus so it can have more surface area to carry hemoglobin *flexible so it can easily travel through thin capillaries - CORRECT ANSWER>>What are two important characteristics of Red Blood Cells? Nitroglycerin is a vasodilator, a medicine that opens blood vessels to improve blood flow. It is used to treat angina symptoms, such as chest pain or pressure, that happens when there is not enough blood flowing to the heart. Nitroglycerin works by relaxing the smooth muscle of blood vessel walls and dilating coronary arteries, which increases blood flow and oxygen supply to the heart. - CORRECT ANSWER>>How does nitroglycerin work? . Chest Pain
- History of cardiac problems
- Prescribed NTG
- Systolic is greater than 90- 100
- Authorized by medical direction - CORRECT ANSWER>>what are nitroglycerin's indications?
- Hypotension or systolic below 90- 100
- Pulse below 50 or above 100
- Head injury
- Infant or child
- Already maxed out
- Patient has recently taken erectile dysfunction meds - CORRECT ANSWER>>What are nitroglycerin's contraindications? 1 tablet or 1 spray (0.4 mg) up to three times 4 min apart - CORRECT ANSWER>>What are nitroglycerin's dosage?
CORRECT ANSWER>>Mrs. Swenson is a 35-year-old female who has been impaled through the cheek by a large fishing lure. She is unconscious and has a small amount of bleeding coming from her cheek. The fishing lure is inside her mouth. When caring for this patient you should? This patient is not adequately perfusing and once you see a heart rate under 60, you should start compressions immediately. - CORRECT ANSWER>>You are assessing an unresponsive 2month-old female. You note cyanosis around the lips and her parents tell you she has been sick for a couple days. Pulse - 52, R - 20, SpO2 - 90%, CBG - 73. What is your first priority? If you witness the patient's cardiac arrest, begin CPR and apply the AED as soon as possible. However, if the patient's cardiac arrest was not witnessed by you, the American Heart Association recommends that you perform 5 cycles (about 2 minutes) of CPR before applying the AED. - CORRECT ANSWER>>You have been dispatched to a 72-year-old male with chest pain and you arrive on scene to find him supine on the floor. It is unknown how long he has been down, and your initial assessment reveals that he is pulseless and apneic. You should immediately? You must be honest with your patient but refrain from accusing them of lying or telling them that whatever sensation they are experiencing is not real - for them, the experience is very real. Tell her that you believe she is seeing the leprechaun but you cannot see the leprechaun - CORRECT ANSWER>>You have a patient who is experiencing gradual-onset altered mental status. She tells you that "there is an angel sitting next you keeping the darkness out of your heart." She also says that "a leprechaun is her best friend and he just put one million dollars in her wallet." How should you respond to this patient? Hep-B - CORRECT ANSWER>>Which of the following is more contagious than HIV, and proves a much greater threat to EMS providers? There is a more significant amount of smooth muscle tissue present in the arteries than veins. Veins rely on valves to move blood flow back to the heart, where arteries use smooth muscle to control the amount of blood flow out to systemic circulation. - CORRECT ANSWER>>Which layer of the arteries is more prominent than in veins? IgE - CORRECT ANSWER>>Which antibody is responsible for causing an anaphylactic reaction? IgE binds to allergens and triggers the release of substances from mast cells that can cause inflammation. - CORRECT ANSWER>>IgE passing out or fainting - CORRECT ANSWER>>syncope
Syncope is also known as dizziness or fainting. When a patient experiences syncope, whether from physical or environmental factors, there is a loss of vascular blood flow to the brain. This causes the dizziness that is often associated with syncope. To increase blood flow to the brain, you will need to place your patient in Trendelenburg position, with the torso/legs higher than the head - CORRECT ANSWER>>A 45-year-old patient experienced syncope after seeing her husband cut his finger in the kitchen. When you arrive on scene, she is sitting on the floor, slightly pale in color. Which position would be best to transport this patient in? third - CORRECT ANSWER>>Delivery of the placenta marks the end of which stage of labor? Antepartum - CORRECT ANSWER>>The medical term that refers to the time period before delivery is: Cephalic presentation - CORRECT ANSWER>>You are called to the home of a 31-year-old female preparing for imminent delivery. She is talking to you, is calm, and her vital signs are all appropriate. Which type of baby delivery should you attempt in the field? Inferior vena cava - CORRECT ANSWER>>In supine hypotensive syndrome, the uterus becomes large enough that, when laying supine, it compresses which blood vessel? The START triage model is the one that utilizes the RPM acronym of triaging patients. - CORRECT ANSWER>>Which of the following triage systems utilizes the RPM (respirations, pulse, mentation) acronym? The fifth cone should be placed on the upwind