NREMT EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST UPDATE
In contrast to the contractions associated with true labor, Braxton-Hicks
contractions:
• A:consistently become stronger and are not alleviated by changing position.
• B:may be intensified by activity and are accompanied by a pink discharge.
• C:do not increase in intensity and are alleviated by a change in position.
• D:generally follow rupture of the amniotic sac and occur with regularity. -
ANSWER-You selected C; This is correct!
Reason:During pregnancy, the mother may experience false labor, or Braxton-
Hicks contractions, in which there are contractions but they do not represent
true labor. Unlike true labor contractions, Braxton-Hicks contractions do not
increase in intensity, are not regular, and are typically alleviated by activity or a
change in position. The contractions associated with true labor, once they begin,
consistently get stronger and closer together and are regular; a change in
position does not relieve the contractions. True labor is also commonly followed
by, or in some cases preceded by, a rupture of the amniotic sac (bag of waters)
and a pink or red vaginal discharge that is generally accompanied by mucus
(bloody show).
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine
,approximately 15 feet from the car. Based on the child's age and mechanism of
injury, which of the following should you suspect to be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury - ANSWER-The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the
same mechanism of injury as an adult, the location of their injuries may differ
from those of an adult. For example, when an adult is struck by a vehicle, the
primary injury typically occurs at or below the knees, depending on the height
of the bumper at the time of impact. Because the child is shorter, initial impact
typically occurs at or near the pelvis. Secondary injury occurs when child's
chest collides with the vehicle's grille. Tertiary injury occurs when the child
strikes the side of his or her head on the pavement after being propelled away
from the vehicle. In some cases, the child is pulled underneath the vehicle and is
dragged.
Upon delivery of the baby's head, you note that the umbilical cord is wrapped
around its neck. You should:
• A:immediately clamp and cut the cord and continue the delivery.
• B:give the mother high-flow oxygen and transport her on her side.
• C:keep the cord warm and moist and transport without delay.
• D:make one attempt to gently remove the cord from around its neck. -
ANSWER-You selected D; This is correct!
Reason:If the umbilical cord is wrapped around the baby's neck (nuchal cord),
the EMT should make one attempt to gently remove the cord from around its
neck. If this is unsuccessful, clamp and cut the cord and continue with the
delivery. A nuchal cord can cause fetal asphyxia and must be treated
immediately upon discovery.
,You have just delivered a baby girl. Your assessment of the newborn reveals
that she has a patent airway, is breathing adequately, and has a heart rate of 130
beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You
have clamped and cut the umbilical cord, but the placenta has not yet delivered.
You should:
• A:reassess the newborn every 5 minutes and transport after the placenta
delivers.
• B:massage the lower part of the mother's uterus until the placenta delivers.
• C:give the newborn high-flow oxygen via a nonrebreathing mask and
transport.
• D:keep the newborn warm, give oxygen to the mother if needed, and transport.
- ANSWER-You selected D; This is correct!
Reason: The newborn is stable and does not require care beyond providing
thermal management and monitoring. Oxygen is indicated for the newborn if it
has central cyanosis (cyanosis to the face and trunk), and should be delivered
via the blow-by technique with the flowmeter set at 5 L/min. Cyanosis to the
periphery of the body (eg, hands and feet), which is called acrocyanosis, is a
normal finding in the newborn. You should not wait at the scene for the
placenta to deliver; it can take up to 45 minutes for this to occur. Begin
transport, keep the newborn warm, and give oxygen to the mother if indicated.
Massaging the uterine fundus (top part of the uterus) is indicated for women
with postpartum vaginal bleeding (ie, BOTH the baby and placenta have
delivered).
The function of the uterus is to:
• A:house the fetus as it grows for 40 weeks.
• B:provide oxygen and other nutrients to the fetus.
• C:dilate and expel the baby from the cervix.
• D:provide a cushion and protect the fetus from infection. - ANSWER-You
selected A; This is correct!
