Download Emergency Care for Infants, Children, and Pregnant Women and more Exams Medicine in PDF only on Docsity!
OB/GYN 92 Exam Review Quiz (FISDAP)
a 6 year old male presents with respiratory distress his mother states that she saw him put a small toy into his mouth shortly before the episode began the child is conscious, obviously frightened, and is coughing forcefully you should: - โ โ encourage him to cough, give oxygen as tolerated, and transport a history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: - โ โ an ectopic pregnancy a mother who is pregnant with her first baby is typically in the first stage of labor for approximately: - โ โ 16 hours a newborn infant will usually begin breathing spontaneously within __________ seconds following birth
- โ โ 15 to 30 a normal level of consciousness in an infant or child is characterized by: - โ โ age-appropriate behavior, good muscle tone, and good eye contact a precipitous labor and delivery is MOST common in women who: - โ โ have delivered a baby before a pregnant trauma patient might lose a significant amount of blood before showing signs of shock because: - โ โ pregnant patients have an overall increase in blood volume abruptio placenta occurs when: - โ โ the placenta prematurely separates from the uterine wall after a baby is born, it is important to: - โ โ ensure that it is thoroughly dried and warmed after delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should: - โ โ provide emotional support to the mother after delivery of the placenta, the mother is experiencing vaginal bleeding after massaging the uterine fundus and allowing mother to breastfeed, the bleeding stops this occurred because: - โ โ the production of oxytocin caused uterine contraction after the fetus has descended into the pelvis at the end of the third trimester, many mothers experience: - โ โ easier breathing
effective methods for providing pain relief to a child with an extremity injury include: - โ โ positioning, ice packs, and extremity elevation EMTs are assessing a 2 year old child who was riding in a car seat when the vehicle struck a tree while traveling at 45 MPH the child is conscious and appears alert there are no obvious signs of trauma to the child, and the car seat does not appear to be damaged the EMTs should: - โ โ remove the child from the car sear and secure him to a pediatric immobilization device EMTs are called for an unresponsive infant when they arrive, they find the mother holding her child she advises that the child became limp, blue, and stopped breathing. assessment reveals that the infant is conscious and crying, and has good muscle tone and pink skin color the mother states that she will take her child to the doctor the EMTs should: - โ โ inform that mother that, although the event seems to have resolved, transport via EMS is advisable febrile seizures are MOST common in children between: - โ โ 6 months and 6 years fetal complications associated with drug- or alcohol-addicted mothers include all of the following, EXCEPT: - โ โ profound tachycardia following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord during transport, you note that the mother is experiencing moderate vaginal bleeding you should: - โ โ firmly massage the uterine fundus with a circular motion if a baby is born at 7:52, the second Apgar score should be calculated at: - โ โ 7: if a pregnant patient must be placed onto a backboard, you should: - โ โ elevate the right side of the board with rolled towels or blankets immediate transport is indicated for a child when he or she: - โ โ has a history compatible with a serious illness in contrast to a full-term infant, a premature infant: - โ โ has an even proportionately larger head
the vagina and the neck of the uterus compromise the: - โ โ birth canal three days after delivering her baby, a 30 year old woman complains of a sudden onset of difficulty breathing her level of consciousness is decreased, and she is tachycardic the EMT should suspect: - โ โ pulmonary embolism upon delivery of an infant's head, you note that the umbilical cord is wrapped around its neck you should: - โ โ first attempt to slip the cord gently over the infant's head upon delivery of the baby's head, you note that its face is encased in the unruptured amniotic sac you should: - โ โ puncture the sac and suction the baby's mouth and nose use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: - โ โ his or her tidal volume is adequate when a child experiences a blunt chest injury: - โ โ the flexible ribs can be compressed without breaking when administering oxygen to a frightened child, it would be MOST appropriate to: - โ โ place oxygen tubing through a hole in a paper cup when assessing an 8 year old child, you should: - โ โ talk to the child, not just the caregiver when determining the frequency of contractions, you should time the contractions from the: - โ โ start of one to the start of the next when the mother is experiencing a contraction, you should instruct her to: - โ โ take quick short breaths which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy - โ โ increased respiratory rate and decreased respiratory reserve which of the following is an indication of imminent birth - โ โ crowning of the baby's head which of the following is NOT a component of the Apgar score - โ โ body size which of the following is NOT generally considered an obstetrical emergency - โ โ return of contractions following delivery of the baby