side of the landing zone. The pilot will use this fifth cone as a reference for his final approach and landing. - CORRECT ANSWER>>You are the landing zone supervisor for a multiple vehicle pile up on the interstate. You have directed your crew to set up a 100'x100' landing zone. The crew has cleared the landing zone of any debris and ensured that the emergency vehicles are parked clear of the landing zone. The landing zone is marked by four cones. You direct the crew to place a fifth cone where? Physician's Order for Life Sustaining Treatment - CORRECT ANSWER>>You are on scene with an elderly male patient. The caretaker states that he has a POLST form for this patient. What does POLST stand for? You must always drive with due regard for the safety of yourself and others when driving code 3 in an ambulance. Traffic law requires that an ambulance must stop for a stopped school bus and wait until the bus driver turns off the flashing lights and retracts the stop sign. This is for the safety of the children getting on or off the bus. - CORRECT ANSWER>>You are responding to a cardiac arrest down a two-way street divided by a double yellow. You come upon a school bus
The spinal cord is made up of neurons. It is protected by the vertebral column which is composed of vertebrae. - CORRECT ANSWER>>The spinal cord is composed of: Severe preeclampsia is a condition that results with the pregnant patient presenting with a blood pressure > 160/110. The condition would progress to eclampsia if the patient were to begin having a seizure - CORRECT ANSWER>>You are called to the scene for the 18-year-old female who is 23 weeks pregnant and with "the worst headache" she's ever had. Vital signs are BP of 180/94, P 100, R 20. You would suspect the patient is suffering from? Marked tachypnea - CORRECT ANSWER>>There are many different signs of respiratory distress that range from early to late, that can ultimately lead to respiratory failure. In the pediatric patient, which of the following would be considered an early sign of respiratory failure? The A in SOAP stands for Assessment. SOAP charts are a common way to break up the narrative portion. Subjective, Objective, Assessment, and Plan. - CORRECT ANSWER>>A S.O.A.P. prehospital care report consists of 4 distinct parts. What does the 'A' stand for? Epinephrine is classified as a sympathomimetic drug since it mimics the sympathetic system. It increases heart rate, causes vasoconstriction, etc. - CORRECT ANSWER>>Epinephrine is what kind of drug? a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first - CORRECT ANSWER>>Cephalic presentation Cardiac tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This places extreme pressure on your heart. The pressure prevents the heart's ventricles from expanding fully and keeps your heart from functioning properly. Your heart can't pump enough blood to the rest of your body when this happens. This can lead to organ failure, shock, and even death. he causes of pericardial penetration or fluid accumulation might include: gunshot or stab wounds blunt trauma to the chest from a car or industrial accidentCardiac tamponade has the following symptoms: anxiety and restlessness low blood pressure weakness chest pain radiating to your neck, shoulders, or back trouble breathing or taking deep breaths rapid breathing discomfort that's relieved by sitting or leaning forward fainting, dizziness, and loss of consciousness - CORRECT ANSWER>>Cardiac tamponade
Hypoperfusion (shock) is the inadequate perfusion of body tissues, resulting inadequate supply of oxygen and nutrients to them - CORRECT ANSWER>>hypoperfusion chest pain that results from reduced blood flow to the heart. A lack of blood flow means your heart isn't getting enough oxygen. The pain is often triggered by physical activity or emotional stress. Certain factors, such as narrowing of the arteries (atherosclerosis), can prevent your heart from receiving more oxygen. Your arteries can become narrow and hard when plaque (a substance made of fat, cholesterol, calcium, and other substances) builds up inside the artery walls. Blood clots can also block your arteries and reduce the flow of oxygen-rich blood to the heart. - CORRECT ANSWER>>angina pectoris The process of reasoning and thinking - CORRECT ANSWER>>mentation A normal CBG reading is 80-120 mg/dL. This pt is conscious and able to maintain their airway, based on their ability to talk to you and tell you what's wrong. Administer oral glucose to this patient and recheck their CBG. - CORRECT ANSWER>>What are normal blood glucose levels? A transient ischemic attack (TIA) happens when blood flow to part of the brain is blocked or reduced , often by a blood clot. After a short time, blood flows again and the symptoms go away. With a stroke, the blood flow stays blocked, and the brain has permanent damage - CORRECT ANSWER>>TIA: Transient Ischemic Attack There are several types of Fowler's positions: Low, Semi, Standard, and High Fowler's. Low Fowler's position is when the head of bed is elevated 15-30 degrees, Semi-Fowler's position is 30 - 45 degrees, Standard Fowler's is 45-60 degrees, and High Fowler's position is 80-90 degrees.
