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Worksheetschapters 34 and 35
Total questions: 105
Worksheet time: 1hrs 9mins
Normal gestation is at least
37 weeks
38 weeks
Normal gestation ends at
37 weeks
38 weeks
42 weeks
Preterm is _ weeks or less
37 weeks
38 weeks
42 weeks
Ovulation occurs approximately _ weeks prior to menstruation.
(a)
The umbilical _ carries oxygenated blood from the placenta to the fetus.
(a)
The umbilical _ carry deoxygenated blood from the fetus to the placenta.
(a)
Amount of fluid in amniotic sac (in mL)
(a)
The first stage of labor ends when:
the presenting part of the baby is visible.
contractions are less than 10 minutes apart.
the mother experiences her first contraction.
the amniotic sac ruptures and labor pains begin.
A 23-year-old woman, who is 24 weeks pregnant with her first baby,
complains of edema to her hands, a headache, and visual disturbances.
When you assess her vital signs, you note that her blood pressure is
160/94 mm Hg. She is MOST likely experiencing:
eclampsia
preeclampsia
hypertensive crisis
chronic water retention
You are transporting a woman who is 8 months’ pregnant. To prevent supine
hypotensive syndrome, how should you position this patient?
right side
supine
semi-fowler
left side
Immediately after delivery of the infant’s head, you should:
suction baby's mouth and then nose
suction baby's nose and then mouth
assess the baby’s breathing effort and skin color.
check umbilical cord position
Upon delivery of the baby’s head, you note that the umbilical cord is
wrapped around its neck. You should:
immediately clamp and cut the cord.
make one attempt to slide the cord over the head.
keep the cord moist and transport as soon as possible.
give the mother high-flow oxygen and transport rapidly.
The need for and extent of newborn resuscitation is based on:
1 min AOGAR score
gestational age of newborn
newborn's response to oxygen
respiratory effort, heart rate, color
The MOST effective way to prevent cardiopulmonary arrest in a newborn is to:
rapidly increase body temp
allow it to remain slightly hypothermic
ensure adequate oxygenation and ventilation
start CPR if hr less than 100 bpm
While assisting a woman in labor, you visualize her vaginal area and see an
arm protruding from her vagina. She tells you that she feels the urge to
push. You should:
cover the arm with a sterile towel and transport immediately.
encourage her to keep pushing as you prepare for rapid transport.
insert your gloved fingers into the vagina and try to turn the baby.
instruct the mother to keep pushing and give her high-flow oxygen.
A newborn is considered to be “term” if it is born after ____ weeks and
before ____ weeks.
34;37
37;42
38;44
39;43
consider _ when a woman complains of sudden difficulty breathing or shortness of breath following delivery
(a)
_ results from a clot that travels through the bloodstream and becomes lodged in the pulmonary circulation
(a)
embolism is most commonly a _ embolism
(a)
in pregnancy a woman's heart rate increases up to _%
10
15
20
25
in pregnancy number of red blood cells
(a)
in pregnancy speed of clotting _
(a)
blood volume gradually increases to: classic is that increase is ⁓ _ more blood volume at trimester 3
30%
40%
50%
60%
consider for delivery at scene when:
delivery is imminent
natural disaster
severe weather
all of the above
third stage of labor
begins with birth of newborn and ends with delivery of placenta
begins when fetus begins to encounter the birth canal
begins with the onset of contractions and ends when the cervix is fully dilated
second stage of labor
begins with birth of newborn and ends with delivery of placenta
begins when fetus begins to encounter the birth canal and ends when the newborn is born
begins with the onset of contractions and ends when the cervix is fully dilated
first stage of labor
begins with birth of newborn and ends with delivery of placenta
begins when fetus begins to encounter the birth canal and ends when the newborn is born
begins with the onset of contractions and ends when the cervix is fully dilated
third stage of labor may take up to _ minutes
15
30
