EMT Domain 4: Obstetrics and Gynecology Welcome to your EMT Domain 4: Obstetrics and Gynecology 1. EMT: Obstetrics and Gynecology During the second stage of labor, the EMT should recognize the need to prepare for delivery when which of the following signs is observed? A. Regular contractions are 5 minutes apart. B. The patient feels the urge to push or bear down. C. The amniotic sac ruptures spontaneously. D. Blood-tinged mucus discharge is present. None 2. EMT: Obstetrics and Gynecology Which of the following conditions is characterized by high blood pressure, swelling of the hands and feet, and proteinuria in a pregnant patient? A. Ectopic pregnancy B. Pre-eclampsia C. Gestational diabetes D. Placenta previa None 3. EMT: Obstetrics and Gynecology When providing care for a patient experiencing a prolapsed umbilical cord, the EMT should take which of the following actions? A. Encourage the patient to push to expedite delivery. B. Place the patient in a supine position with legs flat. C. Elevate the patient's hips and administer high-flow oxygen. D. Attempt to replace the cord into the uterus. None 4. EMT: Obstetrics and Gynecology The presence of meconium in the amniotic fluid during delivery indicates: A. A normal, healthy delivery is expected. B. The newborn has a congenital infection. C. Potential fetal distress or hypoxia. D. Immediate need for cesarean section. None 5. EMT: Obstetrics and Gynecology In cases of breech presentation, the EMT should recognize that the primary concern is: A. Rapid delivery to prevent infection. B. Cord prolapse leading to fetal hypoxia. C. Excessive bleeding from the mother. D. Immediate respiratory support for the neonate. None 6. EMT: Obstetrics and Gynecology Which of the following is the most appropriate management for a patient experiencing supine hypotensive syndrome? A. Position the patient on her right side. B. Encourage deep breathing and relaxation techniques. C. Administer high-flow oxygen via a non-rebreather mask. D. Position the patient on her left side. None 7. EMT: Obstetrics and Gynecology The most critical step in managing a patient with an ectopic pregnancy is: A. Administering pain medication as prescribed. B. Immediate transport to a medical facility for surgical intervention. C. Placing the patient in the Trendelenburg position. D. Encouraging fluid intake to prevent dehydration. None 8. EMT: Obstetrics and Gynecology When caring for a patient in active labor with known placenta previa, the EMT should avoid: A. Monitoring vital signs frequently. B. Administering supplemental oxygen. C. Performing a vaginal examination. D. Placing the patient in a comfortable position. None 9. EMT: Obstetrics and Gynecology The primary indication for initiating neonatal resuscitation is: A. The newborn's weight is below the 5th percentile for gestational age. B. Absence of spontaneous respiration after birth. C. Meconium-stained amniotic fluid. D. A heart rate below 100 bpm immediately after birth. None 10. EMT: Obstetrics and Gynecology In the case of shoulder dystocia during delivery, the EMT's first action should be to: A. Apply gentle traction on the baby's head. B. Encourage the mother to push harder. C. Perform the McRoberts maneuver. D. Prepare for immediate cesarean delivery. None 11. EMT: Obstetrics and Gynecology When managing a postpartum hemorrhage, the EMT should initially: A. Administer high-flow oxygen. B. Perform fundal massage if the uterus is boggy. C. Apply a tourniquet to the lower extremities. D. Encourage breastfeeding to promote uterine contraction. None 12. EMT: Obstetrics and Gynecology During a pre-hospital delivery, you notice a limb presentation. What is the most appropriate next step? A. Attempt to deliver the baby by pulling on the presenting limb. B. Place the mother in a knee-chest position and prepare for immediate transport. C. Encourage the mother to push with each contraction to expedite delivery. D. Perform a vaginal examination to determine if the limb belongs to an arm or a leg. None 13. EMT: Obstetrics and Gynecology Which of the following is an indication for immediate neonatal resuscitation? A. The newborn's cry is weak and irregular immediately after birth. B. The amniotic fluid is clear and the newborn is crying. C. The newborn has a heart rate of 85 beats per minute at 1 minute after birth. D. The newborn exhibits cyanosis of the hands and feet (acrocyanosis) immediately after birth. None 14. EMT: Obstetrics and Gynecology For a patient in labor with known polyhydramnios, the EMT should be most concerned about the risk of: A. Fetal malposition. B. Umbilical cord prolapse. C. Gestational diabetes. D. Postpartum hemorrhage. None 15. EMT: Obstetrics and Gynecology In the context of obstetrics, the term "gravida" refers to: A. The number of pregnancies, regardless of outcome. B. The number of viable, live births. C. The number of pregnancies carried past 20 weeks. D. The number of spontaneous or elective abortions. None 16. EMT: Obstetrics and