SOLVED

31) Which of the following statements about neonatal resuscitation is NOT true? A) An HR below 60 bpm that is not responding to ventilation with 100 percent O2 indicates the need for chest compressions. B) The umbilical vein is an acceptable intravenous access site. C) Factors that increase the likelihood of the need for resuscitation include maternal health problems, prematurity, and inadequate prenatal care. D) The percentage of neonates needing to be resuscitated out-of-hospital is less than in-hospital. 32) Management of the birth of twins is often made difficult by: A) rapid succession of the births. B) one infant presenting vertex and the other breech. C) the infants sharing the placenta. D) low birth weight of both infants. 33) Which of the following is appropriate in the care of the patient in the first stage of labor? A) Allowing the newborn to nurse B) Preparing for imminent delivery C) Taking a history and performing a physical exam, D) Saving the placenta in a plastic bag for transport to the hospital 34) Your patient is a 41-year-old female who is alert and in obvious distress, complaining of abdominal pain. The patient states that she is 32 weeks pregnant and she experienced an acute onset of tearing abdominal pain this evening. She admits to smoking cocaine this afternoon. She is G5P2 with two spontaneous abortions. Her skin is cool, moist, and pale, and you note about 50 mL of dark red vaginal bleeding. Her abdomen is rigid to palpation in all quadrants. HR = 128, BP = 90/52, RR = 22, SpO2 = 96%. Which of the following is most likely? A) Placenta previa B) Abruptio placentae C) Preeclampsia D) Preterm labor 35) Which of the following statements about trauma in pregnancy is FALSE? A) Physical abuse can occur in six to seven percent of all pregnancies. B) Signs and symptoms of shock generally occur early and consistently. C) Maternal catecholamine release can cause uterine hypoperfusion and fetal bradycardia. D) The risk of musculoskeletal injury is increased. 36) Your patient is a 43-year-old female who is 36 weeks pregnant and alert, complaining of abdominal pain. She states that she slipped on a wet floor earlier today, striking her abdomen on a kitchen chair. She did not have any acute onset of pain, but over the next hour developed lower abdominal cramping similar to menstrual pain, as well as a lower back ache. She is G4P3, has a history of CVD, renal disease, and had abdominal surgery for a hernia four months ago. Based on this history, the patient is MOST likely experiencing: A) preterm labor. B) uterine rupture. C) placenta previa. D) Braxton-Hicks contractions. 37) All of the following statements about the physiologic changes during pregnancy are true, EXCEPT: A) pelvic joints loosen, causing postural changes and low back pain. B) renal tubular absorption increases. C) the urinary bladder is displaced posteriorly and inferiorly. D) gastrointestinal peristalsis is slowed. 38) The umbilical cord should be clamped in two places and cut ________ cm from the newborn. A) 5–10 B) 2–5 C) 5–7 D) 10–15 39) Which of the following is NOT useful to the prehospital care provider when obtaining the history of a pregnant patient? A) Estimated due date B) The father’s general health C) History of prenatal care D) Outcomes of previous pregnancies 40) The most important consideration when managing a premature infant is: A) preventing the loss of body heat. B) administering 100 percent oxygen. C) determining blood glucose. D) continuously suctioning the airway.