obgynmidterm.txt

After the release of an egg - the follicle is now called the:

The umbilical cord has:

The egg's primary site for fertilization is in the uterus. True or false?
True False

Ovulation occurs due to a spike in what hormone?

The fall in levels of these hormones begin the sloughing of the endometrium. (Choose more than one answer)

Most ectopic pregnancies symptoms occur in the second trimester. True or false?
True False

Endometritis is:

Mittelschmerz is characterized by pain:

Endometriosis is:

The foramen ovale is:

Dysmenorrhea is:

Ectopic pregnancies can occur where? (You may choose more than one answer)

Pelvic Inflammatory Disease (PID) refers to the infection of: (You may choose more than one answer)

The inner layer of the uterus is called:

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:

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:

The rebuilding of the endometrium for future implantation of the egg is during which phase?

Abdominal pain in a woman that presents 1 week after menstruation is typical of:

The ovulation of the egg from the follicle occurs on approximately which day of the menstrual cycle?

Which body systems are affected by pregnancy induced hypertension (PIH)? (You may choose more than one answer)

The triad of signs for preeclampsia are:

A fully dilated cervix is how many centimeters?

Match the correct OB patient to the statement.

The definition of cervical effacement is:

The primary causes of preterm labor (PTL) include: (You may choose more than one answer)

The primary problem associated with gestational diabetes for both mom and baby, which can especially cause problems during delivery is:

Pregnancy induced hypertension (PIH) is usually occurs when during the pregnancy?

As you are delivering an infant, you note that the cord is loosely wrapped around the infant's neck. You should:

The definition of cervical dilatation is:

The ductus venosus is:

The effects of preeclampsia and pregnancy induced hypertencion (PIH) on the liver can lead to symptoms that can be misinterpreted as cardiac chest pain. True or false?
True False

The foramen ovale works because:

The medication used by paramedics to assist in stopping uterine hemorrhage is:

Match the obstetrical terms: (Some answers may be used more than once)

The placenta is a maternal organ. True or false?
True False

The medical history of a woman in her thirty-third week of gestation includes the use of magnesium sulfate and terbutaline. You expect her to have a history of:

The edema of the lower extremities during pregnancy is most often caused by:

How many stages of labor are there?

Preterm labor is defined as labor occurring before:

The beginning of the expulsion stage of labor is when:

The problem with a presenting umbilical cord is:

The only appropriate times to place a sterile gloved hand into the vaginal canal during delivery is: (You may choose more than one answer)

The following changes occur to the respiratory system due to the effects of pregnancy. (You may choose more than one answer)

Which of the following statements is true regarding the maternal response to injury and shock

Painless vaginal bleeding during pregnancy is most likely related to:

Edema associated with pregnancy induced hypertencion (PIH) and pre-eclampsia has three contributory factors. These three factors are: (Choose 3)

What modifications of the usual management of cardiac arrest should be made for a pregnant patient?

Preeclampsia will affect the fetus by:

A miscarriage is defined as termination of pregnancy occurring before what week?

Braxton-Hicks contractions:

Amniotic fluid embolism can occur anytime during pregnancy.
True False

The ductus arteriosus is:

Fetal heart tones can usually be auscultated by what week?

The following changes occur to the cardiac system due to the effects of pregnancy. (You may choose more than one answer)

Pregnancy causes a women to go to the bathroom frequently (more than normal). What can cause this to occur? You may choose more than 1 answer.

The following are changes that occur to the gastrointestinal system from the effects of pregnancy: (You may choose more than one answer)

Testing for pregnancy is done for most females with abdominal complaints in the emergency department. The emergency department will test the urine or blood for:

Your patient is a 40-year-old female, gravida 6, para 5. She is complaining that this labor is unlike her others. She has sharp, constant abdominal pain and vaginal bleeding, and she feels like something is "tearing." She tells you that she feels like her contractions were very strong and then stopped. You suspect:

The best position in which to transport a pregnant patient with no traumatic injuries is:

After delivery of the infant, the mother continues to bleed briskly, losing approximately 1 L of blood. You should:

Supine hypotensive syndrome occurs when a pregnant female is lying supine and the fetus places pressure on the aorta.
True False

A fetal heart rate of 80 indicates:

The number one cause of peripartum death is:

A pregnant patient can�t remember how many weeks she is into her pregnancy. On exam, you feel the fundus of the uterus at the level of the umbilicus, leading you to conclude that she has been pregnant for:

The beginning of the dilatation phase of labor is:

You have begun resuscitation efforts on a 29 week newborn. You have intubated the newborn with a 2.5 ET tube and established an IV in the right hand. Your partners are doing good BLS as you note gentle chest rise and a brachial pulse with compressions. You feel that the newborn is hypovolemic and are now going to try a fluid bolus. You would estimate the weight of this newborn to be about 2 kilograms. 1. How many ml/kg of fluid are you going to give? 2. How many milliliters (ml) total for this patient?

Please place in the correct order the resuscitation efforts of the inverted neonate resuscitation triagle those procedures that are used most frequently to those that are used least frequently:

You have begun resuscitation efforts on a 39 week newborn. You have intubated the newborn with a #4 ET tube and established an IV in the right hand. Your partners are doing good BLS as you note gentle chest rise and a brachial pulse with compressions. You must now give the first dose of epi. You would estimate the weight of this newborn to be about 4.5 kilograms. 1. How many milligrams (mg) of epinephrine are you going to give? 2. How many milliliters (ml) is this?

You have just delivered a 28 week preterm newborn that had meconium stained amniotic fluid. You note that the newborn is limp with minimal gasping but no sounds. The newborn is cyanotic all over and you palpate a pulse of 90. What is the infants APGAR score?

You have delivered a term infant but note that the infant has an obvious deformity to their upper lip. You note that this is a cleft lip and now examine the infant further as the cleft lip may interfere with your attempts at airway control because:

You have begun resuscitation efforts on a 29 week newborn. You have intubated the newborn with a 2.5 ET tube and established an IV in the right hand. Your partners are doing good BLS as you note gentle chest rise and a brachial pulse with compressions. You must now give the first dose of epi. You would estimate the weight of this newborn to be about 2 kilograms. 1. How many milligrams (mg) of epinephrine are you going to give. 2. How many milliliters (ml) of epinephrine will you give?

You have ended up doing CPR on a 34 week newborn despite your best efforts. What is the "events per minute" you should try to achieve?

You have begun resuscitation efforts on a 29 week newborn. You have intubated the newborn with a 2.5 ET tube and established an IV in the right hand. Your partners are doing good BLS as you note gentle chest rise and a brachial pulse with compressions. You must now give the first dose of epi. You would estimate the weight of this newborn to be?

Normal respiratory rate for a newborn would be:

What kind of cyanosis is considered normal after the delivery of a newborn?

A meconium aspirator:

What is the neonatal ratio of compressions to ventilations for CPR?

You have just delivered a 40 week term newborn. The mother had prenatal care during the pregnancy. You note that the newborn is moving all extremities with loud crying especially as you dry them off. The newborn's extremities are cyanotic but the body is pink. You palpate a pulse of 145. What is the infants APGAR score?

Pierre-Robin syndrome in the newborn could cause problems for the paramedic when dealing with:

The initial management for a neonate with bradycardia is to:

Match ways to prevent a newborn from losing heat after their delivery.

The single most common cause of respiratory distress and cyanosis in a newborn is:

The greatest risk factor for birth injuries is:

When referring to developmental size of a neonate such as the term "small for gestational age", this is based on what measurement of the neonate?

When the fetus is delivered - two things occur. The infant fills their lungs with air and we clamp the umbilical cord. This causes the following changes in the infants circulation: (You may choose more than one answer)

When newborns are hypothermic, the demand on the body to maintain temperature can cause:

Why is atropine not use in neonatal resuscitation?

Hypothermia has the following effect on a newborn:

True or false? Premature rupture of membranes could cause infection in the mom and neonate.
True False

True or false? Treatment for uterine inversion may include using a gloved hand to push the inverted fundus back up into the cervical canal.
True False

What Sxs of preeclampsia would you look for that would deem contacting an MCEP for Magnesium Sulfate appropriate? You may choose more thatn 1 answer

True or false? When doing CPR in neonatal resuscitation, the ratio of compressions to ventilations is 3:1, unless the child arrested due to a known cardiac condition, rather than a hypoxic event.
True False