, Reason:The uterus is a muscular organ where the fetus grows for 37 to 42
weeks (average of 40 weeks). It is responsible for contracting during labor,
which in conjunction with dilation of the cervix (the opening of the uterus),
expels the baby from the uterus into the birth canal. The placenta is the organ of
exchange that delivers oxygen and other nutrients from the mother to the fetus
and returns metabolic waste products from the fetus to the mother. The amniotic
sac, also called the bag of waters, provides a cushion for the developing fetus
and helps protect it from infection.
The 5-minute Apgar assessment of a newborn reveals a heart rate of 130
beats/min, cyanosis to the hands and feet, and rapid respirations. The infant
cries when you flick the soles of its feet and resists attempts to straighten its
legs. These findings equate to an Apgar score of:
• A:8
• B:10
• C:7
• D:9 - ANSWER-The correct answer is D;
Reason: The Apgar score, which is obtained at 1 and 5 minutes after birth (and
every 5 minutes thereafter), assigns numbers (0, 1, or 2) to the following five
areas: Appearance, Pulse, Grimace, Activity, and Respirations. A score of 1 is
assigned for appearance if the newborn's body is pink, but its hands and feet
remain blue. If its heart rate is greater than 100 beats/min, it receives a score of
2 for the pulse. If it cries and tries to move its foot away when soles of its feet
are flicked, it is assigned a score of 2 for grimace/irritability. If it resists
attempts to straighten its hips and knees, a score of 2 is assigned for
activity/muscle tone. If its respirations are rapid, a score of 2 is assigned. Based
on these parameters, the newborn in this scenario would receive an Apgar score
of 9. Refer to your EMT textbook for a complete review of the Apgar score.
The transition phase of the pediatric assessment process would be the LEAST
appropriate if:
• A:the child is unstable and needs rapid transport.
• B:you determine that the child's condition is stable.
VERIFIED ANSWERS|| ALREADY GRADED A+||
GUARANTEED PASS|| LATEST UPDATE
In contrast to the contractions associated with true labor, Braxton-Hicks
contractions:
• A:consistently become stronger and are not alleviated by changing position.
• B:may be intensified by activity and are accompanied by a pink discharge.
• C:do not increase in intensity and are alleviated by a change in position.
• D:generally follow rupture of the amniotic sac and occur with regularity. -
ANSWER-You selected C; This is correct!
Reason:During pregnancy, the mother may experience false labor, or Braxton-
Hicks contractions, in which there are contractions but they do not represent
true labor. Unlike true labor contractions, Braxton-Hicks contractions do not
increase in intensity, are not regular, and are typically alleviated by activity or a
change in position. The contractions associated with true labor, once they begin,
consistently get stronger and closer together and are regular; a change in
position does not relieve the contractions. True labor is also commonly followed
by, or in some cases preceded by, a rupture of the amniotic sac (bag of waters)
and a pink or red vaginal discharge that is generally accompanied by mucus
(bloody show).
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine
,approximately 15 feet from the car. Based on the child's age and mechanism of
injury, which of the following should you suspect to be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury - ANSWER-The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the
same mechanism of injury as an adult, the location of their injuries may differ
from those of an adult. For example, when an adult is struck by a vehicle, the
primary injury typically occurs at or below the knees, depending on the height
of the bumper at the time of impact. Because the child is shorter, initial impact
typically occurs at or near the pelvis. Secondary injury occurs when child's
chest collides with the vehicle's grille. Tertiary injury occurs when the child
strikes the side of his or her head on the pavement after being propelled away
from the vehicle. In some cases, the child is pulled underneath the vehicle and is
dragged.
Upon delivery of the baby's head, you note that the umbilical cord is wrapped
around its neck. You should:
• A:immediately clamp and cut the cord and continue the delivery.
• B:give the mother high-flow oxygen and transport her on her side.
