West Coast EMT Block 5 Exam

menstruation starts - 11-16 purpose of the amniotic sac - protect and insulate fetus during true labor, contractions: - increase in intensity and become closer together the end of the third trimester the baby sinks into the birth canal (lightening) which reliefs what of the mother - breathing what to do when there is a nuchal cord - try to pull around the baby's neck, if unsuccessful cut what to do in the case of a limb presentation - cover the limb and transport the mother supine, head down, pelvis elevated only 2 times that you put your gloved hand into a woman's vagina - breech birth and prolapsed cord requirements for a baby to be premature - under 36 weeks or less that 5 pounds grunting in children is - attempt to keep alveoli open by increasing pressure in the chest cavity don't access BP in children under - 3PAT - allows you to forms a general impression of the child quickly and visually NPAs are rarely used in - infants under 1 what happens in an NPA is too long - stimulate the vagus nerve, slows HR, enters esophagus and causes gastric distention most common S&S of head injury in children - nausea and vomiting the umbilical cord has - 2 arteries and 1 vein priority after child is born - airway, then keep warm and dry respiratory rate of infant 1 month to 1 year - 30 to 60 respiratory rate of toddler 1 to 3 years - 24 to 40 respiratory rate of preschool 4 to 5 years - 22 to 34 respiratory rate of school 6 to 12 years - 18 to 30 respiratory rate of adolescent 13 to 18 years - 12 to 16 pulse rate of newborn to 3 months - 85 to 205 pulse rate of 3 months to 2 years - 100 to 190pulse rate of 2 years to 10 years - 60 to 140 pulse rate of over 10 year olds - 60 to 100 A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. C. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. D. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. - B. administer highflow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay A patient with pelvic inflammatory disease will typically complain of _________. A. bleeding associated with stress B. abdominal pain associated with menstruation C. aches and fever associated with urination D. nausea and vomiting associated with intercourse - B. abdominal pain associated with menstruation Causes of vaginal bleeding include which of the following? A. Ectopic pregnancyB. Vaginal trauma C. Spontaneous abortion D. All of these answers are correct. - D. All of these answers are correct. During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? Select one: A. The amount of time since of the patent's last menstrual cycle B. The possibility that the patient may be pregnant C. If the patient is sexually active D. All of these answers are correct. - D. All of these answers are correct. In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: A. sheds and is expelled externally. B. thins and begins to separate. C. becomes engorged with blood. D. diverts blood flow to the vagina. - C. becomes engorged with blood.