EMT Exam 6 Chap 33-41 (JBL) questions and
answers with solutions
Placenta previa is defined as:
A) delivery of a portion of the placenta before the baby.
B) premature placental separation from the uterine wall.
C) abnormal development and functioning of the placenta.
D) development of the placenta over the cervical opening. - ANSWER D
2. 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
3. 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
,4. The onset of labor begins with:
A) thinning of the uterus.
B) full dilation of the cervix.
C) increased fetal movement.
D) contractions of the uterus. - ANSWER D
5. Supine hypotensive syndrome occurs when:
A) a supine position kinks the ascending aorta.
B) the pregnant uterus compresses the inferior vena cava.
C) the superior vena cava is compressed by the uterus.
D) blood pressure decreases as a result of hypovolemia. - ANSWER B
6. Following delivery of the placenta, the mother is experiencing vaginal
bleeding. After massaging the uterine fundus and allowing the mother to
breastfeed, the bleeding stops. This occurred because:
A) breastfeeding causes uterine blood vessels to dilate.
B) a portion of the placenta was retained in the uterus.
C) uterine massage increases blood flow to the uterus.
D) these actions simulate the production of oxytocin and cause uterine
contraction. - ANSWER D
7. 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. You have just delivered a premature baby. Your assessment reveals
that he is breathing adequately; however, his heart rate is 90 beats/min.
You should:
A) keep him warm and ventilate with a BVM.
B) begin chest compressions and reassess in 30 seconds.
C) clamp and cut the umbilical cord and keep him warm.
D) assess his skin color and give free-flow oxygen as needed. - ANSWER
A
9. Which of the following occurs during true labor?
A) Uterine contractions decrease in intensity.
B) The uterus becomes very soft and movable.
C) Uterine contractions become more regular.
D) Uterine contractions last about 10 seconds. - ANSWER C
10. Which of the following is NOT generally considered an obstetrical
emergency?
A) Failure of the placenta to deliver after 30 minutes
, B) Significant bleeding after delivery of the placenta
C) Return of contractions following delivery of the baby
D) More than 500 mL of blood loss before placental delivery - ANSWER C
11. If a baby is born at 7:52, the second Apgar score should be
calculated at:
A) 7:53.
B) 7:57.
C) 7:59.
D) 8:00. - ANSWER B
12. 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
13. You are attending to a 23-year-old female patient who is 16 weeks
pregnant with her second child. The patient has apparently fallen and
sustained an injury to her upper right arm. When you ask about the
incident history, the patient is reluctant to explain what happened and
becomes very quiet. Based on this information, you should:
A) immediately remove the patient from the environment and transport.
B) contact police and remain at the scene until they arrive and escort
you to the hospital.
answers with solutions
Placenta previa is defined as:
A) delivery of a portion of the placenta before the baby.
B) premature placental separation from the uterine wall.
C) abnormal development and functioning of the placenta.
D) development of the placenta over the cervical opening. - ANSWER D
2. 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
3. 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
,4. The onset of labor begins with:
A) thinning of the uterus.
B) full dilation of the cervix.
C) increased fetal movement.
D) contractions of the uterus. - ANSWER D
5. Supine hypotensive syndrome occurs when:
A) a supine position kinks the ascending aorta.
B) the pregnant uterus compresses the inferior vena cava.
C) the superior vena cava is compressed by the uterus.
D) blood pressure decreases as a result of hypovolemia. - ANSWER B
6. Following delivery of the placenta, the mother is experiencing vaginal
bleeding. After massaging the uterine fundus and allowing the mother to
breastfeed, the bleeding stops. This occurred because:
A) breastfeeding causes uterine blood vessels to dilate.
B) a portion of the placenta was retained in the uterus.
C) uterine massage increases blood flow to the uterus.
D) these actions simulate the production of oxytocin and cause uterine
contraction. - ANSWER D
7. 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. You have just delivered a premature baby. Your assessment reveals
that he is breathing adequately; however, his heart rate is 90 beats/min.
You should:
A) keep him warm and ventilate with a BVM.
B) begin chest compressions and reassess in 30 seconds.
C) clamp and cut the umbilical cord and keep him warm.
D) assess his skin color and give free-flow oxygen as needed. - ANSWER
A
9. Which of the following occurs during true labor?
A) Uterine contractions decrease in intensity.
B) The uterus becomes very soft and movable.
C) Uterine contractions become more regular.
D) Uterine contractions last about 10 seconds. - ANSWER C
10. Which of the following is NOT generally considered an obstetrical
emergency?
A) Failure of the placenta to deliver after 30 minutes
, B) Significant bleeding after delivery of the placenta
C) Return of contractions following delivery of the baby
D) More than 500 mL of blood loss before placental delivery - ANSWER C
11. If a baby is born at 7:52, the second Apgar score should be
calculated at:
A) 7:53.
B) 7:57.
C) 7:59.
D) 8:00. - ANSWER B
12. 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
13. You are attending to a 23-year-old female patient who is 16 weeks
pregnant with her second child. The patient has apparently fallen and
sustained an injury to her upper right arm. When you ask about the
incident history, the patient is reluctant to explain what happened and
becomes very quiet. Based on this information, you should:
A) immediately remove the patient from the environment and transport.
B) contact police and remain at the scene until they arrive and escort
you to the hospital.
