Nancy Caroline's Emergency Care in the Streets Essentials Obstetrics Package TEST BANK
A 39-year-old
... [Show More] female, who is 35 weeks pregnant, presents with acute abdominal pain, irregular contractions, and vaginal bleeding. She is confused, her blood pressure is 70/48 mm Hg, pulse is 120 beats/min and weak, and respirations are 24 breaths/min and shallow. Her abdomen is tender to palpation and her uterus feels rigid. She is MOST likely experiencing: - ANSWER-abruptio placenta Your patient is 34 weeks pregnant, complaining of a headache and nausea. Her blood pressure is 150/92, and she tells you that her doctor told her she has protein in her urine. You note that her face, hands, and feet are edematous. Which of the following is most likely? - ANSWER-Preeclampsia
Which of the following paramedic actions is indicated FIRST after uncomplicated delivery of the newborn? - ANSWERPerform a fundal massage to maintain uterine contraction.
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 6-8 minutes for the past hour, has a crampy feeling 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, SaO2=99%. Which of the following is most appropriate? - ANSWER
Start a large bore IV at KVO rate and monitor for active vaginal bleeding
During the delivery of a newborn's head, you note the presence of a nuchal cord. You should: - ANSWER-gently slip the cord over the newborn's head.
When assessing a 20-year-old woman with bilateral lower abdominal quadrant pain, which of the following findings is MOST suggestive of an ectopic pregnancy? - ANSWERMissed menstrual period
A 25-year-old female who is 38 weeks pregnant tells you that her bag of water ruptured 2 hours ago, and that she is now experiencing contractions every 6 minutes. Based on your assessment, you determine that delivery is not imminent. During transport, you should tell your partner to stop the ambulance and assist you with the patient if: - ANSWER-she tells you that she needs to move her bowels.
A 32-year-old woman is 36 weeks pregnant. She had one spontaneous abortion in the past and has two children at [Show Less]