EMT -JBL FINAL EXAM QUESTIONS WITH CORRECT ANSWERS 100%

EMT -JBL FINAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% Placenta previa is defined as: A) delivery of a portion of the placenta before the baby. B) premature placental separation from the uterine wall. C) abnormal development and functioning of the placenta. D) development of the placenta over the cervical opening. - D 2. Braxton-Hicks contractions are characterized by: A) regular contractions of progressively increasing intensity. B) alleviation of pain with movement or changing positions. C) pink or red bloody show in conjunction with the contractions. D) a rupture of the amniotic sac just before the contractions begin. - B 3. Abruptio placenta occurs when: A) the placenta prematurely separates from the uterine wall. B) a tear in the placenta causes severe internal hemorrhage. C) the placenta affixes itself to the outer layer of the uterus. D) the placenta develops over and covers the cervical opening. - A 4. The onset of labor begins with: A) thinning of the uterus. B) full dilation of the cervix. C) increased fetal movement. D) contractions of the uterus. - D 5. Supine hypotensive syndrome occurs when: A) a supine position kinks the ascending aorta. B) the pregnant uterus compresses the inferior vena cava. C) the superior vena cava is compressed by the uterus. D) blood pressure decreases as a result of hypovolemia. - B 6. Following delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine fundus and allowing the mother to breastfeed, the bleeding stops. This occurred because: A) breastfeeding causes uterine blood vessels to dilate. B) a portion of the placenta was retained in the uterus. C) uterine massage increases blood flow to the uterus. D) these actions simulate the production of oxytocin and cause uterine contraction. - D 7. You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs. His Apgar score is: A) 6 B) 7 C) 8 D) 9 - C 8. You have just delivered a premature baby. Your assessment reveals that he is breathing adequately; however, his heart rate is 90 beats/min. You should: A) keep him warm and ventilate with a BVM. B) begin chest compressions and reassess in 30 seconds. C) clamp and cut the umbilical cord and keep him warm. D) assess his skin color and give free-flow oxygen as needed. - A 9. Which of the following occurs during true labor? A) Uterine contractions decrease in intensity. B) The uterus becomes very soft and movable. C) Uterine contractions become more regular. D) Uterine contractions last about 10 seconds. - C 10. Which of the following is NOT generally considered an obstetrical emergency? A) Failure of the placenta to deliver after 30 minutes B) Significant bleeding after delivery of the placenta C) Return of contractions following delivery of the baby D) More than 500 mL of blood loss before placental delivery - C 11. If a baby is born at 7:52, the second Apgar score should be calculated at: A) 7:53. B) 7:57. C) 7:59. D) 8:00. - B 12. The presence of meconium in the amniotic fluid indicates: A) an expected finding in full-term infants. B) that the baby's airway may be obstructed. C) that the fetus is at least 4 weeks premature. D) that full newborn resuscitation will be needed - B 13. You are attending to a 23-year-old female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you should: A) immediately remove the patient from the environment and transport. B) contact police and remain at the scene until they arrive and escort you to the hospital. C) ask more detailed questions and press the issue until you have a more detailed understanding of the incident. D) continue your care in a private area, document any details regarding the scene and the incident, and reassure her as you provide care. - D 14. 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) is lacerated due to a traumatic delivery. D) has abnormally developed blood vessels. - B 15. Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes? A) "When are you due?" B) "Is this your first baby?" C) "Have you had a sonogram?" D) "Do you feel the need to push?" - C 16. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: A) belly button. B) pubic bone. C) xiphoid process. D) superior diaphragm. - A 17. Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: A) suctioning of the upper airway. B) thorough drying with a towel. C) positive-pressure ventilations. D) some form of tactile stimulation. - C 18. A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A) preeclampsia. B) placenta previa. C) gestational diabetes. D) an ectopic pregnancy - D 19. A pregnant trauma patient may lose a significant amount of blood before showing signs of shock because: A) pregnant patients can dramatically increase their heart rate. B) pregnancy causes vasodilation and a lower blood pressure. C) pregnant patients have an overall increase in blood volume. D) blood is shunted to the uterus and fetus during major trauma. - C 20. You and your partner are both male and are attending to a 28-year-old female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant women. You should: A) call for the police to ensure that patient assessment is carried out. B) respect the patient's wishes, ensure that the appropriate documentation is completed, and transport the patient. C) insist that the patient requires proper care and that requires an adequate physical assessment and that you cannot be responsible for the outcome. D) inform the patient that by calling for an ambulance, she is agreeing to the care provided and continue with your assessment and management. - B 21. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? A) They are rarely used in infants younger than 1 year. B) It is the recommended adjunct for children with head trauma. C) They are usually not well tolerated in children with a gag reflex. D) Blanching of the nares after insertion indicates correct placement. - A 22. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: A) 2 seconds. B) 3 seconds. C) 4 seconds. D) 5 seconds. - A 23. When immobilizing an injured child in a pediatric immobilization device, you should: A) secure the head before the torso. B) slide the device under the child. C) pad underneath the child's head. D) secure the torso before the head. - D 24. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: A) cyanosis. B) tachypnea. C) retractions. D) abnormal airway noise. - A 25. The MOST common cause of dehydration in pediatric patients is: A) high fever. B) internal blood loss. C) vomiting and diarrhea. D) refusal to drink fluids. - C 26. Which of the following statements regarding pediatric trauma is correct? A) Children are less likely than adults to be struck by a car. B) A child's head is less frequently injured than an adult's. C) Children are more likely to experience diving-related injuries. D) Inexperience and poor judgment are rare causes of pediatric trauma. - C 27. A child may begin to show signs of separation anxiety as early as: A) 2 months. B) 6 months. C) 12 months. D) 18 months. - B 28. All of the following are normal findings in an infant or child, EXCEPT: A) quiet breathing. B) fear or anxiety. C) belly breathing. D) head bobbing - D 29. A 6-year-old male presents with acute respiratory distress. His mother states that she saw him put a small toy into his mouth shortly before the episode began. The child is conscious, obviously frightened, and is coughing forcefully. You should: A) carefully look into his mouth and remove the object if you see it. B) encourage him to cough, give oxygen as tolerated, and transport. C) deliver a series of five back blows and then reassess his condition. D) place the child in a supine position and perform abdominal thrusts. - B 30. Which of the following assessment findings should concern the EMT the MOST when assessing a child who experienced a seizure? A) High fever B) Tachycardia C) Neck stiffness D) Short postictal phase - C 31. Which of the following is MORE common in children than in adults following a head injury? A) Spinal cord injury B) Loss of consciousness C) Seizures and hypoxia D) Nausea and vomiting - D