Chapter 34 - EMT Training - Obstetrics and Neonatal Care

A newborn infant will usually begin breathing spontaneously within _______ seconds following birth.

Select one:

A. 5 to 10

B. 30 to 60

C. 15 to 30

D. 3 to 5

15 to 30

A precipitous labor and delivery is most common in women who:

Select one:

A. are pregnant for the first time.

B. are younger than 30 years of age.

C. have gestational diabetes.

D. have delivered a baby before.

have delivered a baby before

A pregnant trauma patient might lose a significant amount of blood before showing signs of shock because:

Select one:

A. blood is shunted to the uterus and fetus during major trauma.

B. pregnant patients can dramatically increase their heart rate.

C. pregnancy causes vasodilation and a lower blood pressure.

D. pregnant patients have an overall increase in blood volume.

pregnant patients have an overall increase in blood volume

After a baby is born, it is important to:

Select one:

A. immediately clamp and cut the umbilical cord.

B. ensure that it is thoroughly dried and warmed.

C. cool the infant to stimulate effective breathing.

D. position it so that its head is higher than its body.

ensure that it is thoroughly dried and warmed

An infant is premature if it:

Select one:

A. is born before 38 weeks' gestation or weighs less than 6 pounds.

B. weighs less than 5 pounds or is born before 36 weeks' gestation.

C. is born before 40 weeks' gestation or weighs less than 7 pounds.

D. weighs less than 5.5 pounds or is born before 37 weeks' gestation.

weights less than 5 pounds or is born before 36 weeks' gestation

By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:

Select one:

A. belly button.

B. pubic bone.

C. xiphoid process.

D. superior diaphragm.

belly button

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, except:

Select one:

A. some form of tactile stimulation.

B. thorough drying with a towel.

C. positive-pressure ventilations.

D. suctioning of the upper airway.

positive - pressure ventilations

Eclampsia is most accurately defined as:

Select one:

A. a blood pressure greater than 140/90 mm Hg.

B. high levels of protein in the patient's urine.

C. seizures that result from severe hypertension.

D. hypertension in the 20th week of pregnancy.

seizures that result from severe hypertension

Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, except:

Select one:

A. low birth weight.

B. respiratory depression.

C. premature delivery.

D. profound tachycardia.

profound tachycardia

In contrast to a full-term infant, a premature infant:

Select one:

A. is often covered with excess vernix material.

B. retains heat better because of excess body hair.

C. has an even proportionately larger head.

D. is one who is born before 38 weeks' gestation.

has an even proportionately larger head

In contrast to abruptio placenta, placenta previa:

Select one:

A. is caused by hypertension or abdominal trauma.

B. might present without significant abdominal pain.

C. might not present with heavy vaginal bleeding.

D. is typically associated with severe abdominal pain.

might present without significant abdominal pain

Pregnant women are advised to take iron supplements, such as prenatal vitamins, because:

Select one:

A.the blood naturally thins during pregnancy, which predisposes the mother to severe bleeding.

B.iron makes the blood clot faster, which protects the mother from excessive bleeding during delivery.

C.white blood cells decrease during pregnancy, which increases the mother's risk of an infection.

D.pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia.

pregnancy causes an increased number in red blood cells, which predisposes the mother to anemia

The amniotic fluid serves to:

Select one:

A. transfer oxygen to the fetus.

B. insulate and protect the fetus.

C. remove viruses from the fetus.

D. assist in fetal development.

insulate and protect the fetus

The term primigravida refers to a woman who:

A. has never been pregnant.

B. has had only one live birth.

C. has had more than one live baby.

D. is pregnant for the first time.

is pregnant for the first time

The umbilical cord:

Select one:

A. carries oxygen to the baby via the umbilical vein.

B. carries blood away from the baby via the artery.

C. separates from the placenta shortly after birth.

D. contains two veins and one large umbilical artery.

carries oxygen to the baby via the umbilical vein

When determining the frequency of contractions, you should time the contractions from the:

Select one:

A. end of one to the start of the next.

B. start of one to the end of the next.

C. start of one to the start of the next.

D. end of one to the end of the next.

start of one to the start of the next

Which of the following is an indication of imminent birth?

Select one:

A. Crowning of the baby's head

B. Irregular contractions lasting 10 minutes

C. Rupture of the amniotic sac

D. Expulsion of the mucus plug from the vagina

crowing of the baby's head

Which of the following is not a component of the Apgar score?

Select one:

A. Pulse

B. Grimace

C. Body size

D. Activity

body size

Which of the following occurs during true labor?

Select one:

A. Uterine contractions decrease in intensity.

B. Uterine contractions become more regular.

C. Uterine contractions last about 10 seconds.

D. The uterus becomes very soft and movable.

Uterine contractions become more regular

Which of the following statements regarding a breech presentation is correct?

Select one:

A. There is minimal risk of trauma to the infant with a breech presentation.

B. A breech presentation occurs when the buttocks are the presenting part.

C. It is impossible to deliver a breech presentation in the prehospital setting.

D. Breech deliveries occur rapidly, so the EMT should deliver at the scene.

a breech presentation occurs when the buttocks are the presenting part