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WorksheetsEMT Chapter 34
Total questions: 20
Worksheet time: 15mins
The umbilical cord:
separates from the placenta shortly after birth
carries blood away from the baby via the artery
carries oxygen to the baby via the umbilical vein
contains two veins and one large umbilical artery
The amniotic fluid serves to:
transfer oxygen to the fetus
insulate and protect the fetus
remove viruses from the fetus
assist in fetal development
By the 20th week of pregnancy, the uterus is typically at or above the level of the mother’s:
belly button
pubic bone
xiphoid process
superior diaphragm
Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:
iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery
the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding
white blood cells decrease during pregnancy, which increases the mother’s risk of an infection
pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia
The term primigravida refers to a woman who:
has never been pregnant
has had only one live birth
is pregnant for the first time
has had more than one live baby
Which of the following occurs during true labor?
Uterine contractions decrease in intensity
The uterus becomes very soft and movable
Uterine contractions become more regular
Uterine contractions last about 10 seconds
Eclampsia is most accurately defined as:
high levels of protein in the patient’s urine
hypertension in the 20th week of pregnancy
seizures that result from severe hypertension
a blood pressure greater than 140/90 mm Hg
A pregnant trauma patient might lose a significant amount of blood before showing signs of shock because:
pregnant patients can dramatically increase their heart rate
pregnancy causes vasodilation and a lower blood pressure
pregnant patients have an overall increase in blood volume
blood is shunted to the uterus and fetus during major trauma
Which of the following is an indication of imminent birth?
Rupture of the amniotic sac
Crowning of the baby’s head
Irregular contractions lasting 10 minutes
Expulsion of the mucus plug from the vagina
A precipitous labor and delivery is most common in women who:
have gestational diabetes
are younger than 30 years of age
have delivered a baby before
are pregnant for the first time
When determining the frequency of contractions, you should time the contractions from the:
end of one to the start of the next
start of one to the end of the next
end of one to the end of the next
start of one to the start of the next
After a baby is born, it is important to:
ensure that it is thoroughly dried and warmed
position it so that its head is higher than its body
cool the infant to stimulate effective breathing
immediately clamp and cut the umbilical cord
Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except:
suctioning of the upper airway
thorough drying with a towel
positive-pressure ventilations
some form of tactile stimulation
Which of the following is not a component of the Apgar score?
Pulse
Activity
Grimace
Body size
Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, except:
low birth weight
profound tachycardia
premature delivery
respiratory depression
An infant is premature if it:
is born before 38 weeks’ gestation or weighs less than 6 pounds
weighs less than 5.5 pounds or is born before 37 weeks’ gestation
is born before 40 weeks’ gestation or weighs less than 7 pounds
weighs less than 5 pounds or is born before 36 weeks’ gestation
In contrast to a full-term infant, a premature infant:
has an even proportionately larger head
is often covered with excess vernix material
is one who is born before 38 weeks’ gestation
retains heat better because of excess body hair
In contrast to abruptio placenta, placenta previa:
might not present with heavy vaginal bleeding
might present without significant abdominal pain
is caused by hypertension or abdominal trauma
is typically associated with severe abdominal pain
Which of the following statements regarding a breech presentation is correct?
A breech presentation occurs when the buttocks are the presenting part
There is minimal risk of trauma to the infant with a breech presentation
It is impossible to deliver a breech presentation in the prehospital setting
Breech deliveries occur rapidly, so the EMT should deliver at the scene
A newborn infant will usually begin breathing spontaneously within _______ seconds following birth
3 to 5
5 to 10
15 to 30
30 to 60
