obgynquiz1.txt

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hollynighthawk
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70722
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obgynquiz1.txt
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2011-03-04 14:51:28
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OBGYN
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EMS OBGYN 2
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  1. What stimulates the development of the follicle, including the cells that produce estrogen?
    Follicle-stimulating hormone
  2. Hysterectomy is most often performed to treat what condition?
    Symptomatic fibroid tumors
  3. 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
  4. 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
  5. A baby girl is born with:
    Approximately 2 million primary oocytes
  6. What hormone stimulates the endometrium to grow and increase in thickness, preparing the uterus for the implantation of a fertilized ovum?
    Estrogen
  7. Tidal volume and minute ventilation increase during pregnancy by:
    30 to 40%
  8. Braxton-Hicks contractions:
    Are generally benign
  9. Termination of a pregnancy by any cause prior to 20 weeks� gestation is termed:
    Abortion
  10. Painless vaginal bleeding during pregnancy is most likely related to:
    Placenta previa
  11. 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
  12. The placenta is a(n):
    Specialized structure of pregnancy that is not present in the nonpregnant uterus
  13. A fetal heart rate of 80 indicates:
    Hypoxia
  14. A breech birth is one in which the:
    The head is delivered last
  15. 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
  16. The ductus venosus allows blood to:
    Bypass the immature fetal liver
  17. The correct dose of fluids for treating hypovolemia in a neonate is:
    10 mL/kg over 5-10 minutes, then reassess
  18. Which type of seizure is not usually a concern for the neonatal age group?
    Subtle
  19. The neonate you are caring for has a heart rate of 52 at 30 seconds after delivery. You should first:
    Initiate positive-pressure ventilations
  20. �Newborn� would be the appropriate term for a child who is:
    2 hours old
  21. Fever of 101� F in a newborn:
    Requires evaluation by a physician
  22. Which of the following is considered normal after the delivery of a newborn?
    Acrocyanosis
  23. The most common cause of bradycardia in a newborn is:
    Hypoxia
  24. 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
  25. 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
  26. Which of the following describes an abnormal menstrual period?
    250 to 500 mL of blood flow
  27. 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
  28. 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
  29. Endometriosis is most common in women who:
    Defer pregnancy
  30. How many days after ovulation is the endometrium ready to receive the developing embryo if fertilization has occurred?
    7
  31. IV access for patients with gynecological complaints:
    Is usually unnecessary
  32. 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
  33. 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
  34. 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
  35. Termination of a pregnancy by any cause prior to 20 weeks� gestation is termed:
    Abortion
  36. 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
  37. 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
  38. Two criteria that might be used to determine prematurity are length of pregnancy and:
    Body weight
  39. 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
  40. 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
  41. The ventilation-to-compression ratio for a newborn is:
    1:3
  42. The neonate you are caring for has a heart rate of 52 at 30 seconds after delivery. You should first:
    Initiate positive-pressure ventilations
  43. You are treating an apneic neonate with a heart rate of 110. Her mother is an opium addict. If apnea persists, you should administer:
    • Epinephrine
    • Dextrose
  44. The single most common cause of respiratory distress and cyanosis in a newborn is:
    Prematurity
  45. Secondary apnea means the neonate:
    Stops breathing and does not begin again spontaneously
  46. 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
  47. Which of the following is the initial step in neonatal assessment and management ?
    Prevent heat loss and avoid hypothermia
  48. Analgesic therapy for abdominal pain should be:
    Withheld until after physician evaluation
  49. 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
  50. D and C is a:
    Surgical procedure
  51. Mittelschmerz is characterized by pain:
    Midcycle in the menstrual period
  52. A woman who is gravida 4, para 3, has been pregnant:
    4 times
  53. 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
  54. Gender is differentiated during the _____ month of gestation.
    Fourth
  55. The most common cause of vaginal bleeding during pregnancy is:
    Abortion
  56. 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
  57. 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
  58. Tidal volume and minute ventilation increase during pregnancy by:
    30 to 40%
  59. Sperm normally fertilize a mature ovum in the:
    Fallopian tube
  60. The concern for an infant with a prolapsed cord is that the cord will:
    Be compressed and cut off circulation to the infant
  61. The primary danger to the fetus of a rapid, uncontrolled delivery of the fetal head is:
    • Shoulder dystocia
    • Apnea
    • Tearing of the umbilical cord
  62. Newborns are stimulated to breathe in response to chemical changes and changes in:
    • Ambient noise
    • Temperature
    • Pressure
    • Atmospheric lighting
  63. A neonate�s heart rate is 50 after 30 seconds of positive-pressure ventilation and effective chest compressions. You should administer:
    Epinephrine
  64. The presence of meconium in amniotic fluid is more common in :
    Infants who develop fetal distress during labor and delivery
  65. When newborns are hypothermic, the demand on the body to maintain temperature can cause:
    Metabolic acidosis
  66. The initial management for a neonate with bradycardia is to:
    Begin positive-pressure ventilation
  67. At what rate per minute should chest compressions be performed in a neonate?
    120
  68. A woman who recently suffered a miscarriage now has endometritis, which is typically caused by:
    Retained placental tissue
  69. An IUD is a:
    Type of birth control device
  70. 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
  71. Immediately after birth, which of these things happens for the first time?
    The alveoli open
  72. A fetal heart rate of 80 indicates:
    Hypoxia
  73. Sperm normally fertilize a mature ovum in the:
    Fallopian tube
  74. The term for a first-time pregnant patient is:
    Primigravida
  75. 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
  76. The placenta has not delivered within 5 minutes of the infant�s birth. You should:
    Transport the patient and be prepared for placental delivery
  77. 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
  78. 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
  79. Vomiting in a newborn who is 18 hours old is suggestive of:
    Increased intracranial pressure
  80. Seizures present in the newborn that involve eye deviation, paddling movements of the legs, and sucking are called:
    Subtle
  81. Symptoms that are associated with hypoglycemia in the newborn include:
    Twitching and a high-pitched cry
  82. 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
  83. The correct dose of fluids for treating hypovolemia in a neonate is:
    10 mL/kg over 5-10 minutes, then reassess
  84. 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
  85. You can estimate the amount of vaginal blood lost by asking the patient:
    �How many pads or tampons were soaked per hour?�
  86. A fertilized oocyte secretes _____ to keep the corpus luteum from degenerating.
    Chorionic gonadotropin
  87. 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
  88. What modification of the usual management of cardiac arrest should be made for a pregnant patient?
    Perform cardiac compressions higher on the sternum
  89. 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
  90. 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
  91. The best position in which to transport a pregnant patient with no traumatic injuries is:
    Left lateral recumbent
  92. 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
  93. The presence of meconium in amniotic fluid is more common in :
    Infants who develop fetal distress during labor and delivery
  94. Feverish infants generally do not exhibit:
    Visible sweat on their bodies
  95. While suctioning a neonate, you should watch for:
    Bradycardia
  96. You are preparing to deliver a baby that is 34 weeks gestation. What should you be prepared for in this case?
    Risk of hypothermia
  97. Options for tactile stimulation of an infant include:
    Flicking the soles of the feet

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