1.
During what stage of labor would you assist with delivery of the placenta?
A.
First
B.
Second
C.
Third
D.
Fourth
2.
The first stage of labor ends when:
A.
the first contraction starts.
B.
the cervix is fully dilated.
C.
the contractions become regular.
D.
the baby is born and breathing.
3.
A newborn is not breathing on its own shortly after delivery. The 1-minute Apgar score is 4. The first step in caring for the newborn is to:
A.
begin CPR.
B.
resuction the nose and mouth.
C.
stimulate the newborn with gentle shaking.
D.
give assisted ventilations with a BVM device.
4.
A baby who weighs less than 5 lb at birth is considered:
A.
premature.
B.
immature.
C.
full-term.
D.
normal.
5.
Upon delivery of the baby's head, you note that the cord is wrapped around its neck. How should this be managed initially?
A.
The cord should be cut and clamped.
B.
An attempt should be made to remove the cord.
C.
The cord should be kept warm and moist and the mother transported.
D.
Transport should proceed immediately while oxygenating the mother.
6.
In which of the following situations would the EMT-B be MOST likely to deliver a baby at the scene?
A.
When the patient's contractions are 8 minutes apart and irregular
B.
When the hospital is 15 minutes away and crowning is not present
C.
When a tornado has struck and the quickest route to the hospital is blocked
D.
When the patient tells you that her water just broke and contractions have begun
7.
If a woman is having her first child, labor will probably:
A.
last several days.
B.
last about 7 hours.
C.
be longer than for a woman who has had other children.
D.
be shorter than for a woman who has had other children.
8.
You note excessive bleeding from the vagina after the delivery of the placenta. Before transport, you should:
A.
press the uterus toward the vagina.
B.
pack the vagina with sterile, absorbent material.
C.
give the patient oxygen and provide prompt transport.
D.
allow the patient to sit up and drink small amounts of water.
9.
Management for a patient who presents with a prolapsed umbilical cord includes all of the following, EXCEPT:
A.
administering 100% oxygen to the mother.
B.
placing the mother in the knee-chest position.
C.
ensuring that the baby's head does not compress the cord.
D.
gently pulling on the umbilical cord to facilitate its delivery.
10.
A 23-year-old woman is 24 weeks pregnant with her first baby. She complains that her rings are not fitting as loosely as they usually do. When you assess her vital signs, you find that her blood pressure is 150/92 mm Hg. Which of the following do you suspect?
A.
Supine hypotensive syndrome
B.
Pregnancy-induced overhydration
C.
Pre-eclampsia
D.
Eclampsia
11.
As you prepare to assist a woman in labor, you should ask whether she has had a baby before because:
A.
labor might be shorter if it is the first birth.
B.
labor might be longer if there were previous births.
C.
she might be able to tell you if she is about to deliver.
D.
the hospital will need this information for its state records.
12.
You are assisting at an emergency home delivery, and the baby's head is delivered still covered by the membranes of the unruptured amniotic sac. What should you do next?
A.
Wait for the sac to break on its own, then clear the baby's nose and mouth.
B.
Leave the sac intact, monitor the baby's vital signs, and provide immediate transport.
C.
Immediately, but carefully, puncture the sac with your gloved fingers, a sterile clamp, or scissors and clear the baby's nose and mouth.
D.
Wait until the delivery is complete, carefully puncture the sac with your gloved fingers, a sterile clamp, or scissors and clear the baby's nose and mouth.
13.
You should assist with delivery of the baby's head by:
A.
placing one hand at the top of the head and the other in back.
B.
maintaining finger pressure against the center of the baby's skull.
C.
placing the palm of your hand firmly against the back of the baby's skull.
D.
placing the flats of your fingers on the bony part of the skull and exerting very gentle pressure on it.
14.
The 1-minute APGAR score of a newborn reveals that the baby has a heart rate of 90 mm Hg, a pink body but blue hands and feet, and rapid respirations. The baby cries when the soles of its feet are flicked and resists attempts to straighten its legs. What score would you give to this newborn?
A.
4
B.
6
C.
8
D.
10
15.
Immediately after delivery of the head, you must:
A.
apply gentle pressure over the woman's abdomen.
B.
check the position of the umbilical cord.
C.
suction the baby's nose and mouth.
D.
check the woman for bleeding.
16.
The purpose of the uterus is to:
A.
dilate and expel the baby from the cervix.
B.
house the fetus as it grows for 40 weeks.
C.
provide oxygen and other nutrients to the fetus.
D.
insulate and protect the fetus as it develops.
17.
The amniotic sac, or "bag of waters" normally contains how much amniotic fluid?
A.
150 - 300 mL
B.
300 - 500 mL
C.
500 - 1,000 mL
D.
1,000 - 1,500 mL
18.
During a normal delivery, the baby's head is usually tilted:
A.
chin down.
B.
posteriorly, face down.
C.
posteriorly, to one side.
D.
anteriorly, with the chin up.
19.
A common concurrent finding with a breech presentation includes which of the following?
A.
Prolapsed umbilical cord
B.
A vertex presentation
C.
A limb presentation
D.
An intact amniotic sac
20.
The developing fetus receives nourishment from the mother through the:
A.
uterus.
B.
vagina.
C.
placenta.
D.
amniotic fluid.
21.
During an emergency home delivery, you should place the mother:
A.
on the ambulance stretcher.
B.
in a comfortable chair covered with a sterile towel.
C.
on a bed with a clean sheet, blanket, or towel under her buttocks.
D.
on the floor with a clean sheet, blanket, or towel under her buttocks.
22.
A prolapsed umbilical cord is dangerous because the:
A.
cord might pull the placenta free during delivery.
B.
baby's head might tear the cord, causing hemorrhage.
C.
baby's head might compress the cord, cutting off all circulation.
D.
cord might be wrapped around the baby's neck, causing strangulation.
23.
You see the baby's arm rather than the head as the mother says that she needs to push. The most appropriate course of action would be to:
A.
try to gently push the arm back into the vagina.
B.
place the woman on her back and gently press her abdomen.
C.
cover the arm with a sterile towel and provide immediate transport.
D.
insert your gloved fingers into the vagina and gently try to turn the baby.
24.
After the placenta has been delivered, it should be saved and transported to the hospital so that the hospital staff can determine whether:
A.
it has been completely expelled.
B.
its weight needs to be recorded for legal purposes.
C.
its shape suggests hidden deformities in the newborn.
D.
its blood could be used if the newborn needs a transfusion.
25.
The BEST way to prevent cardiopulmonary arrest in a newborn is to:
A.
ensure that it stays warm.
B.
ensure effective oxygenation.
C.
perform CPR if the heart rate is less than 120 beats/min.
D.
perform frequent Apgar scores while providing oxygen.
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