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Outdoor Emergency Care Chapter 17

Total questions: 12

Worksheet time: 12mins

Name
Class
Date
1.

The function of the uterus in pregnancy is to:

a)

permit the excretion of wastes from the baby to the mother.

b)

protect the abdominal organs during fetal growth.

c)

manufacture specific blood cells needed for fetal survival.

d)

provide an environment for the ovum to develop into a fetus.

2.

Which of the following statements about the role of the cervix in pregnancy is true?

a)

The cervix constricts during the time of delivery to prevent a premature birth.

b)

The placenta is normally positioned directly over the cervix.

c)

The cervix can be palpated to determine the frequency of the mother’s contractions.

d)

“Bloody show” comes from the cervix and is a sign of imminent delivery.

3.

The second stage of labor ends with:

a)

contractions that become regular and occur every 3–4 minutes.

b)

delivery of the placenta.

c)

delivery of the baby.

d)

rupture of the amniotic sac.

4.

A 25-year-old woman arrives in the aid room with her husband. She is 37 weeks pregnant and in labor. Your exam reveals crowning with 60-second contractions occurring at 50-second intervals. Which of the following actions would you take?

a)

Tell her husband that the hospital is only 10 minutes away and that he should take her there.

b)

Obtain her vital signs and tell her it is probably 'false labor' or Braxton Hicks contractions.

c)

Open and prepare an obstetrical kit.

d)

Have her hold her legs together to prevent delivery until an ALS ambulance arrives.

5.

During a delivery, you note that the umbilical cord is wrapped around the baby’s neck. Which of the following actions should you take immediately?

a)

Clamp and cut the cord.

b)

Stop the delivery and call for an ALS ambulance.

c)

Slip the cord over the baby’s head.

d)

Try to push the baby’s head back in so you can slip the cord over it.

6.

Which of the following instructions describes the correct way to suction a newborn?

a)

Suction the mouth first and then the nose.

b)

Insert the bulb syringe deep into the oropharynx to remove any thick secretions located there.

c)

Use a portable suction device on its “high” setting.

d)

Don’t use suction until the baby has been delivered.

7.

At what point during a delivery should you consider using suction to clear the airway of the baby?

a)

After the baby’s head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing

b)

Before the cord has been cut but after the baby has been assessed and determined to be stable and if there is obvious obstruction to spontaneous breathing

c)

When the baby has been delivered and has been dried and warmed

d)

When the baby’s chest has been delivered but before the legs are free of the vaginal canal

8.

Which of the following findings should be of greatest concern when assessing a 33-year-old woman who is 8 months pregnant?

a)

Shortness of breath when lying flat

b)

Recent onset of a fever of 99.3°F

c)

Daily contractions that are irregular and painful

d)

Vaginal bleeding and abdominal pain

9.

In abruptio placenta, the greatest threat to the baby is:

a)

infection.

b)

maternal shock.

c)

hypoxia.

d)

pain.

10.

Which of the following statements about the umbilical cord is true?

a)

It connects the placenta and the mother’s uterus.

b)

It detoxifies blood reaching the baby before delivery.

c)

It transmits nourishment from the placenta to the fetus.

d)

It always connects to the top side of the uterus.

11.

Hypotension can occur after 20 weeks of gestation when a pregnant woman is in a supine position. Which of the following actions by a OEC Technician will not prevent hypotension?

a)

Placing her in the left lateral recumbent position

b)

Elevating her right hip approximately 1–2 inches

c)

Elevating her feet 6–12 inches

d)

Tipping the spine board so that she is slightly tilted onto her left side

12.

The most common cause of fetal death due to trauma to a pregnant woman’s abdomen is:

a)

abruptio placenta.

b)

a crushing injury to the fetus.

c)

penetration of the uterus.

d)

premature labor.