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OB-PEDIATRIC EMT FISDAP LATEST EXAM 2
VERSIONS 25 0+ QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) AGRADE
COMPLETE
OB-PEDIATRIC EMT FISDAP LATEST EXAM A
Following delivery of a full-term baby, you have properly cared for the baby and clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should: A) firmly massage the uterine fundus with a circular motion B) elevate her legs 6-8 inches and cover her with a blanket C) carefully insert a sterile trauma dressing into her vagina D) place her legs together and position her on her left side - ANSWER-A) firmly massage the uterine fundus with a circular motion When determining the frequency of contractions, you should time the contractions from the: A) end of one to the start of the next B) start of one to the start of the next C) end of one to the end of the next D) start of one to the end of the next - ANSWER-B) start of one to the start of the next If a baby is born at 7:52, the second Apgar score should be calculated at: A) 7: B) 8:
C) 7:
D) 7:53 - ANSWER-A) 7:
A nuchal cord is defined as an umbilical cord that: A) is lacerated due to traumatic delivery B) has separated from the placenta C) is wrapped around the baby's neck D) has abnormally developed blood vessels - ANSWER-C) is wrapped around the baby's neck When preparing a pregnant patient for delivery, you should position her: A) on her left side with the right leg elevated B) in a sitting position with her hips elevated 12 inches C) in a supine position with her legs elevated D) on a firm surface with her hips elevated 2 to 4 inches - ANSWER-D) on a firm surface with her hips elevated 2 to 4 inches A mother who is pregnant with her first baby is typically in the first stage of labor for approximately: A) 16 hours B) 10 hours C) 4 hours D) 8 hours - ANSWER-A) 16 hours The amniotic fluid serves to:
A) inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management B) respect the patient's wishes, ensure that the appropriate documentation is provided, and transport the patient C) insist that the patient requires proper care and that requires adequate physical assessment and that you cannot be responsible for the outcome D) call for the police to ensure the patient assessment is carried out - ANSWER-B) respect the patient's wishes, ensure that the appropriate documentation is provided, and transport the patient Common interventions used to stimulate spontaneous respirations in the newborn include all of the following EXCEPT: A) suctioning of the upper airway B) some form of tactile stimulation C) positive-pressure ventilations D) thorough drying with a towel - ANSWER-C) positive-pressure ventilations A history of PID or tubal ligations increases a woman's risk for: A) an ectopic pregnancy B) gestational DM C) pre-eclampsia D) placenta previa - ANSWER-A) an ectopic pregnancy Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
A) "Do you feel the need to push?" B) "Is this your first baby?" C) "When are you due?" D) "Have you had a sonogram?" - ANSWER-D) "Have you had a sonogram?" Your 22 y/o 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: A) gently pulling on the infant's leg in an attempt to facilitate delivery B) carefully attempting to push the infant's leg off of the umbilical cord C) placing the mother supine with her head down and pelvis elevated D) placing the mother in a recumbent position and rapidly transporting - ANSWER-C) placing the mother supine with her head down and pelvis elevated You are attending to a 23 y/o 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) continue your care in a private area, document any details regarding the scene of the incident, and reassure her as you provide care C) ask more detailed questions and press the issue until you have a more detailed understanding of the incident
A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because: A) pregnant patients have an overall increase in blood volume B) pregnancy causes vasodilation and a lower BP C) blood is shunted to the uterus and fetus during major trauma D) pregnant patients can drastically increase their HR - ANSWER-A) pregnant patients have an overall increase in blood volume A 33 y/o woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. You should: A) carefully place sterile gauze into her vagina B) place her in a left lateral recumbent position C) position her supine and elevate her legs 12 inches D) ventilate her with a BVM - ANSWER-B) place her in a left lateral recumbent position Spina bifida is a developmental defect in which: A) a portion of the spinal cord or meninges protrudes outside of the vertebrae B) nerve fibers that arise from the spinal cord do not function properly C) the spinal column is severely deformed, resulting in permanent paralysis D) an excessive amount of CSF damages the spinal cord - ANSWER-A) a portion of the spinal cord or meninges protrudes outside of the vertebrae While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:
A) cover the umbilical cord with a dry dressing B) carefully push the cord back into the vagina C) gently pull on the cord to facilitate delivery D) push the infant's head away from the cord - ANSWER-D) push the infant's head away from the cord You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his HR is 90 bpm. You should: A) assess his skin color and give free-flow oxygen as needed B) begin chest compressions and reassess in 30 seconds C) keep him warm and ventilate with a BVM D) clamp and cut the umbilical cord and keep him warm - ANSWER-C) keep him warm and ventilate with a BVM After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience: A) an urge to push B) easier breathing C) a bloated feeling D) mid-back pain - ANSWER-B) easier breathing Abruptio placenta occurs when: A) the placenta prematurely separates from the uterine wall B) the placenta affixes itself to the outer layer of the uterus
A) suctioning is indicated prior to cutting the cord if respiratory distress is present B) newborns rapidly expel fluid from their lungs and do not require suctioning C) if the head delivers facedown, the mouth and nose should be suctioned at once D) suctioning should be performed on all newborns immediately following delivery - ANSWER- A) suctioning is indicated prior to cutting the cord if respiratory distress is present Placenta previa is defined as: A) delivery of a portion of the placenta before the baby B) development of the placenta over the cervical opening C) premature placental separation from the uterine wall D) abnormal development and functioning of the placenta - ANSWER-B) development of the placenta over the cervical opening Most medical models base a pregnant woman's due date: A) on the last day of her last menstrual cycle B) two weeks after her last menstrual cycle C) two weeks before her last menstrual cycle D) on the first day of her last menstrual cycle - ANSWER-D) on the first day of her last menstrual cycle The onset of labor begins with: A) contractions of the uterus B) increased fetal movement
C) full dilation of the cervix D) thinning of the uterus - ANSWER-A) contractions of the uterus Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should: A) begin full resuscitation and transport B) provide emotional support to the mother C) dry the infant off to stimulate breathing D) report the case to the medical examiner - ANSWER-B) provide emotional support to the mother Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should: A) attempt to slip the cord gently over the infant's head B) immediately clamp and cut the umbilical cord C) provide free-flow oxygen to the infant and transport D) give high-flow oxygen to the mother and transport - ANSWER-A) attempt to slip the cord gently over the infant's head The umbilical cord: A) carries blood away from the baby via the artery B) carries oxygen to the baby via the umbilical vein C) contains two veins and one large umbilical artery
You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His HR is approximately 110 bpm 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) 9 B) 8 C) 7 D) 6 - ANSWER-B) 8 A precipitous labor and delivery is MOST common in women who: A) have GDM B) are younger than 30 years of age C) have delivered a baby before D) are pregnant for the first time - ANSWER-C) have delivered a baby before The ONLY indications for placing your gloved fingers in the vagina during delivery are: A) limb presentation and severe vaginal hemorrhage B) breech presentation and prolapsed umbilical cord C) nuchal cord and presentation of an arm or leg D) vertex presentation and delivery of the placenta - ANSWER-B) breech presentation and prolapsed umbilical cord Signs and symptoms of pre-eclampsia include: A) headache and edema
B) marked hypoglycemia C) dysuria and constipation D) dyspnea and bradycardia - ANSWER-A) headache and edema Fetal complications associated with drug or alcohol-addicted mothers include all of the following EXCEPT: A) low birth weight B) premature delivery C) respiratory depression D) profound tachycardia - ANSWER-D) profound tachycardia 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) these actions stimulate the production of oxytocin and cause uterine contraction C) a portion of the placenta was retained in the uterus D) uterine massage increases blood flow to the uterus - ANSWER-B) these actions stimulate the production of oxytocin and cause uterine contraction Which of the following occurs immediately following ovulation? A) certain female hormone levels decrease significantly in quantity B) the endometrium sheds its lining and is expelled from the vagina C) the inner lining of the uterus thickens in preparation for implantation
