ANSWERS | RECOMMENDED EXAM GUIDE|
100% Correct 2024
a 19 year old female is 25 weeks pregnant. She has severe headaches, blurred vision
and edema. She has not regularly seen a physical during her pregnancy. What other
symptoms should you expect - hypertension
a 2 year old male has been ill for several days with respiratory track infection. Yesterday
he developed a severe headache, high fever and extreme lethargy. You should suspect
- meningitis
a 20 year old female complains of diffuse, lower quadrant abdominal pain. When
questioned, she indicated having multiple sex partners. She also complains of fever,
chills, nausea and vomiting over the last 12 hours and foul-smelling vaginal discharge. -
Pelvic inflammatory disease
a 22 old female, who is 36 weeks pregnant, is experiencing abdominal discomfort.
During evaluation, you notice the umbilical cord is presenting from the vaginal canal.
How should the patient be positioned? - Knee chest position
a 22 year old female, primigravida, with no prenatal care, has just delivered a healthy
baby, now she begins to have forceful contractions and to push. Additional amniotic
fluid expelled. You should - rapid transport to the patient and neonate
a 22 year old female, who is 36 weeks pregnant, is experiencing abdominal discomfort.
During evaluation, you note the umbilical cord is presenting from the virginal canal. How
should the patient be positioned - knee chest position
a 22 year old pregnant woman experiences a significant amount of painless, bright, red
bleeding shortly after sexual intercourse. The most likely cause is - placenta previa
A 23 year old pregnant female is in her third trimester. She complains of painless, bright
red vaginal bleeding. What should you do? - prepare for transport and obtain IV access
A 24 year old female in her second trimester is complaining of bright red vaginal
bleeding without pain. What should you suspect? - placenta previa
a 24 year old female just given birth to a newborn. What sign indicates imminent
delivery? - loss of the mucus plug
A 24 years old female primipara, 8 weeks gestation, is describing right lower quadrant
abdominal pain, periumbilical pain, and fever. Her knees are drawn to her chest, and
her pain increases when she jarred. Vital signs are BP120/76, P100, R20. What is the
most likely cause - Appendicitis
, a 25 year old female is 32 weeks pregnant with profound facial edema. She fell and
complained of left hip pain with an externally rotated and shortened left leg. Vitals signs
are BP 162/104, P129, R20. What should you do? - place the patient on her right side
and monitor vital signs
a 26 year old female is in labor with her first child. When you access for crowning you
see a foot presenting. You are 15 minutes from the nearest hospital. What should you
do? - reassure the mother and Have her breath during contractions
a 27 year old female in her 8th month pregnancy complains of ankle swelling. Vitals
signs are BP 100/70, P90, R20. At this stage of pregnancy, what do these vitals signs
indicate? - natural changes
a 29 year old female in her third trimester is bleeding vaginally. She is G3P1 and has
lost approximately 750mL of blood prior to your arrival. She denies any pain. You
suspect - placenta previa
a 29-year-old female in her third trimester is bleeding vaginally. She is G3P1 and has
lost approximately 750 mL of blood prior to your arrival. She denies any pain. You
suspect - placenta previa
a 3 month old infant who weight 6kg has an history of congenital of heart disease. Vitals
sign are R60, the ECG show a narrow complex tachycardia at a rate of 240
beats/minute, cyanotic, nailbeds and SPO2 88%. What should you administer? - 30 mg
amiodorine, IV push
a 31 year old female complains of heavy vaginal bleeding and generalized weakness.
She is conscious and alert. Visit signs 85/P and P120 weak. After applying 100%
oxygen, you should - place absorbent dressings over the vaginal and administer
isotonic crystalloid to maintain perfusion
A 33 LB child is experiencing fever, malaise, poor appetite, and vomiting. Capillary refill
is 4 seconds and he has tachycardia. You should administer - 300 mL of crystalloid
a 38 year old female is 34 weeks pregnant, experience a sudden sharp tearing pain in
her abdomen and develops a rigid abdomen. What should you suspect? - Abruptio
placentae
a 4 year old male slammed his right hand in a door. His index finger is completely
severed, and his middle finger is hanging by flap of skin. What should you do? - apply a
dressing over the partially amputated finger
a 40 year old full-term multipara pregnant is in labor with crowning. You should - deliver
the baby on scene and transport before the delivery of the placenta