• C:keep the cord warm and moist and transport without delay.
• D:make one attempt to gently remove the cord from around its neck. -
ANSWER-You selected D; This is correct!
Reason:If the umbilical cord is wrapped around the baby's neck (nuchal cord),
the EMT should make one attempt to gently remove the cord from around its
neck. If this is unsuccessful, clamp and cut the cord and continue with the
delivery. A nuchal cord can cause fetal asphyxia and must be treated
immediately upon discovery.
,You have just delivered a baby girl. Your assessment of the newborn reveals
that she has a patent airway, is breathing adequately, and has a heart rate of 130
beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You
have clamped and cut the umbilical cord, but the placenta has not yet delivered.
You should:
• A:reassess the newborn every 5 minutes and transport after the placenta
delivers.
• B:massage the lower part of the mother's uterus until the placenta delivers.
• C:give the newborn high-flow oxygen via a nonrebreathing mask and
transport.
• D:keep the newborn warm, give oxygen to the mother if needed, and transport.
- ANSWER-You selected D; This is correct!
Reason: The newborn is stable and does not require care beyond providing
thermal management and monitoring. Oxygen is indicated for the newborn if it
has central cyanosis (cyanosis to the face and trunk), and should be delivered
via the blow-by technique with the flowmeter set at 5 L/min. Cyanosis to the
periphery of the body (eg, hands and feet), which is called acrocyanosis, is a
normal finding in the newborn. You should not wait at the scene for the
placenta to deliver; it can take up to 45 minutes for this to occur. Begin
transport, keep the newborn warm, and give oxygen to the mother if indicated.
Massaging the uterine fundus (top part of the uterus) is indicated for women
with postpartum vaginal bleeding (ie, BOTH the baby and placenta have
delivered).
The function of the uterus is to:
• A:house the fetus as it grows for 40 weeks.
• B:provide oxygen and other nutrients to the fetus.
• C:dilate and expel the baby from the cervix.
• D:provide a cushion and protect the fetus from infection. - ANSWER-You
selected A; This is correct!
, Reason:The uterus is a muscular organ where the fetus grows for 37 to 42
weeks (average of 40 weeks). It is responsible for contracting during labor,
which in conjunction with dilation of the cervix (the opening of the uterus),
expels the baby from the uterus into the birth canal. The placenta is the organ of
exchange that delivers oxygen and other nutrients from the mother to the fetus
and returns metabolic waste products from the fetus to the mother. The amniotic
sac, also called the bag of waters, provides a cushion for the developing fetus
and helps protect it from infection.
The 5-minute Apgar assessment of a newborn reveals a heart rate of 130
beats/min, cyanosis to the hands and feet, and rapid respirations. The infant
cries when you flick the soles of its feet and resists attempts to straighten its
legs. These findings equate to an Apgar score of:
• A:8
• B:10
• C:7
• D:9 - ANSWER-The correct answer is D;
Reason: The Apgar score, which is obtained at 1 and 5 minutes after birth (and
every 5 minutes thereafter), assigns numbers (0, 1, or 2) to the following five
areas: Appearance, Pulse, Grimace, Activity, and Respirations. A score of 1 is
assigned for appearance if the newborn's body is pink, but its hands and feet
remain blue. If its heart rate is greater than 100 beats/min, it receives a score of
2 for the pulse. If it cries and tries to move its foot away when soles of its feet
are flicked, it is assigned a score of 2 for grimace/irritability. If it resists
attempts to straighten its hips and knees, a score of 2 is assigned for
activity/muscle tone. If its respirations are rapid, a score of 2 is assigned. Based
on these parameters, the newborn in this scenario would receive an Apgar score
of 9. Refer to your EMT textbook for a complete review of the Apgar score.
The transition phase of the pediatric assessment process would be the LEAST
appropriate if:
• A:the child is unstable and needs rapid transport.
• B:you determine that the child's condition is stable.
