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EMR - Childbirth Emergencies - Ch 16

Total questions: 100

Worksheet time: 47mins

Name
Class
Date
1.

What is the organ called that develops during pregnancy and is a filter between mom and baby?

a)

Amniotic fluid

b)

Amniotic sac

c)

Endometrium

d)

Placenta

2.

The thin tissue that holds and protect the baby against infections is called?

a)

Amniotic fluid

b)

Amniotic sac

c)

Umbilical Cord

d)

Placenta

3.

What happens when the water breaks?

a)

The umbilical cord breaks and releases fluid

b)

The placenta starts coming out

c)

Amniotic sac breaks and amniotic fluid comes out

d)

The cervix is dilated

4.

Which organ/s of the baby are the last to develop in the womb?

a)

Heart

b)

Brain

c)

Reproductive organs

d)

Lungs

5.

What does the placenta do during pregnancy?

a)

provides oxygen and removes waste

b)

provides oxygen, removes waste, produce progesterone

c)

provides oxygen, removes waste, produce progesterone and estrogens

d)

protects the fetus agains physical damage

6.

How many stages of childbirth are there?

a)

3

b)

4

c)

5

d)

19

7.

How dilated does the cervix get during labor?

a)

10 inches

b)

10 feet

c)

10 Centiliters

d)

10 Centimeters

8.

How many steps of the first stage of childbirth are there?

a)

3

b)

7

c)

2

d)

5

9.

What should the female do when she feels a contraction?

a)

Pull

b)

Push

c)

Lift

d)

Drop

10.

How much does the cervix dilate to in early labor?

a)

4 Centimeters

b)

2 Centimeters

c)

10 Centimeters

d)

6 Centimeters

11.

When does the second stage of childbirth end?

a)

When the cervix dilates 10 centimeters

b)

When the baby starts to walk

c)

When the baby leaves the vagina

d)

When the placenta is delivered

12.

What is the final stage of childbirth?

a)

Dilation of the Cervix

b)

Delivery of the placenta

c)

Recovery

d)

Birth

13.

The stage of labor when the placenta is expelled

a)

First

b)

Second

c)

Third

d)

Fourth

14.

The stage of labor when the mother is pushing

a)

First

b)

Second

c)

Third

d)

Fourth

15.

The stage of labor when the cervix is dilating

a)

First

b)

Second

c)

Third

d)

Fourth

16.

Pregnancy is separated into phases called

a)

semesters

b)

trimesters

c)

quarters

d)

halves

17.

The most dangerous stage of labor for the mother

a)

First

b)

Second

c)

Third

d)

Fourth

18.

Miscarriages occur most frequently during this trimester

a)

First

b)

Second

c)

Third

d)

Fourth

19.

Good prenatal care includes (check all that apply):

a)

Good nutrition

b)

Regularly seeing a health care provider

c)

Occasional smoking and alcohol ingestion

d)

Going to childbirth education classes

20.

Cordlike structure attaching the growing baby to the placenta

a)

Umbilical Cord

b)

Fetus

c)

Placenta

d)

Embryo

21.

Which of the following the mother does not experience during the first stage of labour

a)

Backache

b)

Trembling

c)

strong contractions

d)

Fear

22.

What is the main reason for the APGAR test to be done?

a)

to evaluate the newborns overall health and physical condition

b)

to show the 3rd stage of labor

c)

to evaluate where the baby stays after birth

d)

to show the mom and dad nurses know what they are doing

23.

When is the first test done?

a)

10 minutes after birth

b)

5 minutes after birth

c)

1 minute after birth

d)

before the baby is born

24.

What score range is the baby considered in good health?

a)

0-4

b)

4-6

c)

10

d)

7-10

25.

If a newborn scores a 4 on APGAR the first time when will he/she be assessed again?

a)

5 minutes

b)

1 minute

c)

10 minutes

d)

never

26.

Heart Rate has to do with which sign?

a)

Pulse

b)

Apparence

c)

Grimace

d)

Activity

27.

Color has to do with which sign?

a)

Activity

b)

Respiration

c)

Pulse

d)

Appearance

28.

Muscle Tone has to do with which sign?

a)

Appearance

b)

Respiration

c)

Activity

d)

Pulse

29.

Reflexes have to do with which sign?

a)

Pulse

b)

Respiration

c)

Grimace

d)

Appearance

30.

How a baby cries has to do with which sign?

a)

Pulse

b)

Appearance

c)

Respiratory Effort

d)

Grimace

31.

