SOLVED

21) Your patient is a 25-year-old female who is 38 weeks pregnant and complaining of contractions. She states that she has been feeling contractions every 6 to 8 minutes for the past hour, has a cramping in her lower abdomen and is leaking amniotic fluid. She states that she has been receiving prenatal care and has been identified as high risk for placenta previa. HR = 100, BP = 122/76, RR = 18, SpO2 = 99%. Which of the following is most appropriate? A) Start a large-bore IV at a keep-open rate and monitor maternal vitals and FHT’s. B) Administer oxygen by nonrebreather mask and start a large-bore IV at 100 mL/hour. C) Start an IV of normal saline at a keep-open rate and consult with medical direction about administering terbutaline. D) Administer oxygen by nonrebreather mask. 22) A newborn who presents with a heart rate of 58 and does not respond to 30 seconds of BVM ventilation with 100 percent O2. The next step would be to: A) ventilate with 100 percent O2 for 30 seconds more and reassess. B) continue ventilations, cannulate the umbilical vein, and administer epinephrine. C) initiate chest compressions and reassess. D) perform endotracheal intubation and administer epinephrine. 23) Which of the following paramedic actions is indicated after uncomplicated delivery of the newborn? A) Performing fundal massage to maintain uterine contraction B) Placing the mother on oxygen by nonrebreather mask C) Applying gentle traction to the umbilical cord to assist with delivery of the placenta D) Administering oxytocin 24) Which of the following would be considered routine prehospital care of the patient who is exhibiting indications of imminent delivery? A) Rupturing the membranes B) Establishing an IV of normal saline C) Administering oxytocin D) Placing the patient fully supine for transport 25) Which of the following statements about the umbilical cord is TRUE? A) The umbilical vein supplies oxygenated blood to the fetus. B) The umbilical cord is approximately 6 feet long. C) It has two veins and one artery. D) Arteries connected to the maternal circulation supply blood to the fetus. 26) Which of the following structures allows the delivery of oxygen and nutrients to and removal of wastes from the fetus? A) Amniotic sac B) Allantois C) Placenta D) Morula 27) The structure that connects the umbilical vein directly to the inferior vena cava is the: A) foramen arteriosus. B) ductus arteriosus. C) foramen ovale. D) ductus venosus. 28) The premature separation of the placenta from the uterine wall is called: A) placenta previa. B) spontaneous placentae. C) abruptio placentae. D) abortion. 29) A 33-year-old female who is 30 weeks pregnant is alert and complaining of steady, bright red vaginal bleeding that began a half hour ago. She denies pain and contractions, but states that she has had spotting “on and off” during her pregnancy. Which of the following is most likely? A) Placenta previa B) Eclampsia C) Abruptio placentae D) Uterine rupture 30) Place the following neonatal resuscitation procedures in the correct order. 1. Tactile stimulation 2. CPR 3. Assisting ventilations 4. Oxygen administration 5. Suctioning 6. Administration of cardiac medications A) 1, 5, 4, 2, 3, 6 B) 5, 1, 4, 3, 2, 6 C) 4, 1, 5, 3, 6, 2 D) 4, 5, 1, 3, 2, 6