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Pediatrics & Obstetrics/Gynecology Exam Practice Questions
1. You notice a brownish green fluid
... [Show More] pasing from a 23 year old female while giving birth. What should you do?
A. Using a gloved hand prevent the fetus from fully delivering.
B. Using a glove hand attempt to visualize the cord for a rupture.
C. Stimulate the fetus immediately after delivery.
D. Suction the mouth and nose of the fetus after delivery.
2. A 36 year old pregnant female has severe abdominal pain. In what position you transport her?
A. Supine with her head slightly elevated.
B. Right lateral recumbent.
C. In the position of comfort.
D. Left lateral recumbent.
3. Which of the following women is most likely in the first stage of labor?
A. A woman whose contractions occur five minutes apart and last sixty seconds.
B. A woman who feels a strong pressure and an urge to bear down.
C. A woman whose contractions began approximately thirty minutes ago.
D. A woman whose amniotic sac just ruptured, releasing a large amount of clear liquid.
4. A 6 year old male complains of belly pain. What should you use to determine his pain level?
A. Wong/Baker pain scale
B. 1 to 10 pain rating scale
C. Analog visual scale
D. Oucher pain scale
5. A 34 year old pregnant female is found apneic and pulseless sitting in a chair. What should you do?
A. Place her supine on the floor and start CPR.
B. Perform CPR at a rate of 40:2.
C. Start CPR and withhold placement of an AED.
D. Start CPR with a left lateral tilt of 30 degrees.
6. What is the leading cause of maternal death associated with pregnancy?
A. Eclampsia
B. Emboli
C. Hemorrhage
D. Stroke
7. What is the most serious complication of vaginal bleeding?
A. Irreversible shock
B. Hypovolemic shock
C. Neurogenic shock
D. Cardiogenic shock
8. Which stage of delivery begins with complete cervical dilation and ends with delivery of the baby?
A. First
B. Third
C. Fourth
D. Second
9. Where does fertilization of the egg take place?
A. Endometrium
B. Ovary
C. Uterus
D. Fallopian tube
10. In which trimester is placenta previa usually seen?
A. Third
B. Any
C. Second
D. First
11. When assisting with the delivery of twins what should you expect?
A. Shorter delivery times
B. Lower birth weights
C. Larger neonates
D. Two placentas
12. After fertilization of an egg, where will embryo develop and mature?
A. Cervix
B. Vagina
C. Fallopian tube
D. Uterus
13. A 27 year old female complains of insomnia, irritability and feelings of being overwhelmed. She claims she wants to end her life after giving birth to a child with Down's Syndrome 2 days ago. What should you suspect?
A. Postpartum depression
B. Anxiety
C. Alcohol intoxication
D. Drug overdose
14. In which trimester is a spontaneous abortion is usually seen?
A. Third
B. Any
C. First
D. Second
15. After how many days does woman's menstrual cycle normally occur?
A. 28 days.
B. 45 days.
C. 21 days.
D. 14 days.
16. In a breech delivery, which part of the baby's body would be delivered LAST?
A. Shoulder
B. Head
C. Feet
D. Buttocks
17. A 32 year old pregnant female states "I have been in labor for an hour and my water broke." What should you do?
A. Check for crowning.
B. Obtain baseline vital signs.
C. Transport emergently.
D. Obtain a SAMPLE medical history.
18. A 27 year old pregnant female is complaining of extreme bouts of thirst, nausea and urination. What should you suspect?
A. Urinary tract infection
B. Gestational diabetes
C. Early stage kidney failure
D. Pre-eclampsia
19. A 19 year old female gives birth to a baby boy. You note blue extremities and a pink trunk. His pulse is 108 and he cries weakly. He grimaces when you suction him, but other movement is limited. What is his APGAR score?
A. 8
B. 4
C. 6
D. 2
20. Why is it important to remove a nuchal cord from a neonate as soon as it is seen?
A. It can prevent adequate oxygen exchange.
B. It will not allow for blood to circulate in the fetus.
C. The fetus will be unable to receive enough nutrients.
D. It causes shunting through the ductus arteriosus.
21. During a breech birth presentation, which body part presents first?
A. Umbilical cord
B. Buttocks
C. Head
D. Arms
22. What occurs during compression of the inferior vena cava?
A. Preeclampsia
B. Supine hypotensive syndrome
C. Pregnancy induced hypertension
D. Eclampsia
23. A 24 year old female complains of acute onset sharp lower abdominal pain with vaginal bleeding during her third trimester. What should you suspect?
A. Placenta previa
B. Abruptio placenta
C. Uterine rupture
D. Ectopic pregnancy
24. A 32 year old pregnant female complains of profuse vaginal bleeding. She denies any abdominal pain or discomfort. What should you suspect?
A. Placenta previa
B. Ruptured ovarian cyst
C. Abruptio placenta
D. Uterine rupture
25. A 19 year old pregnant female has contractions lasting 20-30 seconds and occurring every 10-15 minutes. She denies having any vaginal discharge. What should you suspect?
A. Imminent delivery
B. Braxton-Hicks
C. Abruptio placentae
D. Spontaneous abortion
26. A 25 year old pregnant patient was ejected from a motor vehicle. She is apneic and pulseless. What should you do?
A. Provide CPR and transport.
B. Transport in the left lateral recumbent position.
C. Prepare for delivery.
D. Avoid contaminating the scene.
27. A 24 year old female complains of a sudden onset of lower quadrant abdominal pain. She is pale and has a rapid, weak pulse. What should you ask her?
A. "Are you on birth control?"
B. "Are you sexually active?"
C. "Is there any possibility you are pregnant?"
D. "How many sexual partners do you have?"
28. You begin delivering a fetus when its head begins retracting back into the vagina. What should you do?
A. Insert a gloved hand into the vagina and rotate the fetus.
B. Gently apply traction to the head and shoulders.
C. Tell the mother to bear down hard to push the fetus out.
D. Transport immmediately, while having the mother pant rapidly.
29. What causes compression of the inferior vena cava, reducing venous return to the mother's heart?
A. Supine hypotensive syndrome
B. Ectopic pregnancy
C. Gestational thrombocytopenia
D. Abruptio placenta
30. After the birth of male child, you note he is blue all over, is not breathing, and has no pulse. What is his APGAR?
A. 8
B. 5
C. 2
D. 0
31. Why should you allow the newborn to begin nursing right after birth?
A. To facilitate mother-baby bonding.
B. To prevent neonate hypoglycemia.
C. To allow for neonatal stimulation.
D. To promote contraction of the uterus.
32. How should you place a pregnant female on a backboard?
A. Raise the head 12-18 inches in the air.
B. You should never put them on the backboard.
C. Raise the right side of the board 6-12 inches in the air.
D. Raise the feet 12-18 inches in the air. [Show Less]