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Q 1/26
Score 0
An Emergency Medical Responder is assisting a 32-year-old female in active labor. Upon inspection, the EMR notes that the umbilical cord is protruding from the vagina before the baby's head. What is the most appropriate immediate action?
30
Place the mother in a knee-chest position or Trendelenburg and insert a gloved hand to take pressure off the cord.
Gently push the umbilical cord back into the birth canal to prevent cooling.
Immediately clamp and cut the umbilical cord to prevent the baby from strangling.
Encourage the mother to push as hard as possible to speed up the delivery.
Q 2/26
Score 0
While assessing a patient in her third trimester of pregnancy, you find her lying supine and experiencing dizziness, lightheadedness, and a drop in blood pressure. What is the most likely cause of these symptoms?
30
Placenta previa
Preeclampsia
Gestational diabetes
Supine hypotensive syndrome
26 questions
Q.
An Emergency Medical Responder is assisting a 32-year-old female in active labor. Upon inspection, the EMR notes that the umbilical cord is protruding from the vagina before the baby's head. What is the most appropriate immediate action?
1
30 sec
Q.
While assessing a patient in her third trimester of pregnancy, you find her lying supine and experiencing dizziness, lightheadedness, and a drop in blood pressure. What is the most likely cause of these symptoms?
2
30 sec
Q.
An Emergency Medical Responder is assessing a newborn 60 seconds after birth. The infant has a pink body with blue extremities, a pulse rate of 110 beats per minute, a vigorous cry, active movement of the limbs, and a strong sneeze when the nose is suctioned. What is the calculated APGAR score for this infant?
3
30 sec
Q.
An Emergency Medical Responder is assessing a 28-year-old pregnant patient in her third trimester who reports a sudden onset of sharp, tearing abdominal pain and vaginal bleeding. Her abdomen feels very rigid and tender upon palpation. What condition should the EMR most likely suspect?
4
30 sec
Q.
An Emergency Medical Responder is assisting in the delivery of a newborn. After the head delivers, the EMR notes that the amniotic sac has not broken and is still covering the baby's head and face. What is the immediate next step?
5
30 sec
Q.
An EMR arrives on scene to find a 24-year-old female who is 36 weeks pregnant. She is currently experiencing a generalized tonic-clonic seizure. Her husband states she had a severe headache and swollen feet earlier in the day. What is the most likely diagnosis for this patient?
6
30 sec
Q.
During the delivery of a newborn, the EMR notes that the infant's head has emerged but the shoulders appear to be stuck against the mother's pubic bone, preventing further delivery despite maternal pushing. This condition is known as:
7
30 sec
Q.
An Emergency Medical Responder is assisting in a field delivery. After the infant is born and the umbilical cord has been clamped and cut, the mother begins to deliver the placenta. After the placenta is delivered, the mother continues to experience significant vaginal bleeding. Which of the following is an appropriate non-pharmacological intervention to help control post-partum hemorrhage?
8
30 sec
Q.
An Emergency Medical Responder is assessing a 19-year-old female who is in labor. During the assessment, the EMR observes the baby's buttocks presenting first at the vaginal opening instead of the head. What is the correct term for this type of delivery and the immediate priority?
9
30 sec
Q.
An Emergency Medical Responder is assessing a newborn immediately after delivery. The infant is not breathing and has a heart rate of 45 beats per minute. After drying, warming, and stimulating the baby, there is no improvement. What is the immediate next step in the neonatal resuscitation algorithm?
10
30 sec
Q.
An Emergency Medical Responder (EMR) is assessing a 32-year-old pregnant patient in her third trimester who is experiencing dizziness and hypotension while lying flat on her back. What is the most likely cause of this condition and how should it be managed?
11
30 sec
Q.
During the delivery of a newborn, the Emergency Medical Responder (EMR) notices that the umbilical cord is wrapped tightly around the baby's neck. What is the immediate first step the EMR should take?
12
30 sec
Q.
An EMR is evaluating a newborn 1 minute after birth. The infant has a heart rate of 90 beats per minute, a slow and irregular respiratory effort, some flexion of the extremities, a weak cry in response to a flick of the foot, and a pink body with blue hands and feet. What is the calculated APGAR score for this infant?
13
30 sec
Q.
Upon the delivery of the baby's head, the Emergency Medical Responder (EMR) notes the presence of a dark green, thick, viscous fluid in the amniotic water. What does this finding indicate, and what is the primary concern for the newborn?
14
30 sec
Q.
Which of the following signs characterizes the second stage of labor?
15
30 sec
Q.
16
30 sec
Q.
An Emergency Medical Responder (EMR) is assisting in a field delivery and notes that the infant's limb is protruding from the vagina, rather than the head. What is the most appropriate management for this limb presentation?
17
30 sec
Q.
A 24-year-old pregnant patient in her third trimester is experiencing a sudden onset of sharp abdominal pain and dark red vaginal bleeding. Her abdomen feels rigid and tender upon palpation. Which condition should the Emergency Medical Responder most likely suspect?
18
30 sec
Q.
Upon the delivery of the placenta, the mother experiences significant vaginal bleeding. Which of the following non-invasive techniques should the Emergency Medical Responder perform to help control postpartum hemorrhage?
19
30 sec
Q.
An EMR arrives on the scene to find a pregnant patient in active labor. Upon inspection, the EMR sees the umbilical cord protruding from the vagina before the baby's head. What is the most critical action to take to ensure fetal survival?
20
30 sec
Q.
An Emergency Medical Responder (EMR) is assessing a 32-week pregnant patient who is experiencing dizziness and hypotension while lying flat on her back. What is the most appropriate immediate action for the clinician to take?
21
30 sec
Q.
An Emergency Medical Responder is assisting a patient in active labor and notices the infant's buttocks are presenting first at the vaginal opening. This condition is known as a breech presentation. What is the most appropriate management for this delivery?
22
30 sec
Q.
During the delivery of a newborn, the Emergency Medical Responder (EMR) observes a thick, greenish-black, tar-like substance in the amniotic fluid. This finding is indicative of:
23
30 sec
Q.
An Emergency Medical Responder is assisting with an imminent field delivery. After the infant is born, the mother continues to have significant vaginal bleeding while waiting for the placenta to deliver. What is the most appropriate technique to help control post-delivery hemorrhage?
24
30 sec
Q.
An Emergency Medical Responder (EMR) arrives at the scene of a 30-week pregnant patient who is experiencing a seizure. The patient's husband states she has had very high blood pressure and swollen feet for the past week. What condition is this patient most likely experiencing?
25
30 sec
Q.
An Emergency Medical Responder (EMR) arrives at a residence to find a patient in the third stage of labor. Which of the following events characterizes this stage?