A newborn is assessed and is pale/blue, has a heart rate of 88, not crying at all, moving it arms and legs a little, and shows no sign of relaxes- what does this say about the baby?

a)

in good physical condition and health

b)

will need to be re-assessed

c)

will need medical assistance

d)

has a score of 6 or higher

32.
What is an APGAR score?
a)
A score that is calculated on a neonate after they are born at 1 minute and 5 minutes; it stands for Activity,  Pulse,  Grimace, Appearance, and Respiration
b)
A score that is calculated on a neonate after they are born at 1 minute and 10 minutes; it stands for  Activity, Pulse, Gestational Age, Appearance, and Repiration
c)
A score that is calculated on a neonate after they are born at 1 minute and 5 minutes; it stands for Activity, Pulse, Gestational Age, Appearance, and Respiration
d)
A score that is calculated on a neonate after they are born 1 minute and 10 minutes; it stands for Activity, Pulse, Grimace, Appearance, and Respiration
33.
This stage of labor is also called the Expulsion Stage and it begins with complete dilation and effacement of the cervix and ends with delivery of the fetus. 
a)
Stage 1 of Labor
b)
Stage 2 of Labor
c)
Stage 3 of Labor
34.
This stage of labor is also called the Dilation Stage and it begins with the onset of true labor contractions and ends with a fully dilated and effaced cervix.
a)
Stage 1 of Labor
b)
Stage 2 of Labor
c)
Stage 3 of Labor
35.
This stage of labor is also called the Placental Stage and it begins immediately after the birth of the fetus and ends with delivery of the placenta.
a)
Stage 1 of Labor
b)
Stage 2 of Labor
c)
Stage 3 of Labor
36.
Which disease/complication has a hallmark sign of painful vaginal bleeding in the third trimester?
a)
Placenta Previa
b)
Spontaneous Abortion
c)
Abruptio Placenta
d)
Ectopic Pregnancy
37.
Which disease/complication has a hallmark sign of painless vaginal bleeding in the third trimester?
a)
Placenta Previa
b)
Abruptio Placenta 
c)
Ectopic Pregnancy
d)
Spontaneous Abortion
38.
Which disease/complication has a hallmark sign of the umbilical cord being wrapped around the infant's head or neck during birth?
a)
Nuchal Cord
b)
Prolapsed Umbilical Cord
c)
Breech Presentation
d)
Oligohydramnios
39.
Which disease/complication has a hallmark sign of the buttock of feet presenting first in the birth process. 
a)
Prolapsed Umbilical Cord
b)
Nuchal Cord
c)
Breech Presentation
d)
Cephalopelvic Disproportion
40.
Which disease/complication has a hallmark sign of the umbilical cord presenting first in the birthing process?
a)
Nuchal Cord
b)
Prolapsed Umbilical Cord
c)
Breech Presentation
d)
Shoulder Dystocia
41.
Which disease/complication has a hallmark sign of peripheral edema, gradual onset of hypertension, and protein in urine?
a)
Preeclampsia
b)
Cholestasis
c)
Gestational Diabetes
d)
Hyperemesis Gravidum
42.
_______________ refers to the number of pregnancies a person has had
a)
Para
b)
Gravida
43.
You should always suction the __________ before the __________.
a)
mouth, nose
b)
nose, mouth
44.
The neonate's heart should remain above _______ before resuscitation efforts are started.  
a)
90 bpm
b)
100 bpm
c)
110 bpm
d)
120 bpm
45.
The ______________connects the fetus to the placenta. It contains a single umbilical vein, which carries nutrient-rich and oxygenated blood from the placenta to the fetus, and two arteries that carry deoxygenated blood and waste from the fetus to the placenta. 
a)
Placenta
b)
Amniotic Sac
c)
Umbilical Cord
d)
Amniotic Fluid
46.
The _________________________ is known as the “organ of pregnancy” and serves as a connection between the mother and developing fetus, allowing for nutrient and oxygen uptake and waste elimination via the mother’s blood supply. In addition, it is involved in the immunologic protection of the developing fetus as well as the production of hormones. 
a)
Placenta
b)
Amniotic Sac
c)
Umbilical Cord
d)
Uterus
47.

As you deliver the head of a baby, you notice the umbilical cord is wrapped once around the neck. What should you do?

a)

Ask the patient not to push, and prepare for immediate transport.

b)

Clam and cut the cord, and remove the cord from around the neck.

c)

Pull on the cord to speed the delivery.

d)

Try to slip the cord gently over the head.

48.

The patient informs you that her amniotic fluid was green and she is concerned. The green color is caused by:

a)

prolonged gestation.

b)

maternal infection

c)

the presence of meconium

d)

premature rupture of the membranes.

49.