Gynecology The administration of oxygen to a pregnant patient in severe distress should be: A. Limited to 2 liters per minute to avoid fetal hyperoxia. B. Provided at high-flow rates via a non-rebreather mask. C. Avoided unless the patient's oxygen saturation falls below 92%. D. Delivered through nasal cannula at 4 liters per minute. None 17. EMT: Obstetrics and Gynecology A patient experiencing a postpartum hemorrhage should be treated initially with: A. Intravenous fluids and rapid transport. B. Fundal massage only if the uterus is not contracted. C. Immediate administration of oral iron supplements. D. Placement in the Trendelenburg position to improve perfusion. None 18. EMT: Obstetrics and Gynecology The most appropriate management of a patient presenting with a suspected placental abruption includes: A. Immediate delivery in the pre-hospital setting. B. Placing the patient in a left lateral decubitus position. C. Administration of tocolytics to delay labor. D. Encouraging ambulation to promote natural labor. None 19. EMT: Obstetrics and Gynecology The presence of a "show" or bloody show is most indicative of: A. Imminent delivery within the next few hours. B. The beginning of the first stage of labor. C. A complication requiring immediate medical intervention. D. Completion of the latent phase of labor and transition to the active phase. None 20. EMT: Obstetrics and Gynecology When dealing with a patient experiencing severe preeclampsia, the EMT should be most alert for signs of: A. Hypoglycemia. B. Eclampsia, manifested as seizures. C. Urinary tract infection. D. Fetal distress. None 21. EMT: Obstetrics and Gynecology The proper technique for suctioning a newborn's airway is to suction: A. The mouth before the nose using a bulb syringe. B. The nose before the mouth using a mechanical suction device. C. Simultaneously both nostrils and the mouth. D. The mouth only, unless there is obvious obstruction in the nostrils. None 22. EMT: Obstetrics and Gynecology The identification and management of a "precipitous delivery," defined as labor and delivery lasting less than 3 hours, should prioritize: A. Slowing down the delivery process to prevent tearing. B. Preparing for immediate neonatal resuscitation due to the rapid delivery. C. Administering pain relief to manage intense labor contractions. D. Continuous fetal monitoring to detect distress. None 23. EMT: Obstetrics and Gynecology When encountering a pregnant patient with signs of shock and no visible bleeding, the EMT should suspect: A. Gestational diabetes. B. Placenta previa. C. Placental abruption. D. Hyperemesis gravidarum. None 24. EMT: Obstetrics and Gynecology For a pregnant patient in the third trimester presenting with unilateral swelling and pain in the lower extremity, the EMT's primary concern should be: A. Deep vein thrombosis (DVT). B. Musculoskeletal injury. C. Lymphedema. D. Varicose veins. None 25. EMT: Obstetrics and Gynecology In the case of a known molar pregnancy, what is the most appropriate prehospital care by an EMT? A. Prepare for immediate delivery. B. Administer IV fluids and transport. C. Provide oxygen and rapid transport for surgical intervention. D. Encourage bed rest and schedule a follow-up with an OB/GYN. None 26. EMT: Obstetrics and Gynecology The EMT should recognize the need for immediate transport in a pregnant patient exhibiting symptoms of mirror syndrome, which include: A. Hypertension, proteinuria, and edema. B. Fever, abdominal pain, and vaginal discharge. C. Pallor, cool skin, and delayed capillary refill. D. Severe headache, visual disturbances, and swelling. None 27. EMT: Obstetrics and Gynecology During transport of a pregnant patient with suspected vasa previa, the EMT must prioritize: A. Positioning the patient on her left side to increase circulation. B. Monitoring for signs of fetal distress. C. Administering supplemental oxygen to the patient. D. All of the above. None 28. EMT: Obstetrics and Gynecology The EMT's initial intervention for a pregnant patient presenting with a seizure and no prior history of epilepsy should be: A. Administer oral glucose for suspected hypoglycemia. B. Start an IV line and prepare to administer magnesium sulfate. C. Position the patient for delivery. D. Apply oxygen and transport immediately, suspecting eclampsia. None 29. EMT: Obstetrics and Gynecology When assessing a pregnant patient with a history of substance abuse, the EMT should be particularly vigilant for signs of: A. Abruptio placentae. B. Gestational diabetes. C. Polyhydramnios. D. Uterine atony. None 30. EMT: Obstetrics and Gynecology The recognition and management of a perineal hematoma in the postpartum period should include: A. Immediate cold pack application and transport for surgical evaluation. B. Encouraging the patient to ambulate to reduce swelling. C. Application of a tourniquet above the site to reduce bleeding. D. Monitoring vital signs and advising bed rest until the hematoma resolves. None 1 out of 30 Time is Up! Time's up