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What stimulates the development of the follicle, including the cells that produce estrogen?
Follicle-stimulating hormone
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Hysterectomy is most often performed to treat what condition?
Symptomatic fibroid tumors
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The goal of treatment in the field for a woman with abdominal pain and vaginal bleeding is to:
Identify life-threatening conditions and transport rapidly
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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. The causative agent for this condition is most commonly this sexually transmitted disease:
N. gonorrhoeae
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A baby girl is born with:
Approximately 2 million primary oocytes
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What hormone stimulates the endometrium to grow and increase in thickness, preparing the uterus for the implantation of a fertilized ovum?
Estrogen
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Tidal volume and minute ventilation increase during pregnancy by:
30 to 40%
-
Braxton-Hicks contractions:
Are generally benign
-
Termination of a pregnancy by any cause prior to 20 weeks� gestation is termed:
Abortion
-
Painless vaginal bleeding during pregnancy is most likely related to:
Placenta previa
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As she is pushing, your patient, who is at 34 weeks� gestation, states that the baby is coming. You notice a cord protruding from the vagina. You should:
Place the mother in the knee-chest position
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The placenta is a(n):
Specialized structure of pregnancy that is not present in the nonpregnant uterus
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A fetal heart rate of 80 indicates:
Hypoxia
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A breech birth is one in which the:
The head is delivered last
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The best position in which to transport a pregnant trauma patient with possible spinal injury is with cervical spine immobilization and a long backboard:
Tilted to the left
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The ductus venosus allows blood to:
Bypass the immature fetal liver
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The correct dose of fluids for treating hypovolemia in a neonate is:
10 mL/kg over 5-10 minutes, then reassess
-
Which type of seizure is not usually a concern for the neonatal age group?
Subtle
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The neonate you are caring for has a heart rate of 52 at 30 seconds after delivery. You should first:
Initiate positive-pressure ventilations
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�Newborn� would be the appropriate term for a child who is:
2 hours old
-
Fever of 101� F in a newborn:
Requires evaluation by a physician
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Which of the following is considered normal after the delivery of a newborn?
Acrocyanosis
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The most common cause of bradycardia in a newborn is:
Hypoxia
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You are dispatched to a sexual assault. The victim exhibits petechiae of the face and conjunctiva. This would be indicative of:
Choking of the victim
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You are dispatched to the home of a 23-year-old female who is complaining of vaginal bleeding. She states that she delivered her first child 5 weeks ago, has not had a return of her normal menstrual cycle, and has a very heavy flow of dark-red vaginal bleeding. Which of the following is true of this presentation?
This may be postpartum hemorrhage, which can be delayed by up to 6 weeks
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Which of the following describes an abnormal menstrual period?
250 to 500 mL of blood flow
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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:
Surgery
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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 most serious condition that could explain this presentation is:
Ectopic pregnancy
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Endometriosis is most common in women who:
Defer pregnancy
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How many days after ovulation is the endometrium ready to receive the developing embryo if fertilization has occurred?
7
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IV access for patients with gynecological complaints:
Is usually unnecessary
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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 nar001-1.jpg, P 84, R 20. If the patient begins to seize the paramedic would consider administration of:
Magnesium sulfate
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Which of these events would be the best determinant of whether you stay on the scene and prepare to deliver or transport?
Presence of crowning
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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 nar001-1.jpg, P 84, R 20. The cause of this condition is:
Unknown
-
Termination of a pregnancy by any cause prior to 20 weeks� gestation is termed:
Abortion
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If a pregnant woman loses 30% of her blood volume, you would expect the mother:
To show minimal changes, but the fetus will be distressed
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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:
Normal changes during pregnancy
-
Two criteria that might be used to determine prematurity are length of pregnancy and:
Body weight
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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?
Roll her onto her left side
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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 nar001-1.jpg, P 84, R 20. The patients most likely to experience this condition are:
First-time mothers
-
The ventilation-to-compression ratio for a newborn is:
1:3
-
The neonate you are caring for has a heart rate of 52 at 30 seconds after delivery. You should first:
Initiate positive-pressure ventilations
-
You are treating an apneic neonate with a heart rate of 110. Her mother is an opium addict. If apnea persists, you should administer:
-
The single most common cause of respiratory distress and cyanosis in a newborn is:
Prematurity
-
Secondary apnea means the neonate:
Stops breathing and does not begin again spontaneously
-
You have recently intubated a neonate. After about 10 minutes, you notice that the patient's heart rate is 82, you have poor compliance while ventilating, and there is acrocyanosis. You suspect:
Pneumothorax
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Which of the following is the initial step in neonatal assessment and management ?
