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Prehospital Emergency Care Practice Test: Handing Obstetrics and Care of the Newborn
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Emergency obstetric and newborn care (EmONC) is a set of life-saving interventions that treat the main causes of death and illness in newborns and obstetrics.  Basic EmONC (BEmONC) care includes: Administering anticonvulsants, uterotonic drugs (oxytocin), and antibiotics Manual removal of the placenta Removal of retained products after miscarriage or abortion Assisted vaginal delivery, preferably with vacuum extractor  Emergency obstetric and newborn care (EmONC) is defined as a set of life-saving interventions, that treat the major obstetric and newborn causes of morbidity and... Show more
Prehospital Emergency Care Practice Test: Handing Obstetrics and Care of the Newborn
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25 Questions

1. A female patient has acute onset of right-sided abdominal pain, describes it as sharp, and rates it as 9/10. The primary survey reveals no life threats, but her skin is cool and diaphoretic. She states that she has been going to the bathroom more and is worried because her father has diabetes. Her last period was nine weeks ago, and she has a history of irregular periods. Her heart rate is 122 beats/min, respirations are 20 breaths/min, blood pressure is 138/68 mmHg, and SaO2 is 97%. In this scenario, which bit of information is of most concern to the EMT?
2. Assessment indicates that a term newborn's respiratory rate is 38 breaths per minute and his heart rate is 80 beats per minute after administration of supplemental blow-by oxygen. The EMT should:
3. A 32-year-old female complains of the sudden onset of sharp pain to the left side of her abdomen. She denies any medical history and when asked, admits to being sexually active. Her last menstrual period was two months ago. As an EMT, you should immediately suspect:
4. Which finding is of greatest concern when assessing a 33-year-old female who is eight months pregnant?
5. When should the EMT instruct his partner to cut the umbilical cord?
6. When faced with the possibility of delivering twins, the EMT must remember that:
7. The EMT should recognize a full-term pregnancy has occurred in which patient?
8. You are transporting a female patient who is seven months pregnant. She has been diagnosed with preeclampsia and is currently hypertensive. Which statement made by the patient indicates she may be transitioning from preeclampsia to eclampsia?
9. The EMT shows she has a proper understanding of Braxton-Hicks contractions when he says:
10. You have been dispatched to a residence for a female patient who is dizzy and 'passing out.' An Emergency Medical Responder meets you at the door and reports that the patient is lying in bed and is nine months pregnant. Her pulse rate is 112 beats per minute and her blood pressure is 84/50 mmHg. Respirations are 24 breaths per minute and she has a room air pulse oximetry reading of 97%. What should you do as soon as you reach the patient's side?
11. Prior to delivery, the EMT prepares to create a sterile field around the patient's vaginal opening. This is best accomplished by:
12. During a continuing education session on OB/GYN topics, the EMT would recognize which statement about the umbilical cord as true?
13. When treating a patient whom you believe has an ectopic pregnancy, you know that the primary threat to the patient's life is:
14. Why is the uterus essential to a healthy pregnancy and childbirth?
15. A female patient is 34 weeks pregnant, and you are delivering the baby. As soon as the baby is completely delivered, you should immediately:
16. After the EMT observes that secretions are interfering with the baby's breathing, which action indicates that the EMT is properly suctioning the newborn?
17. You have been called for a 35-year-old female who is experiencing vaginal spotting. The patient states that she has noted the discharge of blood from her vagina and is concerned because she is 36 weeks pregnant. She has also experienced some abdominal pain, which she describes as 'sharp.' Your assessment reveals bleeding as noted and tenderness on palpation just right to the midline of her abdomen. Her pulse is 122 beats/min, respirations are 22 breaths/min, blood pressure is 118/82 mmHg, SpO2 is 96%, and oral temperature is 97.3°F. Based on this presentation, you would:
18. The EMT is performing CPR on a neonate. What is the correct compression-to-ventilation ratio?
19. A 31-year-old female is in labor. After ensuring her airway, breathing, and circulation, you assess her perineum and observe the umbilical cord protruding from the vagina. However, the baby is not visible. Your next action would be to:
20. Which assessment finding best indicates that the newborn is significantly distressed?
21. The EMT shows an understanding of newborn resuscitation when she states:
22. When cutting the umbilical cord, how should the baby be positioned?
23. You have been called for a 16-year-old female with vaginal bleeding. On scene, you determine the patient to be pregnant and bleeding for 3 hours. Which statement would indicate proper care of the patient?
24. Which statement made by the EMT indicates an understanding of the relationship between seizures and pregnancy?
25. The components of the Apgar scoring system include:

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