EMT MODULE 2 EXAM TEST BANK
FEATURING EXPERT REVIEWED
◉ Which of the following statements regarding the placenta is correct?
a. 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.
b. 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.
c. 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.
d. 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. Answer: c. 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 amniotic fluid serves to:
a. remove viruses from the fetus.
b. transfer oxygen to the fetus.
c. insulate and protect the fetus
,d. assist in fetal development. Answer: c. insulate and protect the fetus
◉ By the 20th week of pregnancy, the uterus is typically at or above the
level of the mother's:
a. xiphoid process.
b. belly button.
c. superior diaphragm.
d. pubic bone. Answer: b. belly button.
◉ Signs and symptoms of preeclampsia include:
a. marked hypoglycemia.
b. headache and edema.
c. dyspnea and bradycardia.
d. dysuria and constipation. Answer: b. headache and edema.
◉ Supine hypotensive syndrome occurs when:
a. the pregnant uterus compresses the inferior vena cava.
b. the superior vena cava is compressed by the uterus.
c. a supine position kinks the ascending aorta.
d. blood pressure decreases as a result of hypovolemia. Answer: a. the
pregnant uterus compresses the inferior vena cava.
,◉ Abruptio placenta occurs when:
a. a tear in the placenta causes severe internal hemorrhage.
b. the placenta affixes itself to the outer layer of the uterus.
c. the placenta develops over and covers the cervical opening.
d. the placenta prematurely separates from the uterine wall. Answer: d.
the placenta prematurely separates from the uterine wall.
◉ Placenta previa is defined as:
a. premature placental separation from the uterine wall.
b. abnormal development and functioning of the placenta.
c. development of the placenta over the cervical opening.
d. delivery of a portion of the placenta before the baby. Answer: c.
development of the placenta over the cervical opening.
◉ You are assessing a 25-year-old woman who is 39 weeks pregnant.
She is experiencing regular contractions that are approximately three
minutes apart and states that her amniotic sac broke two hours ago. After
taking the standard precautions, you should:
a. transport her immediately.
b. place her on her left side.
c. assess her for crowning
d. apply high-flow oxygen. Answer: c. assess her for crowning
, ◉ A nuchal cord is defined as an umbilical cord that:
a. has separated from the placenta.
b. is wrapped around the baby's neck.
c. has abnormally developed blood vessels.
d. is lacerated due to a traumatic delivery. Answer: b. is wrapped around
the baby's neck.
◉ Upon delivery of an infant's head, you note that the umbilical cord is
wrapped around its neck. You should:
a. immediately clamp and cut the umbilical cord.
b. first attempt to slip the cord gently over the infant's head
c. provide free-flow oxygen to the infant and transport.
d. give high-flow oxygen to the mother and transport. Answer: b. first
attempt to slip the cord gently over the infant's head
◉ 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:
a. firmly massage the uterine fundus with a circular motion.
b. carefully insert a sterile trauma dressing into her vagina.
c. elevate her legs six to eight inches and cover her with a blanket.
d. place her legs together and position her on her left side. Answer: a.
firmly massage the uterine fundus with a circular motion.
FEATURING EXPERT REVIEWED
◉ Which of the following statements regarding the placenta is correct?
a. 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.
b. 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.
c. 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.
d. 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. Answer: c. 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 amniotic fluid serves to:
a. remove viruses from the fetus.
b. transfer oxygen to the fetus.
c. insulate and protect the fetus
,d. assist in fetal development. Answer: c. insulate and protect the fetus
◉ By the 20th week of pregnancy, the uterus is typically at or above the
level of the mother's:
a. xiphoid process.
b. belly button.
c. superior diaphragm.
d. pubic bone. Answer: b. belly button.
◉ Signs and symptoms of preeclampsia include:
a. marked hypoglycemia.
b. headache and edema.
c. dyspnea and bradycardia.
d. dysuria and constipation. Answer: b. headache and edema.
◉ Supine hypotensive syndrome occurs when:
a. the pregnant uterus compresses the inferior vena cava.
b. the superior vena cava is compressed by the uterus.
c. a supine position kinks the ascending aorta.
d. blood pressure decreases as a result of hypovolemia. Answer: a. the
pregnant uterus compresses the inferior vena cava.
,◉ Abruptio placenta occurs when:
a. a tear in the placenta causes severe internal hemorrhage.
b. the placenta affixes itself to the outer layer of the uterus.
c. the placenta develops over and covers the cervical opening.
d. the placenta prematurely separates from the uterine wall. Answer: d.
the placenta prematurely separates from the uterine wall.
◉ Placenta previa is defined as:
a. premature placental separation from the uterine wall.
b. abnormal development and functioning of the placenta.
c. development of the placenta over the cervical opening.
d. delivery of a portion of the placenta before the baby. Answer: c.
development of the placenta over the cervical opening.
◉ You are assessing a 25-year-old woman who is 39 weeks pregnant.
She is experiencing regular contractions that are approximately three
minutes apart and states that her amniotic sac broke two hours ago. After
taking the standard precautions, you should:
a. transport her immediately.
b. place her on her left side.
c. assess her for crowning
d. apply high-flow oxygen. Answer: c. assess her for crowning
, ◉ A nuchal cord is defined as an umbilical cord that:
a. has separated from the placenta.
b. is wrapped around the baby's neck.
c. has abnormally developed blood vessels.
d. is lacerated due to a traumatic delivery. Answer: b. is wrapped around
the baby's neck.
◉ Upon delivery of an infant's head, you note that the umbilical cord is
wrapped around its neck. You should:
a. immediately clamp and cut the umbilical cord.
b. first attempt to slip the cord gently over the infant's head
c. provide free-flow oxygen to the infant and transport.
d. give high-flow oxygen to the mother and transport. Answer: b. first
attempt to slip the cord gently over the infant's head
◉ 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:
a. firmly massage the uterine fundus with a circular motion.
b. carefully insert a sterile trauma dressing into her vagina.
c. elevate her legs six to eight inches and cover her with a blanket.
d. place her legs together and position her on her left side. Answer: a.
firmly massage the uterine fundus with a circular motion.