Quiz 6 - EMT 104 - Ch 36-37

You are assessing a pregnant woman whose chief complaint is vaginal bleeding. She is 8 months pregnant and has moderate, bright red bleeding with no abdominal pain. She says that the doctor was concerned about the location of the placenta. This condition is known as:

a. placenta disruption

b. placenta previa

c. abruptio placentae

d. unstable placenta

b. placenta previa

You have been called to a young female in labor. She is lying on the floor in obvious distress from labor pains. While you are assessing her for crowning, your partner is getting a set of vital signs. She tells you that she is getting dizzy and nauseated. Vital signs are pulse rate 120, respiratory rate 22, and blood pressure 98 / 62. You should be concerned that she has:

a. placenta previa

b. supine hypotensive syndrome

c. contracted food poisoning

d. Braxton-Hicks contractions

b. supine hypotensive syndrome

You respond to a call for a patient in active labor with her second child. Your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours. You determined that her vital signs are all within normal limits. After your physical exam, you determine the baby is crowning. You should next:

a. contact medical direction for orders

b. begin transport and plan to deliver in the ambulance

c. delay delivery until arrival at the hospital

d. prepare to deliver the baby on-scene

d. prepare to deliver the baby on-scene

You respond for an imminent delivery of a baby in the breech position. As you examine the mother, you see that the umbilical cord is protruding from the opening of the cervix. You realize that the most important care you can provide for this baby is to:

a. provide oxygen to the mother

b. wrap the cord to prevent heat loss

c. keep the baby off the cord

d. gently push the cord back into the vaginal space

c. keep the baby off the cord

Which of the following should the EMT do to control maternal bleeding after delivery of the baby?

a. all of the statements are true

b. allow the infant to nurse, if possible

c. apply direct pressure with a sanitary napkin over the vaginal opening

d. massage the uterus until it is firm

a. all of the statements are true

While treating a pregnant patient in cardiac arrest, which of the following is the BEST way to keep the fetus alive?

a. transport the patient to the closest pediatric center

b. attempt to resuscitate the patient as you would any other cardiac arrest patient

c. do an emergency cesarean section of the fetus

d. do not use an AED to defibrillate the patient

b. attempt to resuscitate the patient as you would any other cardiac arrest patient

You have assisted in the delivery of a full-term infant by suctioning the mouth and nose as the head was delivered and again following complete delivery. The infant is not yet breathing period which of the following is the correct sequence of interventions?

a. begin bag-valve-mask ventilations, suction the airway with a rigid tonsil tip, and begin CPR

b. perform a series of back blows and chest thrusts interposed with mouth-to-mouth ventilation

c. transport without further intervention

d. rub the infant's back, tap the bottom of his foot, begin bag-valve-mask ventilations, and check the pulse

d. rub the infant's back, tap the bottom of his foot, begin bag-valve-mask ventilations, and check the pulse

Which of the following is A cause of gynecological emergencies?

a. soft-tissue trauma to the external genitalia

b. disorders of the female reproductive organs

c. sexual assault

d. All of the statements are true

d. All of the statements are true

You are called for a woman with severe abdominal pain. During the year assessment and interview, she tells you that she is sexually active and there is a chance she could be pregnant. Her vital signs are pulse 122, respirations 22, blood pressure 96 / 62, and skin cool and pale. You should immediately suspect:

a. internal bleeding

b. placenta previa

c. appendicitis

d. ectopic pregnancy

d. ectopic pregnancy

While treating a patient with sexual assault, your treatment should follow which of the following sequences?

a. Maintain scene safety, treat immediate life threats, and treat only the secondary injuries that may become life threats to protect criminal evidence

b. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence

c. Maintain scene safety, treat immediate life threats, allow the patient to shower if the patient is capable to help treat psychological needs, and transport

d. Treat immediate life threats, treat psychological needs, and protect criminal evidence

b. Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and protect criminal evidence

You are on the scene of a home ventilator patient whose ventilator has experienced a mechanical failure. The patient is conscious and you have taken over the function of the ventilator with a bag valve mask. As an EMT, you should verify the patient's comfort level for which of the following?

a. ventilation rate

b. ventilation pressure

c. All of the statements are true

d. ventilation volume

c. All of the statements are true

Which of the following is not a role of dialysis in a renal failure patient?

a. filter and detoxify the blood

b. stimulate blood cell production

c. remove fluid from the body

d. remove waste from the body

b. stimulate blood cell production

Bariatrics (obesity) increases the risk for which of the following health problems?

a. type 2 diabetes

b. liver disease

c. all of the statements are true

d. respiratory problems

c. all of the statements are true

Which of the following statements are true regarding abuse and neglect of adults and elders with special needs?

a. the signs of abuse and neglect in adult and elder patients are easy to spot

b. sexual abuse is never seen among elder patients with special needs

c. caregivers rarely interfere with assessment, treatment, or transport of patients

d. signs of hunger and malnourishment are common signs of neglect

d. signs of hunger and malnourishment are common signs of neglect

You are on the scene of a pediatric patient who is on specialized home monitor system. This situation was not specifically addressed in your EMT class and your EMT partner has not encountered this situation, either. What is an advisable course of action?

a. Ask the parent or caregiver what has been done in the past to correct the situation.

b. Requesting advanced life support ambulance crew to respond for assistance

c. Load the patient and rapidly transport the patient to the closest hospital for evaluation

d. Contact medical control and ask to speak to a specialist for advice

a. Ask the parent or caregiver what has been done in the past to correct the situation.

Which of the following situations are frequently problematic for patients who have tracheostomy tubes?

a. air embolism

b. tube misplacement

c. tracheal tears

d. mucus buildup

d. mucus buildup

During transport, where should the catheter bag be after loading the patient and stretcher into the ambulance if the patient has an indwelling urinary catheter?

a. Lower than the patient comma but not on the floor

b. Hanging from the ceiling of the ambulance or IV pole higher than the patient

c. on the ambulance floor

d. in the patient's lap, not higher than his heart

a. Lower than the patient comma but not on the floor

You are transporting a resident of a nursing home to a hospital for a complaint of abdominal pain for three days period during your assessment comma you noted 2 patterning from the patients nose comma which is connected to a bag of milky-white fluid period this tube is known as a:

a. nasogastric tube

b. tracheal tube

c. j-tube

d. gastric tube

a. nasogastric tube

You are transporting a patient who is experiencing frequent discharges of her automatic implanted cardiac defibrillator (AICD). Enroute to the hospital you were caring for the patient in the back of the ambulance period to protect yourself from being shocked if the defibrillator discharges, you should:

a. Make sure you do not touch the patient directly

b. Wear protective gloves that cannot conduct electricity

c. Not worry, since the defibrillator does not pose a danger to others

d. Limit direct contact with the patient

c. Not worry, since the defibrillator does not pose a danger to others

When caring for patients with autism spectrum disorders (ASD), it is a good idea to do all of the following except:

a. Provide simple comma precise instructions about what you need the patient to do

b. As short comma close ended questions when possible

c. Gather repeat vital signs at 5-minute intervals even if the patient seems to be very stable

d. Turn off as many pages, radios, and noisy pieces of equipment as possible

c. Gather repeat vital signs at 5-minute intervals even if the patient seems to be very stable