OB/GYN Practice Exam

1.  

A pregnant female is showing signs she will be have her baby before EMS arrives. What concept should the first responders follow during preparation for a delivery?

A:	Create an area that is sterile and free of any germs.
B:	Instruct her to lie on her side when she has an urge to push.
C:	Tell the patient to use the bathroom while you are setting up.
D:	Have the patient remove her pants and cover her legs with a sheet.

2.  

You and your partner are preparing to deliver a baby. The patient tells you this is her first pregnancy and she is frightened. Choose the BEST reason for asking the patient if she wants you to contact a relative or friend to be with her.

A:	It will protect the rescuers from civil liability later.
B:	Relatives can serve as legal witneseses for the EMS run form.
C:	If needed, relatives or friends could be able to assist with the delivery.
D:	Calling a friend or relative could comfort the patient.

3.  

The BEST explanation of a bloody show during pregnancy is described as:

A:	The delivery of the placenta after a baby has been born.
B:	A small mixture of blood and mucous that preceeds delivery.
C:	A Large flow of bright red fluid indicating the placenta has ruptured.
D:	The tearing of the tissue between the vagina and rectum during delivery of a large baby.

4.  

You have a conscious female patient who has been sexually assaulted. Which of the following is MOST correct regarding the assessment and management of this patient?

A:	Examine the vaginal area.
B:	Place bloody articles in paper bags.
C:	Question the patient about the incident.
D:	Remove the patient’s clothing and place in separate bags for evidence.

5.  

You are dispatched to a restaurant for a woman sitting of the floor in labor. Delivery seems imminent and you prepare to assist her. While setting up your equipment a manager asks if you can move the patient to the bathroom, so the customers are not distracted. With this information, rescuers should.

A:	Create a setting that is as private as possible for the patient where she is found.
B:	Tell the manager that you are not allowed to move patients without EMS help.
C:	Pressure the patient to consider moving to the restroom as requested by the staff.
D:	Suggest to the manager he close the restaurant down and ask everyone to leave.

6.  

When we are assessing a young, adult female with abdominal pain, which of the following is our biggest concern?

A:	Gall stones.
B:	Kidney stones.
C:	Endometriosis.
D:	Ectopic pregnancy.

7.  

What is the name of the stage of delivery when the baby is delivered?

A:	Dilation.
B:	Contraction.
C:	Expulsion.
D:	Placental.

8.  

What is the name of the organ that holds the fetus during pregnancy?

A:	Uterus.
B:	Cervix.
C:	Placenta.
D:	Amniotic Sac.

9.  

As you are examining an expectant patient you identify that the infant’s legs and buttocks are already delivered. What is the name for this type of presentation?

A:	Limb.
B:	Breech.
C:	Cephalic.
D:	Transverse.

10.  

Of the following, which is the MOST important piece of equipment in the OB kit?

A:	Scalpel.
B:	Bulb syringe.
C:	Placental bag.
D:	Umbilical clamps.

11.  

Which of the following is a pre-delivery emergency?

A:	Nuchal cord.
B:	Prolapsed cord.
C:	Placenta previa.
D:	Limb presentation.

12.  

Which of the following is the BEST indicator of an imminent delivery?

A:	Crowning.
B:	Braxton Hicks contractions.
C:	Labor pains which are 10 minutes apart.
D:	The mother indicates she has an urge to defecate.

13.  

You have just placed a 9-month pregnant female on a back board. The patient was stable prior to this and was just complaining of back pain. She is now unresponsive, breathing rapidly, and has a weak rapid pulse. Which of the following is your MOST immediate priority?

A:	Administer high-flow oxygen.
B:	Tilt the board onto the patient’s left side.
C:	Place an oral airway and begin ventilating.
D:	Place the patient in a trendelenburg position.

14.  

Which of the following would be the BEST place to have the mother position herself as she prepares to delivery the child?

A:	On a table.
B:	On her bed.
C:	On the floor.
D:	On the stretcher.

15.  

Which of the following would be the appropriate body substance isolation materials to use during the delivery of an infant?

A:	Gown.
B:	Gloves.
C:	Face shields and masks.
D:	All of the above.

16.  

What should you do FIRST if the amniotic sac is still intact as the head is delivered?

A:	Immediately transport the mother.
B:	Cut the sac open with your scalpel.
C:	Use your fingers to puncture the sac.
D:	Continue with the delivery as this is normal.

17.  

The head of the baby has just delivered, which of the following should you do NEXT?

A:	Clamp and cut the cord.
B:	Suction the mouth then the nose.
C:	Dry the head to prevent heat loss.
D:	Pull the baby’s head down to delivery the shoulders.

18.  