Once the infant's head has been delivered

a)

suction the infant's nose, and then the mouth.

b)

apply a nasal cannula at 3 L/min to the infant.

c)

suction the infant's mouth, then nose

d)

apply oxygen over the mother's vagina.

50.

-No prior prenatal care

-Premature delivery

-Labor induced by trauma

-Multiple births

-History of pregnancy problems (especially placenta previa and breech presentation)

-Labor induced by drug use (especially narcotics) and alcohol

-Meconium staining when water breaks

a)

What are the Findings Indicating Possible Need for Resuscitation?

b)

What is a breech presentation or breech birth?

c)

What are the assessment questions the EMT will need answered by the patient?

d)

What is the proper way to cut the Umbilical Cord?

51.

When does preeclampsia become eclampsia?

a)

Once the systolic BP reaches 160

b)

As soon as the patient has a seizure

c)

In the Third Trimester

d)

When the patient develops 3 commodities

52.

What is the onset of menstruation called?

a)

ovum

b)

Labia

c)

Menopause

d)

Menarche

53.

The narrowest part of the uterus is the :

a)

Ovaries

b)

Menarche

c)

Cervix

d)

Fallopian tubes

54.

What is the most common STD in the US ?

a)

Gonorrhea

b)

Chlamydia

c)

Bacterial Vaginosis

d)

The crotch rot

55.

The _________________________ carries Oxygenated Blood

a)

Umbilical vein

b)

Umbilical artery

56.

The _______________________________ carries deoxygenated blood

a)

Umbilical Vein

b)

Umbilical artery

57.

The __________________ helps insulate and protect the floating fetus

a)

Placenta

b)

Amniotic Fluid

c)

Nutrients

d)

Perineum

58.

The Fetus develops in this fluid-filled bag like membrane

a)

Umbilical Cord

b)

Placental barrier

c)

Amniotic Sac

d)

Mucous Plug

59.

Changes during pregnancy include :

a)

Significant increase in cardiac output

b)

Decreased Heart Rate

c)

Decreased Red Blood Cells

d)

Blood volume increase by 80%

60.

Changes in pregnancy Include :

a)

Heart rate decreases

b)

Gradual increase in overall blood volume

c)

Decreased respiratory rates

d)

Speed of clotting decreases

61.

The chance of falls is increased during pregnancy

a)

True

b)

False

62.

Diabetes that develops during pregnancy is refereed to as :

a)

Pregnancy diabetes

b)

Hypertensive Diabetes

c)

Gestational Diabetes

d)

Eclampsiatic Diabetes

63.

Preeclampsia is :

a)

Pregnancy - induced Hypotension

b)

Pregnancy - Induced hypoglycemia

c)

Pregnancy -induced hypertension

d)

Pregnancy Induced hypothermia

64.

All of the following are S / S of Preeclampsia EXCEPT :

a)

Severe and persistent headache

b)

Severe Hypertension

c)

Severe hypotension

d)

Swelling in the hands and feet

65.

The condition caused by compression of the descending aorta and inferior vena cava by the pregnant uterus

a)

Hemorrhagic shock

b)

Eclampsia

c)

Supine hypotensive syndrome

d)

Abortion

66.

When an embryo develops outside of the uterus, most often in a Fallopian Tube :

a)

Abruptio placenta

b)

Abortion

c)

Ectopic Pregnancy

d)

Eclampsia

67.

Abruptio Placenta is :

a)

The result of the placenta separating from the wall of the uterus

b)

The placenta develops over the cervix

c)

Passage of the fetus and placenta before 20 weeks

d)

Spontaneous miscarriage

68.

Placenta Previa is :

a)

An abortion

b)

A spontaneous miscarriage

c)

The placenta develops over the cervix

d)

The result of the placenta separating prematurely from the uterine wall

69.

To perform CPR on a very pregnant woman :

a)

Treatment should be the same

b)

Defibrillation should be avoided

c)

Compressions should be applied higher on the sternum, and the uterus may need to be manually displaced towards the patient's left side

d)

Labor should be induced immediately

70.

Steps of the Primary Assessment of the Pregnant patient include :

a)

Obtain a SAMPLE history

b)

Obtain Vital Signs

c)

Form a general impression, check airway, breathing, and circulation

d)

Check Interventions

71.

The Three stages of Labor include all of the following EXCEPT:

a)

Dilation of the Cervix

b)

Delivery of the Fetus

c)

Delivery of the Placenta

d)

Cutting of the Cord

72.

False Labor pains are called :

a)

Trix are for kids

b)

Braxtoon - Hicks Contractions

c)

Jackson - Tricks Contractions

d)

Maverick - Nix Contractions

73.

