Special Pops Final Practice #2

100 Questions | Total Attempts: 70

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Special Pops Final Practice #2

Questions and Answers
  • 1. 
    A predisposing factor for ectopic pregnancy is:
    • A. 

      Oral contraceptive use

    • B. 

      Hypertension

    • C. 

      PID

    • D. 

      Previous cesarean delivery

  • 2. 
    You are treating a pregnant patient in her thirty-fifth week of gestation with her first child. She called 911 for sudden-onset abdominal pain, vaginal bleeding, and contractions. You suspect this patient has:
    • A. 

      Abruptio placentae

    • B. 

      Placenta previa

    • C. 

      Uterine rupture

    • D. 

      Ruptured ectopic pregnancy

  • 3. 
    The goal of treatment in the field for a woman with abdominal pain and vaginal bleeding is to:
    • A. 

      Identify life-threatening conditions and transport rapidly

    • B. 

      Determine the cause of the bleeding

    • C. 

      Rule out ectopic pregnancy

    • D. 

      Aggressively manage the cause of the bleeding

  • 4. 
    Abruptio placentae is often associated with:
    • A. 

      Teen pregnancy, trauma

    • B. 

      Hypertension, preeclampsia

    • C. 

      Trauma, preterm labor

    • D. 

      Preterm labor, hypertension

  • 5. 
    You are responding to a call for a 17-year-old pregnant patient at 36 weeks' gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are puffy and her rings are cutting into her flesh. Her vital signs are BP , P 84, R 20.If the patient begins to seize, medical direction may order administration of:
    • A. 

      Magnesium sulfate

    • B. 

      Calcium gluconate

    • C. 

      Naloxone

    • D. 

      Morphine

  • 6. 
    A 56-year-old woman states she has been having severe cramping and vaginal bleeding for several days. She reports soaking 8 sanitary napkins in the past half hour. As you question her, you note a red stain begin to encircle the bed sheets beneath her. Her vital signs are: BP 78/58 mmHg, P 132 bpm, R. 20/min., Sa02 95%. Which of the following interventions is appropriate at this time?
    • A. 

      Administer ketoradol 60 mg IM to relieve cramping

    • B. 

      Give oxytocin 10 units IM to promote uterine contraction

    • C. 

      Pack her vagina with gauze to tamponade the bleeding

    • D. 

      Place her in the modified Trendelenburg position

  • 7. 
    Newborns are stimulated to breathe in response to chemical changes and changes in:
    • A. 

      Pressure

    • B. 

      Temperature

    • C. 

      Atmospheric lighting

    • D. 

      Ambient noise

  • 8. 
    You are treating a 30-year-old woman who is 6 weeks pregnant with her first child. She has severe abdominal pain centered in the left lower quadrant. She reports vaginal spotting that began an hour ago.The usual treatment for this condition is:
    • A. 

      Surgery

    • B. 

      Antibiotic therapy

    • C. 

      Removal of the uterus following delivery

    • D. 

      Hormone therapy

  • 9. 
    While assisting a woman in labor, she tells you that her baby is expected to weigh more than 10 pounds. The head delivers normally and then pulls back tightly against the perineum. The baby does not deliver after several strong contractions. You should:
    • A. 

      Guide the head downward and attempt to slip the anterior shoulder under the symphysis pubis

    • B. 

      Put the mother in a knee-chest position and transport immediately

    • C. 

      Administer Pitocin to strengthen uterine contractions

    • D. 

      Reach into the vagina past the baby’s head to determine what is obstructing delivery

  • 10. 
    The best position in which to transport a pregnant trauma patient with possible spinal injury is with cervical spine immobilization and a long backboard:
    • A. 

      Tilted to the left

    • B. 

      Flat on the stretcher

    • C. 

      With the head elevated 30 degrees

    • D. 

      Raised several inches at the feet

  • 11. 
    After assisting with delivery, you dry, suction, and stimulate the newborn. He is still not breathing. You should:
    • A. 

      Administer epinephrine and atropine

    • B. 

      Administer chest compressions

    • C. 

      Begin positive-pressure ventilation

    • D. 

      Give blow-by oxygen

  • 12. 
    Vaginal bleeding should be controlled with:
    • A. 