When should you cut the umbilical cord?

A:	Prior to pulsations stopping and before clamping the cord.
B:	After pulsations have stopped and prior to clamping the cord.
C:	Prior to pulsations stopping and after you have clamped the cord.
D:	After pulsations have stopped and after you have clamped the cord.

19.  

Which of the following is true regarding the delivery of the placenta?

A:	It usually takes the placenta about 20 minutes to deliver.
B:	You should delay transport until the placenta has delivered.
C:	You should have the mother nurse to facilitate placental delivery.
D:	You should gently massage the uterus to facilitate placental delivery.

20.  

You have a newborn that is breathing slowly and has a heart rate of 64. What is the FIRST step in neonatal resuscitation for this newborn?

A:	Administer oxygen.
B:	Begin chest compressions.
C:	Suction the mouth then nose.
D:	Begin bag-valve-mask ventilation.

21.  

You are assessing a pregnant female who is about to give birth and you notice a prolapsed cord? Which of the following is the correct procedure for this situation?

A:	Clamp and cut the cord.
B:	Continue with the delivery as this is normal.
C:	Attempt to slide the cord around the head or shoulders.
D:	Place your gloved hand into the vagina and lift the head up until the cord begins pulsating.

22.  

Under which of the following abnormal deliveries is it appropriate for you to place your gloved hand into the birth canal?

A:	Nuchal cord.
B:	Prolapsed cord.
C:	Limb presentation.
D:	Transverse presentation.

23.  

Which of the following is your biggest concern regarding the delivery of twins?

A:	One of the infants may be a breech presentation.
B:	Paying special attention to keeping the infants warm.
C:	The delivery will be especially difficult due to the size of the infants.
D:	Not clamping the cord of the first child until the second child has delivered.

24.  

You have just delivered an infant and meconium was present. Which of the following describes the appropriate procedure for this situation?

A:	Begin ventilations immediately.
B:	Suction before stimulating the infant.
C:	Wipe off the child thoroughly before any other action.
D:	Perform chest thrusts to remove any foreign obstructions.

25.  

Which of the following is your greatest concern regarding a newborn that was born prematurely?

A:	Keeping the infant warm.
B:	Performing an APGAR assessment.
C:	Placing the infant on a non-rebreather.
D:	Suctioning the nose then mouth with a flexible suction catheter.

26.  

You are treating a 27-year-old female complaining of severe abdominal pain. She describes the pain's location as just under the diaphragm on the left. She indicates that she could be pregnant. Which of the following is your primary concern in treating this patient?

A:	Placing the patient on her right side.
B:	Looking for signs of imminent delivery.
C:	Controlling any bleeding from the vagina.
D:	Administering high-concentration oxygen.

27.  

Which of the following would be abnormal for a pregnant female in her last trimester of pregnancy?

A:	An elevated blood pressure.
B:	A blood loss of 30% with no signs of shock.
C:	A respiratory rate which is greater than her normal.
D:	A pulse rate that is 10-15 beats faster that her normal.

28.  

You are called to the scene of a trauma involving a female who is 9-months pregnant and in labor. She was cut in her radial artery and you have controlled bleeding. Her pulse is 98, respirations are 26 and shallow, blood pressure is 100/70, her skin is slightly pale, and she is anxious. Which of the following is your primary concern?

A:	Providing low-concentration oxygen.
B:	Providing her with high-concentration oxygen.
C:	Placing her in a trendelenburg position to treat for shock.
D:	Assisting with normal delivery as her signs are appropriate for her condition.

29.  

You have been dispatched to the residence of a female patient who has been sexually assaulted. Which of the following should be your highest priority?

A:	Providing care for the patient.
B:	Preventing destruction of evidence.
C:	Maintaining the patient’s modesty and privacy.
D:	Providing accurate and complete documentation.

30.  

You are dispatched to the honeymoon suite of a local hotel. The husband called you as a result of his wife’s complaint of severe unilateral abdominal pain during intercourse. The patient appears nervous but all vital signs are within normal ranges and she does not have a fever. Which of the following is the MOST likely cause of the unilateral abdominal pain?

A:	Cystitis.
B:	Endometritis.
C:	Ruptured ovarian cyst.
D:	Pelvic inflammatory disease.

31.  

You are dispatched to the residence of a 20-year-old female who appears very ill. She indicates that she has had a fever, foul-smelling vaginal discharge and she reports severe pain upon palpation of the lower abdomen. Her history indicates that she has been diagnosed with gonorrhea and chlamydia. Which of the following is MOST likely the cause of her abdominal discomfort?

A:	Endometritis.
B:	Endometriosis.
C:	Ectopic pregnancy.