Questions and Answers
What should you do for a 26-year-old female who is 34 weeks pregnant and experiencing a seizure?
Place her on her side, administer high-flow oxygen, and transport.
What increases a woman's risk for an ectopic pregnancy?
A history of pelvic inflammatory disease or tubal ligations.
How long is a mother typically in the first stage of labor for her first baby?
16 hours.
What is a nuchal cord defined as?
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Why may a pregnant trauma patient lose a significant amount of blood before showing signs of shock?
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By the 20th week of pregnancy, where is the uterus typically located?
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What are common interventions used to stimulate spontaneous respirations in the newborn, EXCEPT?
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What should you do when you see the baby's head crowning during labor?
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What should you do if the mother experiences moderate vaginal bleeding after the delivery of a full-term baby?
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From what internal female organ is the fetus expelled during delivery?
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What does the amniotic fluid serve to do?
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If a baby is born at 7:52, when should the second Apgar score be calculated?
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What does the presence of meconium in the amniotic fluid indicate?
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What should the EMT suspect in a 30-year-old woman who has difficulty breathing three days after delivery?
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When determining the frequency of contractions, when should you time them?
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When preparing a pregnant patient for delivery, how should you position her?
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Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?
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What should you do if a 28-year-old female patient refuses to allow you to examine her due to cultural reasons?
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How should you continue your care for a 23-year-old female who is 16 weeks pregnant and reluctant to explain her injury?
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What is the appropriate management when the infant's leg is protruding from the vagina during active labor?
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Study Notes
Seizures in Pregnant Patients
- Pregnant women may experience seizures due to conditions like hypertension or headaches.
- Management includes positioning the patient on her side, administering high-flow oxygen, and transporting.
Ectopic Pregnancy Risk Factors
- A history of pelvic inflammatory disease or tubal ligation increases the risk for ectopic pregnancy.
Labor Duration
- First-time mothers typically experience the first stage of labor for about 16 hours.
Nuchal Cord
- Defined as an umbilical cord wrapped around the baby’s neck, which can complicate delivery.
Blood Volume in Pregnancy
- Pregnant trauma patients can lose significant blood before showing shock due to increased overall blood volume.
Uterine Positioning
- By the 20th week of pregnancy, the uterus is usually at or above the mother's belly button.
Newborn Resuscitation
- Common methods to stimulate spontaneous respirations in newborns do not include positive-pressure ventilations.
Baby Crowning
- When crowning occurs, apply gentle pressure to the baby’s head during delivery.
Post-Delivery Care
- After delivery, if moderate vaginal bleeding occurs, firmly massage the uterine fundus to control bleeding.
Delivery Process
- The fetus is expelled from the uterus during delivery, the primary internal female organ involved.
Amniotic Fluid Function
- Amniotic fluid insulates and protects the fetus in utero.
Apgar Scoring
- The second Apgar score is calculated five minutes after birth, e.g., if a baby is born at 7:52, calculate at 7:57.
Meconium in Amniotic Fluid
- The presence of meconium may indicate a risk of airway obstruction for the baby.
Pulmonary Embolism Concern
- Sudden onset of difficulty breathing and tachycardia in postpartum women may signal a pulmonary embolism.
Timing Contractions
- Frequency of contractions is measured from the start of one contraction to the start of the next.
Positioning for Delivery
- Pregnant patients in active labor should be on a firm surface with their hips elevated 2 to 4 inches.
Delivery Timing Questions
- The question regarding previous sonograms is least relevant in assessing imminent delivery.
Cultural Sensitivity in Care
- Respect patient wishes regarding care based on cultural beliefs, ensuring proper documentation and transport.
Victim Support in Private
- When a pregnant patient shows reluctance to explain an injury, provide care discreetly and document thoroughly.
Presentation of Legs during Labor
- In cases where an infant’s leg is protruding, place the mother supine with her head down and pelvis elevated for appropriate management.
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Description
Test your knowledge on critical scenarios in emergency medical services with this quiz covering Chapter 33 of the EMT Basic course. From recognizing signs of complications in pregnancy to understanding the risks associated with certain medical histories, this quiz will challenge your application of essential EMT concepts.
