West Coast EMT Block #5 (Questions and Answers A+ graded 100% verified latest update)
West Coast EMT Block #5 (Questions and Answers A+ graded 100% verified latest update) Menstruation starts Correct Ans: 11-16 purpose of the amniotic sac Correct Ans: protect and insulate fetus during true labor, contractions: Correct Ans: increase in intensity and become closer together the end of the third trimester the baby sinks into the birth canal (lightening) which reliefs what of the mother Correct Ans: breathing what to do when there is a nuchal cord Correct Ans: try to pull around the baby's neck, if unsuccessful cut what to do in the case of a limb presentation Correct Ans: cover the limb and transport the mother supine, head down, pelvis elevated only 2 times that you put your gloved hand into a woman's vagina Correct Ans: breech birth and prolapsed cord requirements for a baby to be premature Correct Ans: under 36 weeks or less that 5 pounds grunting in children is Correct Ans: attempt to keep alveoli open by increasing pressure in the chest cavity don't access BP in children under Correct Ans: 3 PAT Correct Ans: allows you to forms a general impression of the child quickly and visually NPAs are rarely used in Correct Ans: infants under 1 what happens in an NPA is too long Correct Ans: stimulate the vagus nerve, slows HR, enters esophagus and causes gastric distention most common S&S of head injury in children Correct Ans: nausea and vomiting the umbilical cord has Correct Ans: 2 arteries and 1 vein priority after child is born Correct Ans: airway, then keep warm and dry respiratory rate of infant 1 month to 1 year Correct Ans: 30 to 60 respiratory rate of toddler 1 to 3 years Correct Ans: 24 to 40 respiratory rate of preschool 4 to 5 years Correct Ans: 22 to 34 respiratory rate of school 6 to 12 years Correct Ans: 18 to 30 respiratory rate of adolescent 13 to 18 years Correct Ans: 12 to 16 pulse rate of newborn to 3 months Correct Ans: 85 to 205 pulse rate of 3 months to 2 years Correct Ans: 100 to 190 pulse rate of 2 years to 10 years Correct Ans: 60 to 140 pulse rate of over 10 year olds Correct Ans: 60 to 100 A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and her respirations are 22 breaths/min with adequate depth. She tells you that she inserted a tampon about 2 hours ago. You should: A. administer high-flow oxygen, ask her to remove the tampon, perform a detailed secondary assessment, and transport promptly. B. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay. C. administer high-flow oxygen, perform a detailed assessment of her vaginal area for signs of trauma, place her on her side, and transport. D. assist her ventilations with a bag-valve mask, place one sterile dressing into her vagina, perform a rapid secondary assessment, and transport. Correct Ans: B. administer high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower extremities, and transport without delay A patient with pelvic inflammatory disease will typically complain of _________. A. bleeding associated with stress B. abdominal pain associated with menstruation C. aches and fever associated with urination D. nausea and vomiting associated with intercourse Correct Ans: B. abdominal pain associated with menstruation Causes of vaginal bleeding include which of the following? A. Ectopic pregnancy B. Vaginal trauma C. Spontaneous abortion D. All of these answers are correct. Correct Ans: D. All of these answers are correct. During gynecologic emergencies, in addition to the standard SAMPLE questions, the EMT should attempt to determine which of the following? Select one: A. The amount of time since of the patent's last menstrual cycle B. The possibility that the patient may be pregnant C. If the patient is sexually active D. All of these answers are correct. Correct Ans: D. All of these answers are correct. In anticipation of receiving a fertilized ovum, the lining of the uterine wall: Select one: A. sheds and is expelled externally. B. thins and begins to separate. C. becomes engorged with blood. D. diverts blood flow to the vagina. Correct Ans: C. becomes engorged with blood. In cases of sexual assault, it is important to ensure that you do which of the following? Select one: A. Immediately write down your observations of the scene before assessing the patient. B. Call for a female EMT or ALS care provider. C. Discuss with law enforcement any suspicions that you may have about the perpetrator. D. All of these answers are correct. Correct Ans: D. All of these answers are correct. In contrast to bleeding caused by external trauma to the vagina, bleeding caused by conditions such as polyps or cancer: Select one: A. is typically not as severe. B. often presents with acute pain. C. can be controlled in the field. D. may be relatively painless. Correct Ans: D. may be relatively painless. It is common for young females who experience their first menstrual period to: Select one: A. become so emotionally distraught that they contemplate suicide. B. have a false positive home pregnancy test result. C. lose up to 500 mL of blood within the first 24 hours. D. experience abdominal cramping, which may be misinterpreted. Correct Ans: D. experience abdominal cramping, which may be misinterpreted. Law enforcement personnel request your assistance to assess a 31-year-old female who was sexually assaulted. When you arrive at the scene, you find the patient sitting on a curb outside her apartment. She is conscious, alert, and crying. When you ask her what happened, she tells you that she does not want to be treated or transported to the hospital. She further tells you that all she wants to do is clean up. You should: Select one: A. provide emotional support and visually assess her for obvious trauma. B. advise her that she cannot clean herself up because this will destroy evidence. C. perform a limited hands-on assessment to detect life-threatening injuries. D. ask her if there is anyone you can contact, such as a friend or relative. Correct Ans: A. provide emotional support and visually assess her for obvious trauma. Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? Select one: A. Chlamydia B. Gonorrhea C. Pelvic inflammatory disease D. Bacterial vaginosis Correct Ans: C. Pelvic inflammatory disease Some women experience ___________ during ovulation. Select one: A. hypotension B. severe bleeding C. severe abdominal pain D. slight cramping Correct Ans: D. slight cramping The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. Select one: A. labia majora; labia minora B. vagina; cervix C. perineum; anus D. fallopian tubes; uterus Correct Ans: A. labia majora; labia minora he _____________ connect(s) each ovary with the uterus. Select one: A. fallopian tubes B. cervix C. egg D. abdomen Correct Ans: A. fallopian tubes The EMT should ensure that vaginal bleeding is _________. Select one: A. taken seriously and the patient is transported for gynecologic evaluation B. controlled directly by the patient C. not caused by traumatic injury D. severe enough to warrant transport Correct Ans: A. taken seriously and the patient is transported for gynecologic evaluation The
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