B) has had only one live birth C) is pregnant for the first time D) has had more than one live baby - ANSWER-C) is pregnant for the first time The third stage of labor begins when the: A) placenta is fully delivered B) cervix is completely dilated C) umbilical cord has been clamped D) baby is expelled from the vagina - ANSWER-D) baby is expelled from the vagina Eclampsia is MOST accurately defined as: A) high levels of protein in the patient's urine B) hypertension in the 20th week of pregnancy C) seizures that result from severe hypertension D) a blood pressure greater than 140/90 - ANSWER-C) seizures that result from severe hypertension The leading cause of maternal death during the first trimester of pregnancy is: A) massive brain damage secondary to a prolonged seizure B) unrecognized or untreated supine hypotensive syndrome C) internal bleeding caused by a ruptured ectopic pregnancy D) blunt trauma to the abdomen during a motor vehicle crash - ANSWER-C) internal bleeding caused by a ruptured ectopic pregnancy
If the pregnant patient requires spinal immobilization, you should secure her to the backboard and then: A) place a folded towel behind her head to make it easier to breathe B) elevate the right side of the board with rolled towels or blankets C) raise the foot of the board 12 inches to maintain blood pressure D) elevate the head of the board 6 inches to prevent breathing impairment - ANSWER-B) elevate the right side of the board with rolled towels or blankets Which of the following is an indication of imminent birth? A) rupture of the amniotic sac B) crowning of the baby's head C) irregular contractions lasting 10 mins D) expulsion of the mucus plug from the vagina - ANSWER-B) crowning of the baby's head During delivery, it is MOST important to position your partner at the mother's head because: A) the mother may become nauseated and vomit B) the mother needs to be apprised of the situation C) she may need emotional support during the delivery D) mothers often need assisted ventilation during delivery - ANSWER-A) the mother may become nauseated and vomit Upon delivery of the baby's head, you note that the face is encased in the un-ruptured amniotic sac. You should: A) give the mother high-flow oxygen and transport at once
D) breech deliveries occur rapidly, so the EMT should deliver at the scene - ANSWER-A) a breech presentation occurs when the buttocks are the presenting part An abortion occurs when the fetus and placenta deliver before: A) 20 weeks B) 24 weeks C) 26 weeks D) 28 weeks - ANSWER-A) 20 weeks CPR is in progress on a pulseless and apneic 29 y/o woman who is 37 weeks pregnant. When treating this patient, the EMT should: A) deliver a compression rate of 120-140 per minute B) manually displace the patient's uterus to the left C) avoid defibrillation because it may harm the fetus D) perform compressions slightly lower on the sternum - ANSWER-B) manually displace the patient's uterus to the left In contrast to a full-term infant, a premature infant: A) has an even proportionately larger head B) is often covered with excess vernix material C) is one who is born before 38 weeks' gestation D) retains heat better because of excess body hair - ANSWER-A) has an even proportionately larger head
You are attending to a 34 y/o female patient in labor. The pregnancy was a difficult one, and she spent much of the third trimester on bed rest. The delivery is uneventful, and as you are preparing for transport, the patient tells you she is feeling short of breath. Based on this information, you should suspect: A) postpartum hemorrhage B) PE C) delayed delivery of the placenta D) multiple gestation - ANSWER-B) PE You are attending to a 26 y/o 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: A) move the stretcher to the ambulance and transport immediately B) open the OB kit and continue to prepare for the delivery C) encourage the patient to push D) hold the patient's legs together until you are ready for the delivery - ANSWER-B) open the OB kit and continue to prepare for the delivery You are attending to a 28 y/o 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 using two clamps, placed approximately 6 inches from the newborn and 2- 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
