OB/GYN & Pediatrics exam with complete solution

OB/GYN & Pediatrics The third stage of labor begins after what event has occurred? - Delivery of the infant If you are performing an effective fundal massage, the mother should feel what? - Cramping During your primary assessment in a pediatric patient, it is important to take note of any injuries that appear non-accidental. Which of the following may suggest child abuse? - Multiple bruises in different stages of healing *As emergency medical personnel, we are mandatory reporters of suspected child abuse. Injuries that don't match the explanation of the event, multiple bruises in different stages of healing, and delayed medical attention may increase your suspicion of possible child abuse. Treat the patient and document the scene and injuries. Do not abandon the scene until law enforcement is on scene. A premature separation of the placenta from the uterine wall is known as what? - Abruptio placentae sensation The term OB/GYN is short for which of the following? - Obstetrics and gynecology In supine hypotensive syndrome, the uterus becomes large enough that, when laying supine, it compresses which blood vessel? - Inferior vena cava *The uterus can become large enough (usually in the second half of a pregnancy) to compress the inferior vena cava in the abdomen when the patient is in a supine position. Your 19-year-old female patient is feeling the need to push and is 39-weeks pregnant. She tells you her last baby was born shortly after the start of contractions. She is gravida 2, para 1, and abortion 0. A delivery that occurs within 3 hours from the onset of labor is called? - Precipitous delivery *A precipitous delivery is one that occurs within 3 hours of the onset of labor. If your patient tells you she tends to deliver fast, be prepared to deliver the child in the field or the back of your ambulance. The classic triad of preeclampsia is what? - Hypertension, proteinuria, edema/weight gain *Preeclampsia is what leads to eclampsia. Eclampsia is a seizure caused by numerous factors including abnormally high blood pressure for an extended period of time. Calculate the APGAR score for the following newborn: - Appearance: pink - Pulse: 120 - Grimace: sneeze - Activity: active - Respiratory: vigorous cry - 10 A: 2 P: 2 G: 2 A: 2 R: 2 When passing a child through the birth canal, the head must be malleable in order to pass through. The bones of the neonate skull are malleable because of spaces between the bones that harden and form the cranial sutures over time. These spaces are known as: - Fontanelles *The fontanelles allow for space in the cranium for the brain to grow, as well as pass through the birth canal during childbirth. The fontanelles begin to harden at about 3 months of age, and are fully formed by the child's 2nd birthday under typical circumstances. You arrive on scene for a 24-year-old pregnant female who began choking during lunch. You find the patient to be conscious, but unable to speak. Family tells you she is about 5 months pregnant. You would treat this patient by? - Chest thrusts *If conscious, chest thrusts should replace abdominal thrusts if the patient is more than 3 months pregnant or obese. You have been dispatched for a 5-year-old male in respiratory distress in late January. The patient's mother states that she originally thought he just had a head cold but his condition has worsened and he is having trouble breathing now. Assessment of the patient reveals: BP 114/70, HR 90, RR 36 and labored, SpO2 93%. Bilateral wheezing is heard upon auscultation of lung sounds. What do you think is wrong with your patient? - Respiratory syncytial virus *Respiratory syncytial virus is a common pediatric illness that occurs during winter and early spring. It is characterized by cold-like symptoms early on that progress to moderate-to-severe respiratory symptoms including increased respiratory rate, wheezing, and respiratory distress. Cystitis is an inflammation of which anatomical structure? - Inner lining of the bladder *Itis- provides the suffix of inflammation. Cyst- is the prefix meaning bladder. Cholecysto- would be gall bladder. Calculate the APGAR score for the following newborn: - Appearance: pink - Pulse: 120 - Grimace: sneeze - Activity: active