45
60
during the third stage of labor the placenta must completely separate from the uterine wall
true
false
first pregnancy is called
primigravida
multigravida
word for multiple pregnancies
primigravida
multigravida
labor is usually longer in a _ than in a _
primigravida ; multigravida
multigravida ; primigravida
first stage of labor is usually the longest stage
true
false
first stage of labor lasts an average of _ hours
10
16
20
24
placenta prematurely separates from uterus wall
abruptio placenta
placenta previa
placenta develops over and covers cervix
abruptio placenta
placenta previa
_ is characterized by seizures caused by hypertension
(a)
_ is pregnancy-induced hypertension
(a)
postterm pregnancy is a pregnancy lasting longer than _ weeks
(a)
fetuses from postterm pregnancies can weigh _ pounds or more
(a)
premature is born before _ months
(a)
premature is born before _ weeks
(a)
premature is less than _ pounds at birth
(a)
a normal full-term single newborn will weight around _ pounds at birth
6
7
8
9
calculate APGAR score at - and - after birth
1 min and 5 min
30 sec and 1 min
5 min and 10 min
immediately once born and 1 min
normally a newborn will begin breathing within _ seconds after birth
10
20
30
40
normally newborn will begin breathing within 30 sec after birth and heart rate will be _ bpm or higher
(a)
the following are emergency situations:
placenta has not arrived after 30 minutes
more than 500 mL of blood before placenta delivery
significant bleeding after placenta is delivered
all of the above
infancy
1st year
1-3 years
3-6 yers
6-12 years
12-18 years
toddler
1st year
1-3 years
3-6 yers
6-12 years
12-18 years
preschool
1st year
1-3 years
3-6 yers
6-12 years
12-18 years
school age
1st year
1-3 years
3-6 yers
6-12 years
12-18 years
adolescent
1st year
1-3 years
3-6 yers
6-12 years
12-18 years
pediatric airway is _ in diameter and _ in length
smaller ; shorter
bigger ; longer
smaller ; longer
bigger ; shorter
pediatric lungs are _ smaller than an adults
bigger
the same
smaller
pediatric heart is _ in the chest
lower
the same as an adults
higher
glottic opening is - and positioned more -
higher ; posteriorly
higher ; anteriorly
lower ; posteriorly
lower ; anteriorly
respiratory rate of - to - breaths a minute is normal for a newborn
10;50
10;30
20;60
15;30
children have an oxygen demand _ that of an adult
(a)
infants hearts can beat _ bpm or more
(a)
pulse rate based on age: newborn to 3 months
85-205 bpm
60-140 bpm
60-100 bpm
100-190 bpm
pulse rate based on age: 3 months to 2 years
85-205 bpm
60-140 bpm
60-100 bpm
100-190 bpm
pulse rate based on age: 2-10 years
85-205 bpm
60-140 bpm
60-100 bpm
100-190 bpm
pulse rate based on age: > 10 years
85-205 bpm
60-140 bpm
60-100 bpm
100-190 bpm
subarachnoid space is relatively _
(a)
head-to-body ratio is _
(a)
spinal cord injuries are _ common in pediatric patients
less
the same as adults
more
Liver, spleen, and kidneys in pediatrics are proportionally - and situated more -
smaller ; anteriorly
smaller ; posteriorly
larger ; anteriorly
larger ; posteriorly
Liver, spleen, and kidneys are - in pediatrics
closer together
the same as adults
further apart
other name for soft spots
(a)
included in Pediatric Assessment Triangle (PAT)
appearance
work of breathing
circulation to skin
all of the above
Pediatric Assessment Triangle (PAT) can be performed in less than _ seconds
(a)
_ may be an early sign of hypoxia
bradycardia
tachycardia
less than _ pounds transport in car seat/pedimate
(a)
70 + (2 × child’s age in years) = systolic blood
pressure
Formula to determine blood pressure for
children ages 1–10 years
Formula to determine blood pressure for
children ages 10+ years
70 + (2 × child’s age in years) = _ blood
pressure
(a)
croup is typically seen between ages _
3 months and 1 year
6 months and 3 years
1 month and 1 year
6 months and 2 years
hallmark signs of croup
stridor
wheezing
rales
seal-bark cough
Bronchodilators are _ for croup
indicated
not indicated
Bacterial infection of the soft tissue in the area above the vocal cords
(a)
(pediatric patient) Blow-by technique at _ provides _ oxygen
concentration.
