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Special Pop Exam Review 2

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Your patient presents with diffuse lower abdominal pain that increases with walking, purulent discharge, fever & chills, and painful urination. You suspect:

a)

incomplete abortion

b)

spontaneous abortion

c)

Pelvic Inflammatory Disease (PID)

d)

Endometriosis

2.

Your 17 year old female patient is complaining of dull, LLQ abdominal pain, and spotty vaginal bleeding. She admits to being sexually active & has an IUD. Last menstrual period was approximately 8 weeks ago. Vitals are stable. You suspect:

a)

spontaneous abortion

b)

unruptured ectopic pregnancy

c)

endometritis

d)

ruptured ectopic pregnancy

3.

Treatment of an ectopic pregnancy includes:

a)

Oxygen as needed, recumbent position, IV fluid as needed, ECG monitoring, & rapid transport

b)

position of comfort, IV & 500mL fluid bolus, assess vagina, & rapid transport

c)

shock position, intubate, IV & fluid bolus, rapid transport

d)

Oxygen, IV, transport to closest ER

4.

Tubal ligation, previous surgical adhesions, PID, & use of an IUD are all risk factors for:

a)

septic abortion

b)

Pelvic inflammatory disease (PID)

c)

Ovarian cyst

d)

ectopic pregnancy

5.

About 10 minutes after delivering a baby, the mother begins to have strong regular contractions again. You note the mothers abdomen is still fairly large, considering she just had a baby. You should prepare for:

a)

delivery of the placenta

b)

delivery of another baby

c)

possible eclamptic seizures

d)

transport to the hospital

6.

The lack of development of the _______ muscles will cause babies to _________.

a)

accessory muscles; have nasal flaring

b)

diaphragm; belly breath

c)

epiglottis; drool

d)

intercostal muscles; belly breath

7.

Pediatric fluid bolus dose:

a)

10 mL/kg

b)

20 mL/kg

c)

250 mL

d)

150 mL

8.

You have a 6 year old patient who weighs 44 lbs. You want to administer a fluid bolus. How much fluid will you give this patient?

a)

400 mL

b)

880 mL

c)

440 mL

d)

200 mL

9.

Your 36 year old pregnant patient calls 911 for swelling to the face, headache, nausea, & vomiting. On your arrival you find her to be hypertensive. While preparing for transport, she begins to seize. What do you suspect?

a)

preeclampsia

b)

epilepsy

c)

eclampsia

d)

severe gestational hypertension

10.

What treatment should we administer to a pregnant woman who is seizing?

a)

Magnesium Sulfate: 1-4 grams IV/IO over 3 minutes

b)

Midazolam: 0.1 mg/kg IV

c)

Magnesium Sulfate: 1-2 g IV/IO over 5-20 minutes

d)

Valium: 5 mg IV over 5 minutes

11.

You are preparing your patient for delivery. On visualization of the vagina, you not a leg protruding from the vagina. You should...

a)

attempt to deliver the other leg, followed by the rest of the body

b)

Place the mother in knee-chest position with the pelvis elevated & transport immediately

c)

Insert 2 finders into the vagina and push the leg away from the vaginal opening

12.

The first 30 seconds after delivery of a newborn should consist of drying, warming, stimulation & suctioning _________.

a)

unless the patient is not breathing

b)

no matter how the baby presents

c)

unless the patient is cyanotic all over

d)

unless there is meconium staining

13.

Your patient presents with acrocyanosis, a pulse rate >100, has a strong cry & active motion. What is the APGAR score?

a)

10

b)

14

c)

7

d)

9

14.

Your patient has just delivered a healthy newborn. You are transporting mother & baby to the hospital when the mother complains of sudden, sharp chest pain & SOB. On assessment you find her to be hypotensive & tachycardic. What do you suspect?

a)

pulmonary embolism (PE)

b)

anxiety attack

c)

anaphylaxis

d)

preeclampsia

15.

You have just delivered a newborn at and you note meconium staining. You aggressively suction the mouth and nose, but your newborn continues to have poor muscle tone, bradycardia, & no respiratory effort. What should you do?

a)

Intubate using a curved blade & a 4.0-4.5 mm ET tube

b)

ventilate with a BVM and rapid transport

c)

Intubate using a size 1 straight blade & a 3.0-3.5 mm ET tube

d)

perform deep tracheal suctioning