NREMT Exam Questions and Answers 100%
Correct
Insulin shock Hypoglycemic crisis
Signs of opioids Depressant, like heroin or oxycodone. Causes hypoventilation or respiratory
arrest, pinpoint pupils, sedation or coma, hypotension. Everything "depresses"
Sympathomimetics Stimulants, like epinephrine or cocaine. Causes hypertension,
tachycardia, dilated pupils, agitation, hyperthermia. Everything "stimulates"
Sedative-hypnotics Type of depressant, like alcohol. Slurred speech, sedation or coma,
hypoventilation, hypotension. Induces sleep.
Anticholinergics Type of stimulant, like atropine. Tachycardia, hyperthermia, hypertension,
dilated pupils. Same as sympathomimetics.
Cholingergics excess defecation or urination, pinpoint pupils, airway compromise, salivation,
nausea/vomiting
Signs of chlamydia Lower abdominal pain, low back pain, nausea, fever
Signs of gonorrhea No symptoms for a while, painful urination, discharge
,Blood volume during pregnancy Can increase as much as 50%
Umbilical cord Contains two arteries and one vein. The vein carries oxygenated blood and
arteries carry deoxygenated blood from the fetus to the woman.
delivering a baby! -position mother with knees drawn up and spread apart; hips elevated and
feet flat on the surface
-apply gentle pressure to head avoiding fontanelle to prevent explosive deliver
-check for nuchal cord. remove it. if you can't and there isn't a chance of multiple deliveries,
place two clamps 2-3 inches apart and cut between clamps
-as soon as head is delivered, suction mouth and then nose
-dry and wrap in a blanket; place at level of vagina until umbilical cord is cut
-cut when pulsations stop (first clamp 6 inches from infant's abdomen and second 9 inches)
-up to 500 mL is normal
1st stage of labor "dilation"
Begins with the onset of contractions and ends when the cervix is fully dilated (10 cm)
can last about 18+ hours
2nd stage of labor "expulsion"
Begins when the fetus enters the birth canal and ends when the infant is born
can last about an hour
,Preeclampsia Pregnancy-induced hypertension. Headache, seeing spots, edema, anxiety, high
BP
-greater than 140/90 or increase in SBP of greater than 30 or increase in DBP of greater than 15
delivery is imminent if -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 "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 para - number of births carried to term (includes stillbirths)
gravida - number of times pregnant
Eclampsia Seizures that occur as a result of hypertension
Abruptio placenta Usually results with trauma and causes massive bleeding and severe pain.
When the placenta separates prematurely from the wall of the uterus
, Placenta previa When the placenta develops over and covers the cervix
-painless vaginal bleeding in third trimester
ruptured uterus -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 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 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 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 -position mother so that hips are elevated
-transport asap
Correct
Insulin shock Hypoglycemic crisis
Signs of opioids Depressant, like heroin or oxycodone. Causes hypoventilation or respiratory
arrest, pinpoint pupils, sedation or coma, hypotension. Everything "depresses"
Sympathomimetics Stimulants, like epinephrine or cocaine. Causes hypertension,
tachycardia, dilated pupils, agitation, hyperthermia. Everything "stimulates"
Sedative-hypnotics Type of depressant, like alcohol. Slurred speech, sedation or coma,
hypoventilation, hypotension. Induces sleep.
Anticholinergics Type of stimulant, like atropine. Tachycardia, hyperthermia, hypertension,
dilated pupils. Same as sympathomimetics.
Cholingergics excess defecation or urination, pinpoint pupils, airway compromise, salivation,
nausea/vomiting
Signs of chlamydia Lower abdominal pain, low back pain, nausea, fever
Signs of gonorrhea No symptoms for a while, painful urination, discharge
,Blood volume during pregnancy Can increase as much as 50%
Umbilical cord Contains two arteries and one vein. The vein carries oxygenated blood and
arteries carry deoxygenated blood from the fetus to the woman.
delivering a baby! -position mother with knees drawn up and spread apart; hips elevated and
feet flat on the surface
-apply gentle pressure to head avoiding fontanelle to prevent explosive deliver
-check for nuchal cord. remove it. if you can't and there isn't a chance of multiple deliveries,
place two clamps 2-3 inches apart and cut between clamps
-as soon as head is delivered, suction mouth and then nose
-dry and wrap in a blanket; place at level of vagina until umbilical cord is cut
-cut when pulsations stop (first clamp 6 inches from infant's abdomen and second 9 inches)
-up to 500 mL is normal
1st stage of labor "dilation"
Begins with the onset of contractions and ends when the cervix is fully dilated (10 cm)
can last about 18+ hours
2nd stage of labor "expulsion"
Begins when the fetus enters the birth canal and ends when the infant is born
can last about an hour
,Preeclampsia Pregnancy-induced hypertension. Headache, seeing spots, edema, anxiety, high
BP
-greater than 140/90 or increase in SBP of greater than 30 or increase in DBP of greater than 15
delivery is imminent if -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 "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 para - number of births carried to term (includes stillbirths)
gravida - number of times pregnant
Eclampsia Seizures that occur as a result of hypertension
Abruptio placenta Usually results with trauma and causes massive bleeding and severe pain.
When the placenta separates prematurely from the wall of the uterus
, Placenta previa When the placenta develops over and covers the cervix
-painless vaginal bleeding in third trimester
ruptured uterus -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 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 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 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 -position mother so that hips are elevated
-transport asap
