JBL EMT - MODULE 5 EXAM QUESTION & ANSWERS
A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband
tells you that her blood pressure has been high and that she had been complaining of a
headache for the past few days. You should:
Select one:
A. administer oral glucose for presumed hypoglycemia and transport.
B. insert an oral airway and ventilate her with a bag-valve mask.
C. elevate her legs to improve brain perfusion and keep her warm.
D. place her on her side, administer high-flow oxygen, and transport. - Answer -D.
place her on her side, administer high-flow oxygen, and transport.
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:
Select one:
A. elevate her legs 6 to 8 inches and cover her with a blanket.
B. carefully insert a sterile trauma dressing into her vagina.
C. place her legs together and position her on her left side.
D. firmly massage the uterine fundus with a circular motion. - Answer -D. firmly
massage the uterine fundus with a circular motion.
The third stage of labor begins:
A. after the birth of the baby.
B. with delivery of the afterbirth.
C. with dilationg of the cervix.
D. with full growth of the uterus. - Answer -A. after the birth of the baby.
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 - Answer -C) 8
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. - Answer -A) the
placenta prematurely separates from the uterine wall.
, Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing,
and diffuse blistering, you should:
A) begin full resuscitation and transport.
B) report the case to the medical examiner.
C) provide emotional support to the mother.
D) dry the infant off to stimulate breathing. - Answer -C) provide emotional support to
the mother.
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. - Answer -B)
alleviation of pain with movement or changing positions.
If a pregnant patient requires spinal immobilization, you should secure her to the
backboard and then:
A) tilt the board 30° to the right to prevent hypotension.
B) elevate the right side of the board with rolled towels or blankets.
C) raise the foot of the board 12' in order to maintain blood pressure.
D) elevate the head of the board 6' to prevent breathing impairment. - Answer -B)
elevate the right side of the board with rolled towels or blankets.
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 - Answer -B) that the baby's airway
may be obstructed.
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. - Answer -B) is wrapped around the
baby's neck.
Which of the following statements regarding suctioning of a newborn's mouth and
oropharynx is correct?
a. Newborns rapidly expel fluid from their lungs and do not require suctioning.
b. Suctioning should be performed on all newborns immediately following delivery.
c. Suctioning is indicated prior to cutting the cord if respiratory distress is present.
d. If the head delivers facedown, the mouth and nose should be suctioned at once. -
Answer -c. Suctioning is indicated prior to cutting the cord if respiratory distress is
present.
A 26-year-old female who is 34 weeks pregnant is experiencing a seizure. Her husband
tells you that her blood pressure has been high and that she had been complaining of a
headache for the past few days. You should:
Select one:
A. administer oral glucose for presumed hypoglycemia and transport.
B. insert an oral airway and ventilate her with a bag-valve mask.
C. elevate her legs to improve brain perfusion and keep her warm.
D. place her on her side, administer high-flow oxygen, and transport. - Answer -D.
place her on her side, administer high-flow oxygen, and transport.
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:
Select one:
A. elevate her legs 6 to 8 inches and cover her with a blanket.
B. carefully insert a sterile trauma dressing into her vagina.
C. place her legs together and position her on her left side.
D. firmly massage the uterine fundus with a circular motion. - Answer -D. firmly
massage the uterine fundus with a circular motion.
The third stage of labor begins:
A. after the birth of the baby.
B. with delivery of the afterbirth.
C. with dilationg of the cervix.
D. with full growth of the uterus. - Answer -A. after the birth of the baby.
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 - Answer -C) 8
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. - Answer -A) the
placenta prematurely separates from the uterine wall.
, Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing,
and diffuse blistering, you should:
A) begin full resuscitation and transport.
B) report the case to the medical examiner.
C) provide emotional support to the mother.
D) dry the infant off to stimulate breathing. - Answer -C) provide emotional support to
the mother.
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. - Answer -B)
alleviation of pain with movement or changing positions.
If a pregnant patient requires spinal immobilization, you should secure her to the
backboard and then:
A) tilt the board 30° to the right to prevent hypotension.
B) elevate the right side of the board with rolled towels or blankets.
C) raise the foot of the board 12' in order to maintain blood pressure.
D) elevate the head of the board 6' to prevent breathing impairment. - Answer -B)
elevate the right side of the board with rolled towels or blankets.
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 - Answer -B) that the baby's airway
may be obstructed.
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. - Answer -B) is wrapped around the
baby's neck.
Which of the following statements regarding suctioning of a newborn's mouth and
oropharynx is correct?
a. Newborns rapidly expel fluid from their lungs and do not require suctioning.
b. Suctioning should be performed on all newborns immediately following delivery.
c. Suctioning is indicated prior to cutting the cord if respiratory distress is present.
d. If the head delivers facedown, the mouth and nose should be suctioned at once. -
Answer -c. Suctioning is indicated prior to cutting the cord if respiratory distress is
present.
