EMT Chapter 31 – Birthing process

You are assessing a 25 year old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:

Upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac. You should

If a baby is born at 7:52 p.m., the second APGAR score should be calculated at

General treatment guidelines when caring for a woman with traumatic vaginal bleeding includes

A placenta previa is MOST accurately defined as

Braxton-Hicks contractions are characterized by

The umbilical cord

The third stage of labor begins when the

A nuchal cord is defined as an umbilical cord that

Supine hypotensive syndrome occurs when

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

In contrast to a placenta previa, a placenta abruptio occurs when

You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should

If a newborn has gasping respirations after being dried and suctioned

Which of the following statements regarding the placenta is MOST correct?

Which of the following is an indication of imminent birth?

The onset of labor begins with

An abortion occurs when the fetus and placenta deliver before

During delivery, it is MOST important to position your partner at the mother's head because

The presence of thick meconium in the amniotic fluid indicates

The amniotic fluid serves to

You have just delivered a full-term infant. His respirations are rapid and irregular and he has a strong cry. What should you do next?

During delivery of the baby's head, you should suction the mouth before the nose because

An infant is considered to be premature if it

The leading cause of maternal death during the first trimester of pregnancy is

Upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck. You should

A 26-year-old woman complains of a stabbing pain in the right lower quadrant of her abdomen. She states that her last menstrual period was 7 weeks ago and that she had pelvic inflammatory disease approximately 3 months ago. You should be MOST suspicious that this patient is experiencing

All of the following questions are pertinent to ask a mother when determining whether or not her baby will deliver within the next few minutes, EXCEP

When the cervix begins to dilate

A mother who is pregnant with her first baby is typically in the first stage of labor for approximately

When determining the frequency of contractions, you should

After a baby is born, it is important to

A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for

The ONLY indications for placing your gloved fingers in the vagina during delivery are

You are assessing a 25-year-old woman who is 39 weeks' pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the appropriate BSI precautions, you should

A 35-year-old woman who is 30 weeks' pregnant presents with a severe headache and swelling in her hands and feet. She is conscious and alert with a blood pressure of 148/94 mm Hg, a pulse of 100 beats/min, and respirations of 24 breaths/min. During transport, you should be MOST concerned with

You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His APGAR score is

While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should

Following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should

The term primipara refers to a woman who

Following delivery of a pulseless and apneic infant that has a foul odor, skin sloughing, and diffuse blistering, you should

You are assessing a 30-year-old woman who is 35 weeks' pregnant. She tells you that her amniotic sac has not ruptured, but she is experiencing irregular contractions that "come and go." Upon visual inspection, you note a small amount of brown mucus draining from her vagina. You should

Which of the following occurs during true labor?

Signs and symptoms of pregnancy-induced hypertension (preeclampsia) include all of the following, EXCEPT

Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes

The vagina and the neck of the uterus comprise the

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

Which of the following statements regarding twins is MOST correct?

A 33-year-old woman who is 36 weeks' pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. In addition to administering 100% oxygen, you should

Compared to full-term infants, premature infants are at a higher risk for

During your visual inspection of a 19-year-old patient in labor, you see the baby's head crowning at the vaginal opening. What should you do?

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

Fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT: a) profound tachycardia b) premature delivery c) low birth weight d) respiratory depression

When preparing a pregnant patient for delivery, you should position her

A 30-year-old pregnant female is gravida-3 and para-2. This means that she has

When the mother is experiencing a contraction, you should instruct her to:

APGAR

A precipitous labor and delivery is MOST common in women who

Which of the following statements regarding gestational diabetes is correct: A. Diet and exercise are typically ineffective in controlling gestational diabetes. B. The onset of gestational diabetes typically manifests with hypoglycemia. C. Gestational diabetes results in permanent diabetes mellitus after delivery. D. In some cases, women with gestational diabetes require insulin injections.

Most medical models base a pregnant woman's due date: A. two weeks after her last menstrual cycle. B. two weeks before her last menstrual cycle. C. on the last day of her last menstrual cycle.D. on the first day of her last menstrual cycle.

Eclampsia is MOST accurately defined as

Which of the following is NOT a component of the APGAR score? A.activity B.grimace C.pulse D.body size

After the fetus has descended into the pelvis at the end of the third trimester, many mother experience:

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: A.thorough drying with a towel. B.suctioning of the upper airway. C.some form of tactile stimulation. D.positive-pressure ventilations.

Abruprio placenta occurs when:

Spina bifida is a developmental defect in which:

Signs and symptoms of preeclampsia include:

Preeclampsia MOST commonly occurs after the ___ week of gestation.

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes? A"Have you had a sonogram?" B"Is this your first baby?" C"When are you due?" D"Do you feel the urge to push?"

Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy?

The term "bloody show" is defined as:

If a newborn's heart rate is less than 60 beats/mins following delivery, you should:

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

The ONLY indications for placing your gloved fingers in the vagina during delivery are:

From what internal female organ is the fetus expelled during delivery?

Vigorous suctioning of a newborn's airway is indicated if:

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

Which of the following processes occurs during ovulation?

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

Which of the following is NOT generally considered an obstetrical emergency?