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WorksheetsEMS 111 week 13 Review
Total questions: 21
Worksheet time: 32mins
You are dispatched for a 28 YOF reporting 8/10 LLQ abdominal pain. She reports that she has had spotty vaginal bleeding and that her last actual period was 3 months ago. She thought that she might be pregnant but has not taken a home test. Her vital signs are within normal limits.
Which of the following should you be MOST suspicious of?
Placenta previa
Ectopic pregnancy
Uncomplicated pregnancy
Preeclampsia
While assessing your pregnant patient she mentions that she is Gravida 3 Para 2 (G3P2). What does this tell you?
She has had 3 live births
She has had one abortion
This is her third pregnancy
She has had one C-section delivery
Your paramedic partner tells you that the newly born neonate has an APGAR score of 1 for skin color assessment, what must be present?
Central cyanosis
Peripheral cyanosis
Peripheral vasoconstricion
Congenital heart defect
You have just assisted in delivering a 38 week neonate. Immediately upon delivery you find that they are limp and not breathing. What should you do first?
Immediately perform chest compressions
Check for a carotid pulse
Warm, dry, and stimulate
Begin providing PPV with a BVM connected to high-flow oxygent
During a neonatal resuscitation, you notice that despite adequate PPV with 100% oxygen for 1 minute, the newborn's color is not improving, and the heart rate remains under 100 bpm. What should be your next course of action?
Switch to high-flow nasal cannula oxygen therapy
Place a supraglottic airway device
Initiate chest compressions in a 3:1 ratio with ventilations
Increase the oxygen concentration above 100%
Your adult patient was working outside when he was sprayed in the eyes with a liquid insecticide. Which of the following is the most appropriate treatment?
Flood the eyes with a constant gentle stream of water
Use an alkaline solution to decontaminate the eyes
Flood the eyes with a strong stream of saline solution
Place a dressing over both eyes with sterile gauze
Your patient is experiencing a postpartum hemorrhage immediately after delivering at home. Which of the following is the most appropriate initial step?
Elevate the legs to increase blood flow to vital organs
Perform a uterine massage to encourage contractions
Administer oral flids to maintain hydration
Administer supplemental oxygen
You are transporting a 34-year old female in her third trimester of pregnancy for a sprained ankle. When you lay her down flat on the stretcher she begins reporting feeling lightheaded and nauseated. You notice that she suddenly appears pale and diaphoretic and has a rapid pulses. Which of the following is the most likely cause of her symptoms?
Internal bleeding from her sprained ankle
Compression of the vagus nerve by the uterus
Placenta previa
Compression of the inferior vena cava by the uterus
Fetal hypertension
You just assisted in delivering a female newborn in the prehospital setting. You note she has a pink body with blue extremities, a pulse of 108, good muscle tone, has a strong cry and active grimacing. What is her initial APGAR score?
5
8
9
10
A breathing female newborn was delivered in a prehospital setting. She has a pink body, a pulse of 108 beats per minute, and good muscle tone. The infant is crying lustily. Which of the following is the most appropriate next step?
Immediately cut the unbelical cord
Provide assisted ventilations
Dry the infant and place her on the mother's abdomen to begin skin-to-skin contact
Dry and completely wrap the newborn, exposing no skin to protect warmth
What are the parts of the pediatric assessment triangle?
(Select all that apply)
Work of breathing
Circulation of the skin
Awake
Capillary refill
Appearance
Which stage of labor involves the baby entering the birth canal and ends after the baby is born?
First stage
Second stage
Third stage
Fourth stage
A 56-year-old male is severely hypothermic and unresponsive. Which of the following is the main goal of this patient's prehospital emergency care?
To keep the patient awake by shaking and talking to them
To warm the patient as fast as possible
To provide oral fluids and oxygen
To gently warm them and prevent further heat loss
A pregnant patient in her third trimester is experiencing heavy vaginal bleeding but no pain. What is the most likely cause, and how should an EMT respond?
Uterine rupture; immediately perform fundal massage to control bleeding
Ectopic pregnancy; administer high-flow oxygen and transport
Placenta previa; provide supportive care and rapid transport
Abrutio placentae; encourage oral hydration and transport
One of the ways your body loses heat is through direct contact with cold sources. This is known as?
Convection
Conduction
Radiation
Evaporation
While assisting with the delivery of a newborn, your partner tells you that they see a nuchal cord. You know that this mean...
The umbilical cord is wrapped around the baby's neck
The top of the babies head begins to appear at the head of the birth canal
The mother is experiencing significant vaginal bleeding
The umbilical cord has exited the vagina ahead of the fetus
You respond to a 45 YOM who appears confused after working outside all day, you notice that he is not sweating despite the heat outside. Which of the following is most likely?
Heat exhaustion
Heat stroke
Heat syncope
Heat shock
You just assisted in the filed delivery of a neonate who is limp and cyanotic despite stimulation. When is it appropriate to start compressions immediately?
When the neonate remains apneic
When the heart rate is less than 100
When the APGAR score is less than 5
When the heart rate is less than 60
You are dispatched for a 28 year old female at 34 weeks gestation who just experienced a seizure. Upon arrival you find her to be confused and her blood pressure is 210/132. Which is most likely occurring
Preeclampsia
Gestational diabetes
Amniotic stroke
Eclampsia
Your patient reports that when her water broke, she noticed the amniotic fluid contained a greenish color. What does this indicate?
Infectious disease
Spontaneous abortion
Old or ongoing fetal distress
Placental abruption
You are attending to a pregnant woman in active labor. Upon examination, you note a loop of umbilical cord protruding from the vagina. What is the immediate next step in the management of this condition?
Encourage the mother to push and expedite delivery
Gently push the cord back into the vagina
Place the mother in a knee-chest position, cover the cord with a moist sterile dressing and transport
Cut the cord and clamp both ends prior to delivering the neonate