      Administration of Pitocin

    • B. 

      Uterine massage

    • C. 

      Trauma dressings or sanitary pads

    • D. 

      Vaginal packing or tampons

  • 13. 
    You are examining a woman in her eighth month of pregnancy and discover that her blood pressure is 100/70, her heart rate is 90, and her respirations are 20. These vital signs indicate:
    • A. 

      Normal changes during pregnancy

    • B. 

      Moderate hypovolemia at this stage of pregnancy

    • C. 

      Severe dehydration

    • D. 

      The patient is hypoxic

  • 14. 
    Hypothermia has the following effect on a newborn:
    • A. 

      Alkalosis

    • B. 

      Hypercarbia

    • C. 

      Bradycardia

    • D. 

      Hyperglycemia

  • 15. 
    The initial management for a neonate with bradycardia is to:
    • A. 

      Suction the airway

    • B. 

      Begin positive-pressure ventilation

    • C. 

      Intubate the trachea

    • D. 

      Assess for upper airway obstruction

  • 16. 
    You are treating a 23-year-old woman who complains of diffuse abdominal pain, low-grade fever, and vaginal discharge. She walks with a shuffle, taking short, slow steps.This patient most likely has:
    • A. 

      Syphilis

    • B. 

      Endometriosis

    • C. 

      Ruptured ovarian cyst

    • D. 

      Pelvic inflammatory disease

  • 17. 
    You are responding to a call for a 17-year-old pregnant patient at 36 weeks' gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are puffy and her rings are cutting into her flesh. Her vital signs are BP , P 84, R 20.The cause of this condition is:
    • A. 

      Excessive sodium intake

    • B. 

      Fetal pressure on the vena cavae

    • C. 

      Genetic abnormality

    • D. 

      Unknown

  • 18. 
    Which of the following is true of umbilical veins and arteries?
    • A. 

      There are two umbilical veins and one umbilical artery

    • B. 

      An umbilical vein is larger than an umbilical artery

    • C. 

      Umbilical veins have thin walls compared to umbilical arteries

    • D. 

      Umbilical veins spasm and close soon after birth, but arteries remain open

  • 19. 
    You have just delivered a newborn at 38 weeks of gestational age. As you assess this patient, you discover a scaphoid abdomen and unusual sounds in the left lower chest. The neonate is exhibiting mild respiratory distress.Definitive care for this patient includes:
    • A. 

      Long-term positive-pressure ventilation

    • B. 

      Surgical repair

    • C. 

      Rest, with adequate nutrition

    • D. 

      Needle decompression

  • 20. 
    When newborns are hypothermic, the demand on the body to maintain temperature can cause:
    • A. 

      Respiratory acidosis

    • B. 

      Metabolic acidosis

    • C. 

      Respiratory alkalosis

    • D. 

      Metabolic alkalosis

  • 21. 
    Seizures present in the newborn that involve eye deviation, paddling movements of the legs, and sucking are called:
    • A. 

      Multifocal

    • B. 

      Focal clonic

    • C. 

      Subtle

    • D. 

      Myoclonic

  • 22. 
    A 26-year-old pregnant female complains of feeling faint. You find her supine on the floor of a shopping mall. Bystanders state she became very weak, vomited, and then they lowered her gently to the floor. Her due date is in two weeks. She is pale and cool and has a rapid, thready radial pulse. Which action should you take first?
    • A. 

      Assess her oxygen saturation

    • B. 

      Initiate two large bore IVs

    • C. 

      Measure a complete set of vital signs

    • D. 

      Roll her onto her left side

  • 23. 
    Oxygenated blood is delivered to the fetus via:
    • A. 

      Two umbilical veins

    • B. 

      One umbilical vein

    • C. 

      Two umbilical arteries

    • D. 

      One umbilical artery

  • 24. 
    At what rate per minute should chest compressions be performed in a neonate?
    • A. 

      60

    • B. 

      80

    • C. 

      100

    • D. 

      120

  • 25. 
    Which of the following is considered normal after the delivery of a newborn?
    • A. 

      Central cyanosis

    • B. 

      Acrocyanosis

    • C. 

      Methocyanosis

    • D. 

      Periumbilical cyanosis

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