an 8 year old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother she is conscious, but clearly restless her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min she is receiving high-flow oxygen via a nonrebreathing mask you should: - โ โ be prepared to assister her ventilations, transport at once, and request an ALS intercept en route to the hospital an infant is premature if it: - โ โ weighs less than 5 pounds or is born before 36 weeks' gestation. an infant with severe dehydration would be expected to present with: - โ โ absent urine output before positioning an infant or child's airway, you should: - โ โ place him or her on a firm surface braxton-hicks contractions are characterized by: - โ โ alleviation of pain with movement or changing positions bruising to the __________ is LEAST suggestive of child abuse - โ โ shins by the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: - โ โ belly button children with N meningitides would MOST likely present with: - โ โ cherry-red spots or a purplish rash common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT: - โ โ positive-pressure ventilation CPR is in progress on a pulseless and apneic 29 year old woman who is 37 weeks pregnant when treating this patient, the EMT should: - โ โ manually displace the patient's uterus to the left during delivery, it is MOST important to position your partner at the mother's head because: - โ โ the mother might become nauseated and vomit during your visual inspection of a 25 year old woman in labor, you see the baby's head crowning at the vaginal opening what should you do - โ โ apply gentle pressure to the baby's head as it delivers eclampsia is MOST accurately defined as: - โ โ seizures that result from severe hypertension
the MOST appropriate treatment for this child includes: - โ โ administering blow-by oxygen and transporting the child with her mother 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: - โ โ 8 you have just delivered a full-term infant his respirations are rapid and irregular, and he has a strong cry what should you do next - โ โ check the pulse rate at the brachial artery 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: - โ โ keep him warm and ventilate with a bag-mask device you respond to a skate park where a 10 year old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet he is responsive to painful stimuli only and has a large hematoma to the back of his head after your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular his pulse is slow and bounding you should: - โ โ assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center your 22 year old patient is in active labor upon visual inspection, you note that the infant's leg is protruding from the vagina appropriate management of this situation includes: - โ โ placing the mother supine with her head down and pelvis elevated a 2 month old infant was found unresponsive in his crib by his mother when you arrive, you determine that the infant is apneic and pulseless
his skin is pale and cold and his arms are stiff you should: - โ โ inform the child's mother that her son is deceased a 2 year old female has experienced a seizure when you arrive at the scene, the child is conscious, crying, and clinging to her mother her skin is hot and moist the mother tells you that the seizure lasted approximately 5 minutes she further tells you that her daughter has no history of seizures but has had a recent ear infection you should: - โ โ cool the child with tepid water and transport to the hospital a 26 tear old female who is 34 weeks pregnant is experiencing a seizure her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days you should: - โ โ place her on her side, administer high-flow oxygen, and transport a 3 year old male is pulseless and apneic after a witnessed electrocution you do not have pediatric AED pads what should you do - โ โ use the adult pads a 33 year old woman who is 36 weeks pregnant is experiencing vaginal bleeding during transport, you note that she suddenly became diaphoretic, tachycardia, and hypotensive you should: - โ โ place her in a left lateral recumbent position a 4 year old, 16 kg female ingested an unknown quantity of liquid drain cleaner your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth you should: - โ โ monitor her airway and give oxygen a 5 year old child has had severe vomiting and diarrhea for 4 days which of the following assessment findings would be the MOST indicative of decompensated shock - โ โ blood pressure of 70/40 mm HG a 6 month old male presents with 2 days of vomiting and diarrhea
