Exam Questions with Correct Verified Answers

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Ch 36 EMT: Obstetric and Gynecologic Emergencies/

Exam Questions with Correct Verified Answers – Rated A+

Which of the following mechanisms accounts for supine hypotensive syndrome?

• The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate

blood return to the heart.

• The weight of the enlarged uterus and fetus compresses the descending aorta, restricting blood flow

to the rest of the body.

• The weight of the enlarged uterus and fetus compresses the vagus nerve, slowing the heart rate and

decreasing cardiac output.

• Compression of the umbilical cord between the fetus and the uterine wall results in decreased fetal

cardiac output and hypotension. - Correct Answer - A. The weight of the enlarged uterus and fetus presses on the inferior vena cava, causing inadequate blood return to the heart.

What is the name for the dizziness and drop in blood pressure that occur when a pregnant mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compresses the inferior vena cava, reducing the return of blood to the heart and the cardiac output?

• Braxton-Hicks contractions
• Supine hypotensive syndrome
• Labor
• Lightening - Correct Answer - B. Supine hypotensive syndrome

When assisting with the delivery of twins, assume that:

• you should clamp or tie the cord of the first baby only after the second is born.
• you will need to conduct multiple neonatal resuscitations simultaneously.
• the placenta will not be delivered until both babies are delivered. 1 / 4

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• the babies will each be larger than a baby in a single birth. - Correct Answer - B. you will need to

conduct multiple neonatal resuscitations simultaneously.

As an infant's head emerges during a normal delivery, few secretions are present. As the infant's body is delivered, the infant begins to cry normally. Which of the following statements best describes the proper care of the infant's airway?

• Use a bulb syringe to suction first the infant's mouth, then the nose.
• No intervention is needed for the airway. Clamp and cut the cord, and warm and dry the infant.
• To allow all secretions to drain, hold the infant with the head lower than the feet for several seconds

before drying and warming the infant and cutting the umbilical cord.

• Use mechanical suction with a soft suction catheter to clear the infant's nose and mouth of secretions.
• Correct Answer - B. No intervention is needed for the airway. Clamp and cut the cord, and warm and

dry the infant.

Your patient is 39 weeks pregnant and complaining of contractions that are 2 minutes apart. She tells

you that she needs to use the bathroom before transport. You should:

• explain that the sensation might indicate that she is close to delivery and you need to check to see

whether the baby's head is in the birth canal.

• explain that it is a normal sensation that will go away as birth gets closer.
• assist the patient in getting up, and let her know that you will be right outside the bathroom if she

needs anything.

• explain that it is not possible to allow her to go to the restroom, and place her on the stretcher for

transport. - Correct Answer - A. explain that the sensation might indicate that she is close to delivery and you need to check to see whether the baby's head is in the birth canal.

Which of the following is true of multiple-birth deliveries?

• There is a greater risk for neonatal complications.
• There is a lower risk for neonatal complications.
• The newborns will likely be of above-average weight. 2 / 4

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• Hypothermia is unlikely with multiple-birth newborns. - Correct Answer - A. There is a greater risk for

neonatal complications.

Which of the following statements best describes the cervix?

• It is the narrow, lower end, or "neck," of the uterus.
• It is the inner lining of the uterus.
• It is the opening at the junction of the uterus and the fallopian tube.
• It is the duct through which an egg released from the ovary travels to the uterus. - Correct Answer - A.

It is the narrow, lower end, or "neck," of the uterus.

The female reproductive structure that houses the fetus during development is the:

• ovary.
• uterus.
• cervix.
• fallopian tube. - Correct Answer - B. uterus.

Your patient is in active labor, and admits to abusing prescription narcotics. You should expect:

• a more rapid delivery.
• the possible need for neonatal resuscitation.
• the newborn to be tachycardic on delivery.
• an uncomplicated delivery, if vital signs are normal. - Correct Answer - B. the possible need for

neonatal resuscitation.

What is the name of the structure that provides nourishment for the developing fetus in the female's uterus?

• Mons pubis
• Progesterone 3 / 4

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• Cervix
• Placenta - Correct Answer - D. Placenta

When is it appropriate to massage the patient's uterus?

• Only when ALS providers are present
• During labor
• Anytime before delivery of the baby
• After delivery of the placenta - Correct Answer - D. After delivery of the placenta

Which of the following signs is LEAST associated with seizures in pregnancy?

• Hypotension
• Weight gain
• Altered mental status
• Swelling of the face, hands, ankles, and feet - Correct Answer - A. Hypotension

When should the EMT initiate chest compressions on an infant?

• When respirations are labored or gasping
• When the heart rate is below 60 beats per minute
• Only when there is no brachial pulse
• Anytime the heart rate is below 100 beats per minute - Correct Answer - B. When the heart rate is

below 60 beats per minute

Which of the following does NOT diffuse from the mother's blood vessels across the placenta and enter the blood vessels of the fetus?

• Drugs
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