1. Which of the following structures is not a boundary of the pelvic cavity? a. The diaphragm (superiorly) b.

The ischium (inferiorly) c. The internal muscles (anteriorly) d. The sacrum (posteriorly) Answer: a b!ective: "#$1 %eference: 1&'( ). Which of the following structures is not located within the pelvic cavity? a. The ovaries b. The uterus c. The appendi* d. The fallopian tubes Answer: c b!ective: "#$1 %eference: 1&'( ". The function of the uterus in pregnancy is to:
a. b. c. d.

permit the e*cretion of wastes from the baby to the mother. protect the abdominal organs during fetal growth. manufacture specific blood cells needed for fetal survival. provide an environment for the ovum to develop into a fetus.

Answer: d b!ective: "#$) %eference: 1&+1 #. Which of the following statements about the role of the cervi* in pregnancy is true?
a. b. c. d. e.

The cervi* constricts during the time of delivery to prevent a premature birth. The placenta is normally positioned directly over the cervi*. The cervi* can be palpated to determine the fre,uency of the mother-s contractions. ./loody show0 comes from the cervi* and is a sign of imminent delivery.

Answer: d b!ective: "#$' %eference: 1&+( 1. The second stage of labor ends with:

a. b. c. d.

contractions that become regular and occur every "2# minutes. delivery of the placenta. delivery of the baby. rupture of the amniotic sac.

Answer: c b!ective: "#$' %eference: 1&+( '. 3n which of the following patients would an 45 Technician recogni6e a full$term pregnancy?
a. b. c. d.

A )1 year old who is "( wee7s pregnant and is feeling di66y A #& year old beginning her third trimester whose water !ust bro7e A )1 year old who is ))& days into pregnancy and is complaining of pain A "" year old with twins in the eighth month of pregnancy

Answer: a b!ective: "#$1 %eference: 1&+1 +. 8rior to an emergency delivery9 an 45 Technician prepares the delivery field. Which of the following instructions describes the best way to do that tas7? 8lace sheets from the / 7it over both of the woman-s legs and her abdomen. :se towels to wrap each of the woman-s legs and to cover her abdomen. :se a sheet or a clean blan7et from the aid room to cover the woman-s abdomen and groin. d. 8lace a clean (or if available9 a sterile) sheet or towel under the mother-s buttoc7s and then unfold it down to her feet.
a. b. c.

Answer: d b!ective: "#$11 %eference: 1&;1 ;. <ou arrive in the aid room to find an 4=T assisting a mother during delivery. <ou-re told that the patient-s perineum tore and that you need to control the bleeding. Which of the following actions would you ta7e?
a. b. c. d.

8lace a cold pac7 on the mother-s abdomen !ust below the umbilicus. Apply a sterile gau6e dressing with gentle pressure above the mother-s vagina. 8lace a sterile dressing between the mother-s vagina and rectum. 3nsert sterile gau6e into the mother-s vagina and leave it in place until the bleeding stops.

Answer: c b!ective: "#$11

%eference: 1&;" (. When as7ed9 a young woman with abdominal pain replies that she is not sure whether she is pregnant or not. Which of the following ,uestions would best help you determine whether the patient could be pregnant?
a. b. c. d.

.>o you feel pressure in your lower belly?0 .When was your last menstrual period?0 .?ave you been vomiting in the morning?0 .>oes it feel li7e the last time you were pregnant?0

Answer: b b!ective: "#$# %eference: 1&;( 1&. When assessing a )+$year$old woman who is pregnant9 which of the following statements would concern you the most?
a. b. c. d.

.3 had some cramps two wee7s ago.0 .3 was a drug addict when 3 was a teenager.0 .3 have not been able to see a doctor during this pregnancy.0 .=y last baby came two wee7s late.0

Answer: c b!ective: "#$; %eference: 1&+( 11. <ou have completed an assessment of a ")$year$old woman in the seventh month of pregnancy. Which of the following assessment findings would concern you the most?
a. b. c. d.