The first stage of labor begins with the onset of _____________ and ends when the cervix is ____________________

a)

pain - open

b)

Contractions - fully dilated

c)

screaming - broken

d)

bleeding - open

74.

The second stage of labor begins when the fetus begins to encounter the _____________________ and ends with the delivery of the ____________________

a)

Public bone - Mucous plug

b)

Outside - First meal

c)

Birth canal - Newborn

d)

Vagina - Placenta

75.

The Third stage of labor begins with the ______________________ of the newborn and ends with the delivery of the ____________________

a)

Delivery - Umbilical cord

b)

Crowning - Newborn

c)

Birth - Placenta

d)

Crying - Umbilical cord

76.

A nuchal cord is :

a)

Used to provide Blow- by O2 to the Neonate

b)

Wound tightly around the neck of the fetus

c)

Used to bind the legs of the fetus

d)

Commonly sound in the sterile OB kit

77.

The APGAR score measures all EXCEPT :

a)

Grimace

b)

Pulse

c)

Mental Status

d)

Respiration

78.

A perfect score on the APGAR test is

a)

15

b)

10

c)

20

d)

25

79.

The neonate's APGAR score is measured at:

a)

1 minute and 3 minutes

b)

1 minute and 5 minutes

c)

1 minute, 3 minutes, 6 minutes and 10 minutes

d)

1 minute and 10 minutes

80.

A Breech Birth means :

a)

A vertex presentation

b)

A limb presentation

c)

The buttocks are presented first

d)

A developmental defect

81.

A Prolapse Cord means :

a)

The cord is wrapped around the babies neck

b)

The umbilical cord is coming out before the baby

c)

The umbilical cord is broken

d)

The umbilical cord has separated from the uterine wall

82.

After delivery, if a woman starts to report a sudden shortness of breath you should suspect :

a)

Asthma Attack

b)

Pulmonary embolism

c)

Broken Rib

d)

COPD

83.

the opening (1 cm--3cm--10cm) of the cervix is called...

a)

dialation

b)

effacement

c)

contraction

d)

epidural

84.

The thinning (25%--50%--100%) of the cervix.

a)

dialation

b)

effacement

c)

contraction

d)

fontanels

85.

The stage of labor where contractions begin coming consistently. They are usually spaced from 10 to 20 minutes apart. Body is effacing and dilating.

a)

Pre Labor

b)

Stage 1

c)

Stage 2

d)

Stage 3

86.

On the newborn APGAR test, you want a low number.

a)

True

b)

False

87.
What is it called when the head is first visable?
a)
Lightening
b)
Quickening
c)
Crowning
d)
the head
88.
when is birth considered pre-mature
a)
born before 37 weeks
b)
born before 40 weeks
c)
born before 35 weeks
89.

Whats the name of the most used medication to treat ectopic pregnancy?

a)

Advil

b)

Antibiotics

c)

Methotrexate

d)

Germanium

90.

Which hormone increases to sustain the pregnancy?

a)

LH

b)

FSH

c)

Progesterone

d)

Prolactin

91.

Condition that occurs MOST LIKELY as a result of trauma (Example: Car Accident)

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

92.

A condition in which a woman develops high blood pressure after 20 weeks of pregnancy accompanied by seizures.

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Eclampsia

e)

Preeclampsia

93.

Usually result in premature birth if severe.

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

94.

Major symptom = High BP Of 140/90 or higher

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

95.

Caused by damage to lactotroph cells of the pituitary gland

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

96.

May result in organ damage, cardiovascular disease and/or damage to mothers blood vessels.

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

97.

Symptoms include lack of pubic hair, reduced breast size, lack milk production

a)

Placenta Previa

b)

Sheehan's Syndrome

c)

Placenta Accreta

d)

Placental Abruption

e)

Preeclampsia/Eclampsia

98.

You have just delivered a newborn infant. After suctioning, drying, and warming the newborn, you note that she is crying loudly, is moving all four extremities, and has a brachial pulse of 160. Her arms and legs are blue, while her chest, face, and abdomen are pink. You would rate her APGAR score as a

a)

3

b)

6

c)

9

d)

12

99.

A full-term pregnant woman tells you she is in great pain and that she needs to push. When you inspect the vaginal opening, you notice a 5-inch length of umbilical cord protruding from it. You should immediately

a)

open your OB kit and prepare to deliver the newborn.

b)

move the patient to the ambulance and transport rapidly.

c)

check the cord for a pulse.

d)

place the mother in a knee-chest position and deliver the newborn.

100.

A normal heart rate for a newborn is typically ____ than that of a one year old.

a)

the same

b)

slower

c)

faster

d)

depends on the weight of the baby

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