- CORRECT ANSWER>>Fowler's the body is laid flat on the back (supine position) with the feet higher than the head by 15- 30 degrees - CORRECT ANSWER>>Trendelenburg's a small cartilaginous process (extension) of the lower part of the sternum - CORRECT ANSWER>>What is the xiphoid process and where is it located? the hip - Ball and socket joint - CORRECT ANSWER>>What type of joint connects the femur to the pelvis? elbow - pivot-type synovial joint - CORRECT ANSWER>>What type of joint connects the upper arm to the lower arm?
Medication Route Time Client Dosage Documentation - CORRECT ANSWER>>What are the 6 RIGHTS of medication administration? Insulin helps your body turn blood sugar (glucose) into energy. It also helps your body store it in your muscles, fat cells, and liver to use later, when your body needs it. After you eat, your blood sugar (glucose) rises. This rise in glucose triggers your pancreas to release insulin into the bloodstream. - CORRECT ANSWER>>How do insulin and glucose work inside the body? pancreas - CORRECT ANSWER>>Which organ is responsible for the secretion of insulin? A diabetic coma is a life-threatening diabetes complication that causes unconsciousness. If you have diabetes, dangerously high blood sugar (hyperglycemia) or dangerously low blood sugar (hypoglycemia) can lead to a diabetic coma - CORRECT ANSWER>>What is a diabetic coma? hypoglycemia can lead to a seizure or unconsciousness - CORRECT ANSWER>>When is hypoglycemia a real emergency? Shakiness Nervousness or anxiety Sweating, chills and clamminess Irritability or impatience Confusion, including delirium Rapid/fast heartbeat Lightheadedness or dizziness Hunger and nausea Sleepiness Blurred/impaired vision Tingling or numbness in the lips or tongue Headaches Weakness or fatigue Anger, stubbornness, or sadness Lack of coordination Nightmares or crying out during sleep Seizures Unconsciousness - CORRECT ANSWER>>What are the symptoms of hypoglycemia? The usual dose of glucose for hypoglycemia is 10-20 gm orally or by intravenous infusion.. The oral dose may be repeated in 10 minutes if hypoglycemic symptoms do not resolve. Oral glucose must be swallowed to be effective. - CORRECT ANSWER>>What is the dosage of oral glucose? Radiation Conduction Convection Evaporation Respiration - CORRECT ANSWER>>What are five methods of heat loss?
Young age or old age, Certain drugs, Obesity, Sudden temperature changes, A high heat index - CORRECT ANSWER>>What are some predisposing factors that make heat and cold exposures worse? opening the airways to reduce breathing difficulties and narrowing the blood vessels to combat low blood pressure and to ease the faint feelings. - CORRECT ANSWER>>How does epinephrine work in the body? Faster, irregular (wrong) or "pounding" heartbeat. Throbbing headache. Paleness. Feelings of over excitement, anxiety, or fear. Weakness or shakiness. Dizziness. Nausea and vomiting. Sweating. - CORRECT ANSWER>>What are the contraindications Epinephrine? 25 - 100g - CORRECT ANSWER>>What is the dosage of Activated Charcoal? Early or superficial cold injury usually involves the tips of ears, the nose the tips of toes and fingers, and the chin Late or deep cold injury involves both the skin and tissue beneath it The pulse, breathing, and blood pressure are difficult to assess in a hypothermic patient. - CORRECT ANSWER>>What are the signs and symptoms of hypothermia? Heat exhaustion extreme physical exertion in a hot, humid environment Heat exhaustion occurs when the body's cooling mechanisms have been expended, and now the central nervous system and other systems are starting to show the consequences of this depletion A patient with heat exhaustion will commonly have slight alterations in mental status, such as dizziness or fatigue, and will present with a normal body temperature and diaphoretic skin Heat stroke occurs when the thermoregulatory mechanism of the body fails to sense and compensate for elevations of the core temperature, and an extremely high core temperature results - CORRECT ANSWER>>What are the signs and symptoms of heat exhaustion and heat stroke? LUQ: stomach, spleen, pancreas, part of the large intestine, left kidney RUQ: liver, gallbladder, part of the large intestine, right kidney RLQ: appendix, part of the large intestine, female reproductive organs LLQ: part of the large intestine and the female reproductive organs - CORRECT ANSWER>>Label each abdominal quadrant and list two organs that are contained within each:
The term para refers to births - CORRECT ANSWER>>Para of or relating to the time, usually a number of weeks, immediately before and after birth. - CORRECT ANSWER>>Perinatal a condition in which the placenta partially or wholly blocks the neck of the uterus, thus interfering with normal delivery of a baby. - CORRECT ANSWER>>Placenta Previa following childbirth or the birth of young. - CORRECT ANSWER>>Postpartum before birth; during or relating to pregnancy. - CORRECT ANSWER>>Prenatal preeclampsia: Rapid weight gain caused by a significant increase in bodily fluid. Abdominal pain. Severe headaches. Change in reflexes. Reduced urine or no urine output. Dizziness. Excessive vomiting and nausea. Vision changes. eclampsia: seizures loss of consciousness agitation headaches or muscle pain - CORRECT ANSWER>>What are the signs and symptoms of preeclampsia/eclampsia? 500ml - CORRECT ANSWER>>What volume of blood loss is considered normal following a pregnancy? Place the mother in the knee-chest position, her hips elevated, and if possible the stretcher placed in the Trendelenburg position. Tell the mother to not push during contractions, further preventing the fetus from entering the birth canal.Attempt to palpate a pulse in the umbilical cord. If you feel one or see it pulsating, the cord is perfused, and in all likelihood so is the infant. If any part of a delivering infant, such as the head, enters the birth canal and compresses the cord, or if you cannot palpate a pulse or see pulsation in the cord, insert your hand into the birth canal and manually lift the presenting part off the cord, preserving fetal perfusion. If necessary, this procedure will be performed continuously during transport, in the ED, and up into the operating room until an emergent cesarean section is done. The presenting piece of umbilical cord can be wrapped in a moist, sterile dressing to prevent - CORRECT ANSWER>>Prolapsed Cord If the head delivers slowly or becomes trapped in the birth canal, you will need to insert your fingers into the birth canal and create a pocket between the fetus' face and the wall of the birth
canal. This is often accomplished by creating a V with your fingers and placing the fetus' mouth and nose between them, creating an unobstructed airway.If the fetus' head becomes trapped in the birth canal, transport to a hospital with an OB unit should begin immediately. Administer oxygen at 15 lpm via nonrebreather mask to ensure adequate fetal oxygenation. - CORRECT ANSWER>>Breech Presentation In the case of a limb presentation, such as a single arm or leg, the likelihood of a successful delivery is small. Place the mother in the knee-chest position, her hips elevated, and if possible the stretcher placed in the Trendelenburg position. This will tilt the mother's pelvis and uterus, allowing gravity to help move the fetus away from the cervical os and birth canal. - CORRECT ANSWER>>Limb Presentation The procedure for delivering multiple infants is the same as that for a single newborn. If you suspect more than one infant, additional resources should be called for immediately - CORRECT ANSWER>>Multiple Births breast enlargement and glandular development, and posture changes - CORRECT ANSWER>>List three anatomical changes to the mother's body during pregnancy: gloves, goggles, gown - CORRECT ANSWER>>List three pieces of personal protective equipment that should be worn by the EMT during delivery: 60 - CORRECT ANSWER>>A newborn with a pulse rate of less than ___ BPM requires chest compressions. 20 - 30 per minute - CORRECT ANSWER>>Your patient is a newborn infant male in severe respiratory distress. You just helped deliver the newborn and now must provide positivepressure ventilation via bag-valve mask. At what rate should you be ventilating your patient? Appearance, Pulse, Grimace, Activity, and Respiration done right after and 5 min after birth, is 0-2 scale for each, total of 10 - CORRECT ANSWER>>APGAR Limb presentation and prolapsed chord - CORRECT ANSWER>>What two presentations of newborns should not be attempted to deliver in the field? croup, - CORRECT ANSWER>>Name and describe 3 common upper airway disease in pediatric patients.
