DELIVERY
Which of the following directions regarding the provision of care to a patient with a breech presentation is inappropriate. A.) Place the mother in a head-down position, with the pelvis elevated. B.) Attempt to deliver the baby by pulling on the baby's legs. C.) Initiate rapid transport upon recognition of a breech presentation. D.) Provide high-concentration oxygen.
B
Your patient has been sexually assaulted. Law enforcement is on the scene. You should:
A.)expose the patient and document your findings B.)Ask the patient to describe exactly what happened C.) be conscious of the patient's likely need for personal space. D.) withhold treatment until law enforcement has left the scene.C
Which of the following statements about pregnancy-related changes in the mother's cardiovascular system is true? A.) There is an increased lung capacity. B.)There is an increased oxygen demand. C.) The blood volume decreases. D.) There is a decreased oxygen demand.
B
APGAR stands for what?
Appearance, Pulse, Grimace, Activity, and respirations
What makes patients with special challenges especially vulnerable to various forms of abuse?
Their dependence on others
Your pregnant patient is contracting. You have determined that delivery is imminent. What should you do?
Prepare to deliver on secene.
What is the name of the structure that provides nourishment for the developing fetus in the female's uterus?
Which condition would most likely result from trauma to the abdomen in a pregnant patient in the second or third trimester?
Abruptio placentae
0-apneic 1-slow, irregular breathing 2-strong cry
Respirations
What type of patients may present special challenges during lifting and moving?
Bariatric patients
Check for the appearance of the baby's scalp, buttocks or feet at the vaginal opening
What are indications you use to determine whether to prepare for on-the-scene delivery?
What is the uterus?
The female reproductive structure that houses the fetus during development.
Onset of contractions to complete dilation of the cervix best describes what?
The first stage of Labor
How many points are given for grimace or weak cry when stimulated?
1
When should a patient with autism be restrained?
as a last resort
Your patient in active labor admits to abusing prescription narcotics. What should you expect?
The possible need for neonatal resuscitation.
When is it appropriate to massage the patient's uterus?
After delivery of the placenta
When should an EMT initiate chest compressions on an infant?
When the heart rate is less than 60 beats per minutes
APGAR is scored how long after birth and repeated when?
1 minute and repeated in 5 minutes
You are called to the residence of a child who has a feeding tube. You are unfamiliar with feeding tubes and how they might affect your care of the child. What is the best resource for quickly learning about the specific feeding tube this patient has?
The child's parents
What should be done in the prehospital setting for a limb presentation?
Place the mother in a head down position with the pelvis elevated, administer oxygen, and transport without delay.
Supine hypotensive syndrome
Traditional methods of treating shock will not be effective in what?
What is the first action you should perform on an apneic newborn upon delivery?
rub the newborn's back as you dry the newborn
A baby with hands and feet cyanotic, pulse is 110, cries when stimulated, some flexion, and a strong cry has an APGAR score of what?
8
Which of the following is the LEAST likely to e a sign of abuse or neglect? A.) The patient is kept in a dark back room, and is unwashed and undernourished. B.) The story of a patient's injury is inconsistent with the injury itself. C.) A patient has multiple injuries in various stages of healing. D.) A patient's tracheostomy tube requires suctioning to clear it of secretions.
D