NREMT Obstetrics & Gynecology Emergencies 2

Question 1

A pregnant patient at 36 weeks gestation presents with painless vaginal bleeding. The EMT's priority should be:

Accepted Answer

Transport rapidly, avoid vaginal examination, and monitor mother and fetus

Answer

Perform a vaginal examination to assess the source of bleeding

Answer

Apply direct pressure to the vagina to control bleeding

Answer

Reassure the patient that spotting is normal in late pregnancy

Question 2

During delivery, the baby's head is crowning but after delivery of the head, the shoulders cannot be delivered. This is known as:

Accepted Answer

Shoulder dystocia

Answer

Cephalic presentation

Answer

Breech presentation

Answer

Prolapsed cord

Question 3

A pregnant patient at 32 weeks is experiencing seizures and has a blood pressure of 170/110 mmHg. She has no prior history of seizures. This presentation is most consistent with:

Accepted Answer

Eclampsia

Answer

Gestational diabetes

Answer

Placental abruption

Answer

Hyperemesis gravidarum

Question 4

Upon delivery, the umbilical cord is wrapped around the baby's neck (nuchal cord). The EMT should:

Accepted Answer

Attempt to loop the cord over the baby's head; if tight, clamp and cut before body delivery

Answer

Immediately cut the cord before delivering the body

Answer

Pull the baby's body quickly to snap the cord free

Answer

Stop the delivery and transport immediately

Question 5

Following a normal delivery, normal findings in a newborn at 1 minute include all of the following EXCEPT:

Accepted Answer

Central cyanosis with no respiratory effort

Answer

Heart rate of 120 beats per minute

Answer

Pink trunk with blue hands and feet (acrocyanosis)

Answer

Vigorous crying and active movement

Question 6

A pregnant patient at 38 weeks calls EMS because she thinks she is in labor. On examination, the EMT observes the umbilical cord protruding from the vagina. The most important immediate intervention is:

Accepted Answer

Place the mother in a position to relieve pressure on the cord and transport emergently

Answer

Attempt to push the cord back into the vagina

Answer

Clamp and cut the cord immediately

Answer

Deliver the baby as quickly as possible