@everal painless contractions An increased desire to eat 3ncreased weight gain over the past month 3ntermittent vaginal bleeding

Answer: d b!ective: "#$; %eference: 1&+; 1). A 1' year old has come to the aid room complaining of vaginal bleeding. @he tells you that she is pregnant and has been bleeding for about " hours. After having her lie down9 your care would include:
a.

placing a sterile pad in her vagina to stop the bleeding.

having her 7eep her legs apart so the bleeding can occur freely and you can tell how much blood she has lost. c. offering her a sanitary nap7in to place over her vagina to slow the bleeding. d. putting a sterile$gloved hand into her vagina to apply pressure to stop the bleeding.
b.

Answer: c b!ective: "#$; %eference: 1&(1 1". <ou would most suspect the occurrence of a spontaneous abortion in which of the following patients? A 1' year old who is )# wee7s pregnant and is having painless contractions A )1 year old who is ' wee7s pregnant and is passing blood clots from her vagina A ") year old who is + months pregnant and is passing a foul$smelling and bloody vaginal discharge d. A "; year old who is "' wee7s pregnant and is having abdominal pain and painless vaginal bleeding
a. b. c.

Answer: b b!ective: "#$; %eference: 1&+; 1#. A )1 year old is five wee7s pregnant and is e*periencing vaginal bleeding. When reviewing the possible causes of the bleeding9 you would suspect: a. b. c. d. a ruptured uterus. a dysfunctional placenta. drug addiction. a spontaneous abortion.

Answer: d b!ective: "#$; %eference: 1&+; 11. A )1$year$old woman arrives in the aid room with her husband. @he is "+ wee7s pregnant and in labor. <our e*am reveals crowning with '&$second contractions occurring at 1&$second intervals. Which of the following actions would you ta7e? Tell her husband that the hospital is only 1& minutes away and that he should ta7e her there. b. btain her vital signs and call for an ambulance to ta7e her to the hospital. c. pen and prepare an obstetrical 7it. d. ?ave her hold her legs together to prevent delivery until an AA@ ambulance arrives.
a.

Answer: c b!ective: "#$11 %eference: 1&() 1'. <ou are with a )($year$old woman who has signs of imminent delivery. @he tells you that she has a history of ?3B infection. 5ompared to a patient who has no infectious disease9 how will @tandard 8recautions differ for this patient? Cloves9 a gown9 and goggles should be used for this patientD only gloves and a gown are re,uired for a noninfectious patient in labor. b. Cloves are needed for a noninfectious patient in laborD goggles and gloves must be worn for a patient with ?3B. c. A ?48A filter mas7 should be used for a patient with ?3B9 but not for a noninfectious patient. d. Cloves9 a gown9 and goggles must be worn for both patients with ?3B and noninfectious patients.
a.

Answer: c b!ective: @upplemental %eference: 1&;& 1+. >uring a delivery9 you note that the umbilical cord is wrapped around the baby-s nec7. Which of the following actions should you ta7e immediately? a. b. c. d. 5lamp and cut the cord. @top the delivery and call for an AA@ ambulance. @lip the cord over the baby-s head. Try to push the baby-s head bac7 in so you can slip the cord over it.

Answer: c b!ective: "#$11 %eference: 1&;&21&;) 1;. Which of the following instructions describes the correct way to suction a newborn? a. @uction the mouth first and then the nose. b. 3nsert the bulb syringe deep into the oropharyn* to remove any thic7 secretions located there. c. :se a portable suction device on its .high0 setting. d. >on-t use suction until the baby has been delivered. Answer: a b!ective: "#$11 %eference: 1&;) 1(. As soon as a baby is delivered from the vaginal canal9 it is crucial that you:

a. b. c. d.

clamp and cut the umbilical cord. vigorously dry and warm the newborn. perform an A8CA% assessment. obtain a complete set of baseline vital signs.

