ALL NREMT SET 3 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ delivery is imminent if. Answer: -there are signs of crowning
-contractions are less than 2 minutes apart and last from 60-90
seconds
-patient has strong urge to push
-abdomen is very hard
*before deciding to deliver on scene, contact medical direction for
permission
◉ 3rd stage of labor. Answer: "placental"
Begins with the birth of the infant and ends with the delivery of the
placenta
5 to 20 minutes after delivery of baby
◉ para/gravida. Answer: para - number of births carried to term
(includes stillbirths)
gravida - number of times pregnant
◉ Eclampsia. Answer: Seizures that occur as a result of hypertension
,◉ Abruptio placenta. Answer: Usually results with trauma and
causes massive bleeding and severe pain. When the placenta
separates prematurely from the wall of the uterus
◉ Placenta previa. Answer: When the placenta develops over and
covers the cervix
-painless vaginal bleeding in third trimester
◉ ruptured uterus. Answer: -can result in severe blood loss and
death of fetus
-tearing sensation in abdomen, constant and severe abdominal pain,
ability to palpate fetus
◉ Emergency pregnancy situations. Answer: 1. More than 30
minutes elapse and the placenta has not delivered
2. There is more than 500 mL of bleeding before delivery of the
placenta
3. There is significant bleeding after the delivery of the placenta
◉ Prolapsed umbilical cord. Answer: A situation in which the
umbilical cord comes out of the vagina before the infant. The infant's
head will compress the cord, cutting off its own circulation. Place the
woman with her hips elevated and insert your hand into the vagina
to push the infant's head away from the cord
,◉ Breech presentation. Answer: Can be delivered in the field - butt
first. The only other time to insert your hand into the vagina is to
push the walls of the vagina off the infant's airway as the head comes
out.
◉ limb presentation. Answer: -position mother so that hips are
elevated
-transport asap
◉ APGAR Appearance. Answer: Pink = 2
Pink and blue = 1
Blue = 0
◉ APGAR Pulse. Answer: 100 beats/min = 2
Fewer than 100 = 1
Absent pulse = 0
◉ APGAR Grimace. Answer: Infant cries and moves foot from
stimulus; grimaces = 2
Weak cry (facial grimace) = 1
Does not cry or react = 0
, ◉ APGAR Activity. Answer: Resists attempts to straighten knees or
hips = 2
Infant makes weak attempts to resist straightening = 1
Infant is limp with no muscle tone = 0
◉ APGAR Respiration. Answer: Rapid respirations = 2
Slow respirations = 1
Absent respirations = 0
◉ When is blow-by oxygen indicated on a newborn?. Answer:
Indicated for infants with cyanosis that is not dissipating
heart rate between 100-180
spontaneous breathing
◉ When is artificial ventilations indicated on a newborn?. Answer:
Indicated for infants with cyanosis and a heart rate of less than 100
or if the infant is apneic
breathing is shallow, slow, or absent
◉ When to begin resuscitation efforts on a newborn?. Answer: If the
infant does not breathe after 10 to 15 seconds
HR drops to less than 60
QUESTIONS AND CORRECT ANSWERS
◉ delivery is imminent if. Answer: -there are signs of crowning
-contractions are less than 2 minutes apart and last from 60-90
seconds
-patient has strong urge to push
-abdomen is very hard
*before deciding to deliver on scene, contact medical direction for
permission
◉ 3rd stage of labor. Answer: "placental"
Begins with the birth of the infant and ends with the delivery of the
placenta
5 to 20 minutes after delivery of baby
◉ para/gravida. Answer: para - number of births carried to term
(includes stillbirths)
gravida - number of times pregnant
◉ Eclampsia. Answer: Seizures that occur as a result of hypertension
,◉ Abruptio placenta. Answer: Usually results with trauma and
causes massive bleeding and severe pain. When the placenta
separates prematurely from the wall of the uterus
◉ Placenta previa. Answer: When the placenta develops over and
covers the cervix
-painless vaginal bleeding in third trimester
◉ ruptured uterus. Answer: -can result in severe blood loss and
death of fetus
-tearing sensation in abdomen, constant and severe abdominal pain,
ability to palpate fetus
◉ Emergency pregnancy situations. Answer: 1. More than 30
minutes elapse and the placenta has not delivered
2. There is more than 500 mL of bleeding before delivery of the
placenta
3. There is significant bleeding after the delivery of the placenta
◉ Prolapsed umbilical cord. Answer: A situation in which the
umbilical cord comes out of the vagina before the infant. The infant's
head will compress the cord, cutting off its own circulation. Place the
woman with her hips elevated and insert your hand into the vagina
to push the infant's head away from the cord
,◉ Breech presentation. Answer: Can be delivered in the field - butt
first. The only other time to insert your hand into the vagina is to
push the walls of the vagina off the infant's airway as the head comes
out.
◉ limb presentation. Answer: -position mother so that hips are
elevated
-transport asap
◉ APGAR Appearance. Answer: Pink = 2
Pink and blue = 1
Blue = 0
◉ APGAR Pulse. Answer: 100 beats/min = 2
Fewer than 100 = 1
Absent pulse = 0
◉ APGAR Grimace. Answer: Infant cries and moves foot from
stimulus; grimaces = 2
Weak cry (facial grimace) = 1
Does not cry or react = 0
, ◉ APGAR Activity. Answer: Resists attempts to straighten knees or
hips = 2
Infant makes weak attempts to resist straightening = 1
Infant is limp with no muscle tone = 0
◉ APGAR Respiration. Answer: Rapid respirations = 2
Slow respirations = 1
Absent respirations = 0
◉ When is blow-by oxygen indicated on a newborn?. Answer:
Indicated for infants with cyanosis that is not dissipating
heart rate between 100-180
spontaneous breathing
◉ When is artificial ventilations indicated on a newborn?. Answer:
Indicated for infants with cyanosis and a heart rate of less than 100
or if the infant is apneic
breathing is shallow, slow, or absent
◉ When to begin resuscitation efforts on a newborn?. Answer: If the
infant does not breathe after 10 to 15 seconds
HR drops to less than 60