Prevent heat loss and avoid hypothermia
-
Analgesic therapy for abdominal pain should be:
Withheld until after physician evaluation
-
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:
Pelvic inflammatory disease
-
D and C is a:
Surgical procedure
-
Mittelschmerz is characterized by pain:
Midcycle in the menstrual period
-
A woman who is gravida 4, para 3, has been pregnant:
4 times
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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:
Abruptio placentae
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Gender is differentiated during the _____ month of gestation.
Fourth
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The most common cause of vaginal bleeding during pregnancy is:
Abortion
-
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?
Roll her onto her left side
-
As she is pushing, your patient, who is at 34 weeks� gestation, states that the baby is coming. You notice a cord protruding from the vagina. You should:
Place the mother in the knee-chest position
-
Tidal volume and minute ventilation increase during pregnancy by:
30 to 40%
-
Sperm normally fertilize a mature ovum in the:
Fallopian tube
-
The concern for an infant with a prolapsed cord is that the cord will:
Be compressed and cut off circulation to the infant
-
The primary danger to the fetus of a rapid, uncontrolled delivery of the fetal head is:
- Shoulder dystocia
- Apnea
- Tearing of the umbilical cord
-
Newborns are stimulated to breathe in response to chemical changes and changes in:
- Ambient noise
- Temperature
- Pressure
- Atmospheric lighting
-
A neonate�s heart rate is 50 after 30 seconds of positive-pressure ventilation and effective chest compressions. You should administer:
Epinephrine
-
The presence of meconium in amniotic fluid is more common in :
Infants who develop fetal distress during labor and delivery
-
When newborns are hypothermic, the demand on the body to maintain temperature can cause:
Metabolic acidosis
-
The initial management for a neonate with bradycardia is to:
Begin positive-pressure ventilation
-
At what rate per minute should chest compressions be performed in a neonate?
120
-
A woman who recently suffered a miscarriage now has endometritis, which is typically caused by:
Retained placental tissue
-
An IUD is a:
Type of birth control device
-
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?
Give oxytocin 10 units IM to promote uterine contraction
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Immediately after birth, which of these things happens for the first time?
The alveoli open
-
A fetal heart rate of 80 indicates:
Hypoxia
-
Sperm normally fertilize a mature ovum in the:
Fallopian tube
-
The term for a first-time pregnant patient is:
Primigravida
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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:
Guide the head downward and attempt to slip the anterior shoulder under the symphysis pubis
-
The placenta has not delivered within 5 minutes of the infant�s birth. You should:
Transport the patient and be prepared for placental delivery
-
As you are delivering an infant, you note that the cord is loosely wrapped around the infant's neck. You should:
Gently slip the cord over the infant�s head
-
Which of the following is an antepartum risk factor that may affect the need for neonatal resuscitation?
Mother younger than 16 or older than 35
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Vomiting in a newborn who is 18 hours old is suggestive of:
Increased intracranial pressure
-
Seizures present in the newborn that involve eye deviation, paddling movements of the legs, and sucking are called:
Subtle
-
Symptoms that are associated with hypoglycemia in the newborn include:
Twitching and a high-pitched cry
-
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:
Surgical repair
-
The correct dose of fluids for treating hypovolemia in a neonate is:
10 mL/kg over 5-10 minutes, then reassess
-
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. The usual definitive treatment for this condition is:
Antibiotic therapy
-
You can estimate the amount of vaginal blood lost by asking the patient:
�How many pads or tampons were soaked per hour?�
-
A fertilized oocyte secretes _____ to keep the corpus luteum from degenerating.
Chorionic gonadotropin
-
After cutting the umbilical cord, you note that the cord is bleeding below one clamp. You should:
Add a second clamp below the bleeding site
-
What modification of the usual management of cardiac arrest should be made for a pregnant patient?
Perform cardiac compressions higher on the sternum
-
If a pregnant woman loses 30% of her blood volume, you would expect the mother:
To show minimal changes, but the fetus will be distressed
-
While assisting in the delivery of twins, you note an arm protruding from the vagina. This is the only visible part of the infant. You should:
Transport immediately
-
The best position in which to transport a pregnant patient with no traumatic injuries is:
Left lateral recumbent
-
When assessing the perineum of a woman in labor, you see the head of the infant bulging at the vaginal opening. This is called:
Crowning
-
The presence of meconium in amniotic fluid is more common in :
Infants who develop fetal distress during labor and delivery
-
Feverish infants generally do not exhibit:
Visible sweat on their bodies
-
While suctioning a neonate, you should watch for:
Bradycardia
-
You are preparing to deliver a baby that is 34 weeks gestation. What should you be prepared for in this case?
Risk of hypothermia
-
Options for tactile stimulation of an infant include:
Flicking the soles of the feet
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