Answer: b b!ective: "#$11 %eference: 1&;1 )&. <ou are in the process of delivering a baby and have !ust delivered the baby-s head. Which of the following actions should you ta7e ne*t?
a. b. c. d.

Turn the baby cloc7wise and continue the delivery. 5hec7 the baby-s nec7 for the presence of the umbilical cord. Cently pull the baby toward you. @uction the baby-s mouth9 and then the nose.

Answer: b b!ective: "#$11 %eference: 1&;) )1. At what point during a delivery should you first suction the baby? a. After the baby-s head has been delivered but before the torso is out of the vaginal opening and if there is obvious obstruction to spontaneous breathing b. /efore the cord has been cut but after the baby has been assessed and determined to be stable and if there is obvious obstruction to spontaneous breathing c. When the baby has been delivered and has been dried and warmed d. When the baby-s chest has been delivered but before the legs are free of the vaginal canal Answer: a b!ective: "#$11 %eference: 1&;) )). When should an 45 Technician cut the umbilical cord? a. b. c. d. 3mmediately after the delivery of the placenta 3mmediately following the delivery of the baby Eust before the passage of the legs through the vaginal canal After the delivery of the baby whenever transportation will be delayed more than )& minutes

Answer: d b!ective: "#$11 %eference: 1&;)

)". Which of the following statements describes the proper care for the cord after delivery? a. b. c. d. The cord is clamped and cut one inch from the baby-s abdomen. The clamps are removed after the cord has been cut. The cord is clamped but is not cut until the arrival of the baby at a hospital. The cord is appropriately clamped and then cut appro*imately ' inches from the infant-s abdomen.

Answer: d b!ective: "#$11 %eference: 1&;) )#. Which of the following statements about the placenta is accurate? a. The placenta is delivered by applying gentle pressure to the abdomen after the baby has been born. b. The placenta is full of bacteria and should not be transported near the baby in the ambulance. c. 3t is essential that the mother not be moved until the placenta has been delivered. d. The placenta typically delivers itself within "& minutes of the birth of the baby. Answer: d b!ective: "#$11 %eference: 1&;" )1. After delivery9 you note that blood continues to oo6e from the mother-s vaginal canal. The sanitary pads that you placed between her legs continue to become soa7ed. Which of the following actions should you ta7e ne*t? a. b. c. d. 3nsert sterile gau6e into the vaginal canal. 5all for an AA@ ambulance. 8erform a uterine abdominal massage. 8lace the mother on her left side.

Answer: c b!ective: "#$11 %eference: 1&;" )'. The A8CA% scoring system is useful in determining: a. b. c. d. the type of resuscitation a newborn needs. a fetus-s precise age of gestation. the status of a newborn-s overall condition. the maturity of a newborn-s heart and lungs.

Answer: c b!ective: "#$11 %eference: 1&;1 )+. The components of the A8CA% scoring system include: a. b. c. d. airway9 breathing9 and time of birth. appearance9 irritability9 and activity. airway9 breathing9 and weight at birth. respiration9 breathing9 and s7in moisture.

Answer: b b!ective: "#$11 %eference: 1&;1 );. A newborn-s first A8CA% score is 'D his second A8CA% score is (. This information: a. b. c. d. indicates an improvement in the newborn-s condition. indicates a need for e*tensive resuscitation of the newborn. provides a total score of 11. indicates poor heart and lung function in the newborn.

Answer: a b!ective: "#$11 %eference: 1&;1 )(. Which of the following findings should be of greatest concern when assessing a ""$year$old woman who is ; months pregnant? a. b. c. d. @hortness of breath when lying flat %ecent onset of a fever of ((."FG >aily contractions that are irregular and painful Baginal bleeding that is not associated with pain

Answer: d b!ective: "#$; %eference: 1&+; "&. 3n abruptio placenta9 the greatest threat to the baby is: a. b. c. d. infection. maternal shoc7. hypo*ia. pain.

