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EMS 111 week 13 Review

Total questions: 21

Worksheet time: 32mins

Name
Class
Date
1.

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?

a)

Placenta previa

b)

Ectopic pregnancy

c)

Uncomplicated pregnancy

d)

Preeclampsia

2.

While assessing your pregnant patient she mentions that she is Gravida 3 Para 2 (G3P2). What does this tell you?

a)

She has had 3 live births

b)

She has had one abortion

c)

This is her third pregnancy

d)

She has had one C-section delivery

3.

Your paramedic partner tells you that the newly born neonate has an APGAR score of 1 for skin color assessment, what must be present?

a)

Central cyanosis

b)

Peripheral cyanosis

c)

Peripheral vasoconstricion

d)

Congenital heart defect

4.

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?

a)

Immediately perform chest compressions

b)

Check for a carotid pulse

c)

Warm, dry, and stimulate

d)

Begin providing PPV with a BVM connected to high-flow oxygent

5.

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?

a)

Switch to high-flow nasal cannula oxygen therapy

b)

Place a supraglottic airway device

c)

Initiate chest compressions in a 3:1 ratio with ventilations

d)

Increase the oxygen concentration above 100%

6.

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?

a)

Flood the eyes with a constant gentle stream of water

b)

Use an alkaline solution to decontaminate the eyes

c)

Flood the eyes with a strong stream of saline solution

d)

Place a dressing over both eyes with sterile gauze

7.

Your patient is experiencing a postpartum hemorrhage immediately after delivering at home. Which of the following is the most appropriate initial step?

a)

Elevate the legs to increase blood flow to vital organs

b)

Perform a uterine massage to encourage contractions

c)

Administer oral flids to maintain hydration

d)

Administer supplemental oxygen

8.

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?

a)

Internal bleeding from her sprained ankle

b)

Compression of the vagus nerve by the uterus

c)

Placenta previa

d)

Compression of the inferior vena cava by the uterus

e)

Fetal hypertension

9.

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?

a)

5

b)

8

c)

9

d)

10

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?

a)

Immediately cut the unbelical cord

b)

Provide assisted ventilations

c)

Dry the infant and place her on the mother's abdomen to begin skin-to-skin contact

d)

Dry and completely wrap the newborn, exposing no skin to protect warmth

11.

What are the parts of the pediatric assessment triangle?

(Select all that apply)

a)

Work of breathing

b)

Circulation of the skin

c)

Awake

d)

Capillary refill

e)

Appearance

12.

Which stage of labor involves the baby entering the birth canal and ends after the baby is born?

a)

First stage

b)

Second stage

c)

Third stage

d)

Fourth stage

13.

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?

a)

To keep the patient awake by shaking and talking to them

b)

To warm the patient as fast as possible

c)

To provide oral fluids and oxygen

d)

To gently warm them and prevent further heat loss

14.

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?

a)

Uterine rupture; immediately perform fundal massage to control bleeding

b)

Ectopic pregnancy; administer high-flow oxygen and transport

c)

Placenta previa; provide supportive care and rapid transport

d)

Abrutio placentae; encourage oral hydration and transport

15.

One of the ways your body loses heat is through direct contact with cold sources. This is known as?

a)

Convection

b)

Conduction

c)

Radiation

d)

Evaporation

16.

While assisting with the delivery of a newborn, your partner tells you that they see a nuchal cord. You know that this mean...

a)

The umbilical cord is wrapped around the baby's neck

b)

The top of the babies head begins to appear at the head of the birth canal

c)

The mother is experiencing significant vaginal bleeding

d)

The umbilical cord has exited the vagina ahead of the fetus

17.

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?

a)

Heat exhaustion

b)

Heat stroke

c)

Heat syncope

d)

Heat shock

18.

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?

a)

When the neonate remains apneic

b)

When the heart rate is less than 100

c)

When the APGAR score is less than 5

d)

When the heart rate is less than 60

19.

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

a)

Preeclampsia

b)

Gestational diabetes

c)

Amniotic stroke

d)

Eclampsia

20.

Your patient reports that when her water broke, she noticed the amniotic fluid contained a greenish color. What does this indicate?

a)

Infectious disease

b)

Spontaneous abortion

c)

Old or ongoing fetal distress

d)

Placental abruption

21.

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?

a)

Encourage the mother to push and expedite delivery

b)

Gently push the cord back into the vagina

c)

Place the mother in a knee-chest position, cover the cord with a moist sterile dressing and transport

d)

Cut the cord and clamp both ends prior to delivering the neonate