6 L/min ; more than 21%
1 to 6 L/min ; 24% to 44%
10 to 15 L/min ; up to 95%
10 to 15 L/min ; nearly 100%
(pediatric patient) Nasal cannula at _ provides _ oxygen
concentration.
6 L/min ; more than 21%
1 to 6 L/min ; 24% to 44%
10 to 15 L/min ; up to 95%
10 to 15 L/min ; nearly 100%
(pediatric patient) Nonrebreathing mask at _ provides _ oxygen
concentration.
6 L/min ; more than 21%
1 to 6 L/min ; 24% to 44%
10 to 15 L/min ; up to 95%
10 to 15 L/min ; nearly 100%
(pediatric patient) Bag-mask device at _ provides _ oxygen
concentration.
6 L/min ; more than 21%
1 to 6 L/min ; 24% to 44%
10 to 15 L/min ; up to 95%
10 to 15 L/min ; nearly 100%
Nonrebreathing mask, nasal cannula, or simple face mask is _ for
pediatric patients who have adequate respirations and/or tidal volumes.
(a)
Bag-mask device is used for those with
respirations less than 12 breaths/min or more
than 60 breaths/min, an altered LOC, or
inadequate tidal volume.
answer
other option
other option
other option
Connect tubing to an oxygen source at 1 to 6 L/min
BVM
NRM
nasal cannula
CPAP
Connect tubing to oxygen source at 10 to 15 L/min
BVM
NRM
nasal cannula
CPAP
Delivers up to 90% oxygen
BVM
NRM
nasal cannula
CPAP
Signs of shock in children
Tachycardia
Poor capillary refill time (> 2 seconds)
Mental status changes
all of the above
Poor capillary refill time is > _ second(s)
1
2
3
4
Anaphylaxis is characterized by airway swelling and _ of blood vessels
(a)
1 800 222 1222 is the phone number for _
(a)
100.4°F (38°C) or higher is _
normal
abnormal
_ is the second-most-common cause of unintentional death among children
(a)
Number one killer of children in the US is _
(a)
How does pediatric anatomy differ from adult anatomy?
The trachea is more rigid
The tongue is proportionately smaller
The epiglottis is less floppy
The head is proportionately larger
When a small child falls from a significant height, the _ MOST often
strikes the ground first.
(a)
When assessing a conscious and alert 9-year-old child, you should:
isolate the child from his or her parent.
allow the child to answer your questions.
obtain all of your information from the parent
avoid placing yourself below the child’s eye level.
The purpose of a shunt is to:
minimize pressure within the skull
reroute blood away from the lungs
instill food directly into the stomach
drain excess fluid from the peritoneum
Which of the following statements regarding febrile seizures is correct?
Febrile seizures usually indicate a serious underlying condition, such as
meningitis.
Most febrile seizures occur between the ages of 2 months and 2 years of age.
Febrile seizures are rarely associated with tonic-clonic activity, but last for more
than 15 minutes.
Febrile seizures usually last less than 15 minutes and often do not have a
postictal phase.
You respond to a sick child late at night. The child appears very ill, has a
high fever, and is drooling. He is sitting in a tripod position, struggling to
breathe. You should suspect:
croup
pneumonia
epiglottitis
severe asthma
Treatment for a semiconscious child who swallowed an unknown quantity of
pills includes:
administering 1 g/kg of activated charcoal and rapidly transporting.
monitoring the child for vomiting, administering oxygen, and transporting.
positioning the child on his left side, elevating his legs 6 inches, and
transporting.
contacting medical control and requesting permission to induce vomiting.
When using the mnemonic CHILD ABUSE to assess a child for signs of
abuse, you should recall that the “D” stands for:
delay in seeking care.
divorced parents.
dirty appearance.
disorganized speech.
The AVPU scale is used to monitor a patient’s level of consciousness.
What does the “P” stand for?
(a)
