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OB/GYN
Practice Exam
Annotated Answer Key
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1.
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Reading Level: 9.3
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Bloom Level: 4
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB18
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Objective: 5-14.25
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 A:
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Create an area that is
sterile and free of any germs.
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B:
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Instruct her to lie on
her side when she has an urge to push.
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C:
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Tell the patient to use
the bathroom while you are setting up.
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D:
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Have the patient remove
her pants and cover her legs with a sheet.
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Treating the patient
with kindness and respecting her dignity will be a big part of your
treatment. The other distracters are impossible to create or potentially
dangerous.
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2.
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Reading Level: 7
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Bloom Level: 4
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB18
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Objective: 5-14.26
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A:
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It will protect the
rescuers from civil liability later.
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B:
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Relatives can serve as
legal witneseses for the EMS run form.
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C:
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If needed, relatives or
friends could be able to assist with the delivery.
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D:
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Calling a friend or
relative could comfort the patient.
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Delivery of a new baby
can be stressful for a new mom. Calling for a friend or family member
could make her feel better during this stressful time. Our job requires
us to think about the emotions of a patient.
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3.
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Reading Level: 9.7
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Bloom Level: 2
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Cut Score: 0.36
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Provider: EMT-P
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National Registry: OB17
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Objective: 5-14.2
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A:
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The delivery of the
placenta after a baby has been born.
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B:
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A small mixture of
blood and mucous that preceeds delivery.
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C:
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A Large flow of bright
red fluid indicating the placenta has ruptured.
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D:
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The tearing of the
tissue between the vagina and rectum during delivery of a large baby.
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A bloody show indicates
that the cervix is dilating and active labor is in progress. Delivery of
the placenta is “after birth” and a large flow of bright red fluid does
not match the typical description of a bloody show.
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4.
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Reading Level: 9.9
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Bloom Level: 4
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB20
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Objective: 5-13.8
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A:
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Examine the vaginal
area.
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B:
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Place bloody articles
in paper bags.
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C:
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Question the patient
about the incident.
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D:
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Remove the patient’s
clothing and place in separate bags for evidence.
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You should place any
bloody articles in a paper bag to preserve the evidence. You should avoid
examining the vaginal area in this situation unless you suspect severe
bleeding. The other two choices should not be performed.
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5.
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Reading Level: 8.9
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Bloom Level: 5
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Cut Score: 0.45
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Provider: EMT-P
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National Registry: OB18
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Objective: 5-14.11
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A:
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Create a setting that
is as private as possible for the patient where she is found.
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B:
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Tell the manager that
you are not allowed to move patients without EMS help.
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C:
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Pressure the patient to
consider moving to the restroom as requested by the staff.
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D:
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Suggest to the manager he
close the restaurant down and ask everyone to leave.
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The BEST answer is to
place the interest of your patient as your highest priority. Creating a
setting that is as private as possible is the best answer. Pressuring the
patient to move or offering advice to the manager is not your
responsibility.
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6.
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Reading Level: 10.4
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Bloom Level: 4
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB16
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Objective: 5-13.6
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A:
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Gall stones.
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B:
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Kidney stones.
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C:
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Endometriosis.
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D:
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Ectopic pregnancy.
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Our greatest concern
would be that the patient may have an ectopic
pregnancy which is a life-threatening condition. The other conditions
listed are not life-threatening.
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7.
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Reading Level: 6.7
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Bloom Level: 1
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.4
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A:
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Dilation.
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B:
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Contraction.
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C:
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Expulsion.
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D:
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Placental.
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The expulsion stage is
the stage when the baby is delivered. The placental stage is when the
placenta is delivered. The dilation stage occurs prior to delivery. There
is no contraction stage.
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8.
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Reading Level: 5.8
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Bloom Level: 1
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.1
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A:
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Uterus.
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B:
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Cervix.
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C:
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Placenta.
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D:
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Amniotic Sac.
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The organ that holds
the fetus is the uterus. The amniotic sac is not an organ.
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9.
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Reading Level: 9.7
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Bloom Level: 2
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.5
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A:
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Limb.
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B:
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Breech.
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C:
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Cephalic.
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D:
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Transverse.
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The description
provided is that of a breech presentation.
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10.
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Reading Level: 6.7
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Bloom Level: 2
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.9
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A:
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Scalpel.
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B:
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Bulb syringe.
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C:
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Placental bag.
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D:
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Umbilical clamps.
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The most important
piece of equipment listed is the bulb syringe as it allows us to provide
a clear airway for the newborn.
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11.
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Reading Level: 12
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Bloom Level: 1
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Cut Score: 0.45
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Provider: EMT-P
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National Registry: OB17
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Objective: 5-14.7
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A:
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Nuchal cord.
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B:
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Prolapsed cord.
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C:
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Placenta previa.
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D:
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Limb presentation.
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Placenta previa is a pre-delivery emergency. The other
emergencies listed occur during the delivery process.
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12.
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Reading Level: 10.7
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Bloom Level: 6
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB17
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Objective: 5-14.8
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A:
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Crowning.
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B:
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Braxton Hicks
contractions.
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C:
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Labor pains which are
10 minutes apart.
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D:
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The mother indicates
she has an urge to defecate.
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The best indication of
those listed would be crowning. The next best would be the mother's
indication for an urge to defecate.
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13.
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Reading Level: 7
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Bloom Level: 4
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB18
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Objective: 5-14.10
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A:
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Administer high-flow
oxygen.
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B:
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Tilt the board onto the
patient’s left side.
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C:
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Place an oral airway
and begin ventilating.
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D:
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Place the patient in a trendelenburg position.
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The patient is showing
signs of supine hypotension disorder and needs to be immediately tilted
to the left to take pressure off of the vena cava.
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14.
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Reading Level: 10.1
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Bloom Level: 2
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Cut Score: 0.45
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.11
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A:
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On a table.
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B:
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On her bed.
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C:
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On the floor.
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D:
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On the stretcher.
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The stretcher would be
the best place to position the mother so if there are complications of
delivery, you are immediately prepared to transport.
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15.
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Reading Level: 12
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Bloom Level: 3
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.12
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A:
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Gown.
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B:
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Gloves.
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C:
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Face shields and masks.
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D:
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All of the above.
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Childbirth is messy and
you should use all of the BSI materials available.
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16.
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Reading Level: 6.8
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Bloom Level: 4
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Cut Score: 0.6
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.13
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A:
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Immediately transport
the mother.
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B:
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Cut the sac open with
your scalpel.
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C:
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Use your fingers to
puncture the sac.
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D:
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Continue with the
delivery as this is normal.
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You should first
attempt to puncture the sac with your fingers. If this fails, carefully
using your scalpel would be your next option.
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17.
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Reading Level: 6.1
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Bloom Level: 3
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Cut Score: 0.9
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Provider: EMT-P
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National Registry: OB23
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Objective: 5-14.13
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A:
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Clamp and cut the cord.
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B:
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Suction the mouth then
the nose.
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C:
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Dry the head to prevent
heat loss.
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D:
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Pull the baby’s head
down to delivery the shoulders.
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As soon as the head is
delivered you should suction the mouth then nose. You should also assess
for a nuchal cord at this time.
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18.
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Reading Level: 3.9
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Bloom Level: 2
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Cut Score: 0.9
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