Answer: c

b!ective: "#$; %eference: 1&+; "1. A )#$year$old woman complains of sharp pain in her left lower abdominal ,uadrant. @he states that her last period was + wee7s ago. Which of the following conditions would you most suspect? a. b. c. d. Appendicitis Abruptio placenta 4ctopic pregnancy 5olitis

Answer: c b!ective: "#$; %eference: 1&+# "). Which of the following statements about the umbilical cord is true? a. b. c. d. 3t connects the placenta and the mother-s uterus. 3t deto*ifies blood reaching the baby before delivery. 3t transmits nourishment from the placenta to the fetus. 3t produces hormones for the baby-s body.

Answer: c b!ective: "#$' %eference: 1&+1 "". The underlying pathophysiology associated with an ectopic pregnancy is that a fertili6ed egg is: a. b. c. d. lodged in a fallopian tube. developing without a placenta. contaminated with abdominal bacteria. attached to the ovary.

Answer: a b!ective: "#$' %eference: 1&+( "#. 3n an ectopic pregnancy9 the primary threat to the pregnant woman is: a. b. c. d. infection. hemorrhage. severe pain. damage to pelvic organs.

Answer: b b!ective: "#$' %eference: 1&+# "1. When the placenta attaches over the cervi*9 the baby and the mother are at ris7 for which of the following conditions? a. b. c. d. 8lacenta previa 8lacenta abruptio An ectopic pregnancy A uterine tear

Answer: a b!ective: "#$' %eference: 1&+; "'. A woman who is "' wee7s pregnant has fallen and is complaining of sharp abdominal pain. @he is also e*periencing vaginal spotting. @he has tenderness on palpation !ust right of the midline of her abdomen. ?er pulse is 1))9 respirations are ))9 and blood pressure is 11;H;) mm?g. /ased on this presentation9 which of the following actions would you ta7e? a. b. c. d. 8rovide low$concentration o*ygen and transport her. 8lace her in a supine position and immediately transport her. Administer high$flow o*ygen and immediately transport her. =assage her abdomen9 provide high$flow o*ygen9 and nonemergently transport her.

Answer: c b!ective: "#$1) %eference: 1&+) "+. Which of the following statements concerning the functions of the vagina is true? a. The vagina allows the passage of a baby during delivery and the outflow of urine from the bladder. b. The vagina permits the outflow of menstrual blood and is the site at which a sperm fertili6es an egg. c. The vagina serves as a passageway for the fetus during delivery and an outlet for blood during menstruation. d. The vagina allows the e*cretion of urine from the bladder and the outflow of menstrual blood. Answer: c b!ective: "#$) %eference: 1&+1

";. A )+$year$old woman is complaining of midline lower abdominal pain that worsens with urination and is associated with blood in her urine. ne possible cause of her symptoms would be: a. b. c. d. cystitis. dysmenorrhea. an ovarian cyst. pelvic inflammatory disease.

Answer: a b!ective: "#$# %eference: 1&+# "(. When assessing a pregnant woman it is important to remember that: a. the uterus will be e*panded and may be as high as the diaphragm. b. systolic and diastolic blood pressures are normally high in the third trimester. c. due to physiologic changes in pregnancy9 women may lose only 11 percent of their blood volume before they go into shoc7. d. maternal heart rate is usually normal in the third trimester. Answer: a b!ective: "#$' %eference: 1&+1 #&. ?ypotension can occur after )& wee7s of gestation when a pregnant woman is in a supine position. Which of the following actions by a 45 Technician will not prevent hypotension? a. b. c. d. 8lacing her in the left lateral recumbent position 4levating her right hip appro*imately 12) inches 4levating her feet '21) inches Tipping the spine board so that she is slightly tilted onto her left side

Answer: c b!ective: "#$; %eference: 1&+( #1. The most common cause of fetal death due to trauma to a pregnant woman-s abdomen is: a. b. c. d. abruptio placenta. a crushing in!ury to the fetus. penetration of the uterus. premature labor.

Answer: a b!ective: "#$1)

%eference: 1&;;