EMT OBSTETRICS AND NEONATAL CARE

EMT OBSTETRICS AND NEONATAL CARE

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EXAM QUESTIONS AND CORRECT

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You and your partner are both male and are attending to a 28 y/o female patient complaining of diffuse abdominal pain. She is 32 weeks pregnant with her first child. The pt refuses to allow you to examine her, and the husband informs you that their culture does not allow males to examine or care for pregnant women. You

should:

• call for the police to ensure that patient assessment is carried

out.

• respect the patient's wishes, ensure that the appropriate

documentation is completed, and transport the patient.

• insist that the patient requires proper care and that requires an

adequate physical assessment and that you cannot be responsible for the outcome.

• inform the patient that by calling for an ambulance, she is

agreeing to the care provided and continue with your assessment and management. Correct Answer respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient 1 / 4

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

• Vagina
• Uterus
• Cervix
• Perineum Correct Answer b. Uterus

Which of the following statements regarding the placenta is correct?

• The placenta allows oxygen, carbon dioxide, and other

products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.

• The placental barrier consists of two layers of cells and allows

the mother's blood that contains high concentrations of oxygen to directly mix with the blood of the fetus.

• The placenta, also referred to as the afterbirth, provides oxygen

and nutrients to the fetus and is expelled from the vagina about 30 minutes before the baby is born.

• The placenta allows for the transfer of oxygen and carbon

dioxide between the mother and fetus but prevents most medications from passing between the mother and fetus Correct Answer a. The placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus.Three days after delivering her baby, a 30 y/o woman complains of a sudden onset of difficulty breathing. Her level of 2 / 4

consciousness is decreased and she is tachycardic. The EMT

should suspect:

• intrauterine bleeding.
• pulmonary embolism.
• acute pulmonary edema.
• spontaneous pneumothorax. Correct Answer b. pulmonary

embolism

When determining the frequency of contractions, you should time

the contractions from the:

• end of one to the start of the next.
• start of one to the end of the next.
• end of one to the end of the next.
• start of one to the start of the next. Correct Answer d. start of

one to the start of the next

When preparing a pregnant patient for delivery, you should

position her:

• in a supine position with her legs spread.
• on her left side with the right leg elevated.
• in a sitting position with her hips elevated 12 inches.
• on a firm surface with her hips elevated 2 to 4 inches. Correct

Answer d. on a firm surface with her hips elevated 2-4 inches

• / 4

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

• "When are you due?"
• "Is this your first baby?"
• "Have you had a sonogram?"
• "Do you feel the need to push?" Correct Answer "Have you

had a sonogram?"

The amniotic fluid serves to:

• transfer oxygen to the fetus
• insulate and protect the fetus
• remove viruses from the fetus
• assist in fetal development Correct Answer b. insulate and

protect the fetus

Pregnant women are advised to take iron supplements, such as

prenatal vitamins, because:

• iron makes the blood clot faster, which protects the mother from

excessive bleeding during delivery.

• the blood naturally thins during pregnancy, which predisposes

the mother to severe bleeding.

• white blood cells decrease during pregnancy, which increases

the mother's risk of an infection.

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