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60) Your patient is a 26-year-old female with a history of ectopic pregnancies. She has called 911
for extreme abdominal pain and she is concerned that she has another ectopic pregnancy. Her
vital signs are pulse 118, respirations 20, and blood pressure 100/76. Which of the following is
true regarding ectopic pregnancies?
A) The fallopian tubes cannot stretch to accommodate a fetus.
B) The fertilized egg usually implants in the wall of the uterus.
C) It usually occurs during the second trimester.
D) It may cause painless bright red bleeding.
Objective: 32.14
61) Seizures due to complications of pregnancy generally occur during which of the following
time periods?
A) In the first trimester
B) In the second trimester
C) Before the mother even knows she is pregnant
D) Late in pregnancy
Objective: 32.14
28
62) What is the term for when the fetus and placenta deliver before the 28th week of pregnancy?
A) Spontaneous abortion
B) Induced abortion
C) Stillbirth
D) Eclampsia
Objective: 32.14
63) Which of the following is true concerning trauma in the pregnant woman?
A) The mother's body will preferentially protect the life of the fetus over that of the mother.
B) She may lose up to 35% of her blood volume before exhibiting signs of shock.
C) The increase in blood volume during pregnancy makes shock an unlikely cause of death.
D) She may lose up to 15% of her blood volume before exhibiting signs of shock.
Objective: 32.14
29
64) The greatest danger to the pregnant woman and her fetus involved in trauma is which of the
following?
A) Neurogenic shock
B) Distributive shock
C) Hemorrhagic shock
D) Supine hypotensive shock
Objective: 32.14
65) Which of the following is true concerning a stillborn baby?
A) Infants born in cardiopulmonary arrest should not be resuscitated.
B) The parents should never be allowed to see the baby, especially if it has begun to deteriorate.
C) The death may occur weeks before delivery.
D) Resuscitation must always be attempted.
Objective: 32.14
30
66) When performing chest compressions on a pregnant patient that has gone into cardiac arrest,
what change do you need to make in the placement of your hands?
A) 0.5 to 1 inch lower on the sternum
B) 0.5 to 1 inch higher on the sternum
C) 1 to 2 inches lower on the sternum
D) 1 to 2 inches higher on the sternum
Objective: 32.14
67) Which of the following is of greatest concern for the EMT in the prehospital care of a
woman with vaginal bleeding?
A) Finding out if the patient is currently sexually active
B) Monitoring for hypovolemic shock
C) Obtaining a thorough gynecological history
D) Preventing infection
Objective: 32.15
31
68) Which of the following is a cause of gynecological emergencies?
A) Soft-tissue trauma to the external genitalia
B) Sexual assault
C) Disorders of the female reproductive organs
D) All of the above
Objective: 32.15
69) While treating a pregnant trauma patient, which of the following is the BEST way to keep
the fetus alive?
A) Transport the patient to the closest pediatric center.
B) Treat the patient as any other trauma patient.
C) Do not put the patient on a spine board to prevent supine hypotensive syndrome.
D) Do an emergency cesarean section of the fetus.
Objective: 32.15
32
70) While treating a patient of sexual assault, your treatment should follow which of the
following sequences?
A) Treat immediate life threats, treat psychological needs, and protect criminal evidence.
B) Maintain scene safety, treat immediate life threats, and treat only the secondary injuries that
may become life threats to protect criminal evidence.
C) Maintain scene safety, treat immediate life threats, treat medical and psychological needs, and
protect criminal evidence.
D) Maintain scene safety, treat immediate life threats, allow the patient to shower if the patient is
capable to help treat psychological needs, and transport.
Objective: 32.15
33
