OB and Neonatal (Paramedic) Study Center > Diagnostic Tests > Paramedic Diagnostic Tests > OB and Neonatal (Paramedic) Step 1 of 30 3% You have been ordered to insert an orogastric tube into a neonate. Proper measurement of this tube prior to insertion would be obtained by tracing it from the bridge of the nose to the earlobe to the* suprasternal notch. halfway point between the suprasternal notch and the nipple line. halfway point between the xiphoid process and umbilicus. xiphoid process. A term baby is born active and crying. You should first* stimulate the neonate. dry and warm the neonate. cut the umbilical cord. suction the mouth and nose. A 17 year old woman tells you she is 6 months pregnant. She notes that 60 minutes ago she has had a miscarriage and delivered a very small fetus. She states that she continues to bleed heavily. You should next* pack the vagina with bulky dressings. administer magnesium sulfate. obtain IV access and administer fluid. initiate fundal massage. At which of the following anatomical locations does blood that has been oxygenated in the placenta enter the cardiovascular system of a fetus?* The foramen magnum The iliac artery The inferior vena cava The ductus arteriosus You have been tasked with administering epinephrine to a neonate during resuscitation. You are using a 1 mg in 10 mL admixture which gives you a solution concentration of 0.1mg/mL. The child weighs 5kg. What volume of medication should be administered?* 0.5mL 0.05mL 0.01mL 5mL A 30 year old, 19-week pregnant woman complains of severe vomiting and nausea. Family states she has been very sick and recently losing weight. She is AOX3 and her vitals are P 124, R 24, BP 100/64. You should first* administer ondansetron IV. administer magnesium sulfate over 10 min. administer amiodarone IV over 15 min. initiate rapid transport to the nearest trauma center. A 28 year old female is 22 weeks pregnant. Her boyfriend went to wake her from her nap and found her confused, mumbling and unable to walk. He states she was feeling fine before the nap and just began taking an unknown medication related to her pregnancy. Her vital signs are P 120, R 28, BP 110/80. You should next* administer magnesium sulfate. obtain a blood glucose level. administer high concentration oxygen. administer a bolus of normal saline. A 33 year old female complains of an acute onset of heavy vaginal bleeding. She denies trauma and notes that she has missed her last two menstrual periods. She confirms that she has been sexually active. You should suspect* ongoing pregnancy. a spontaneous abortion. an ovarian cyst. pelvic inflammatory disease. A 30 year old woman has fallen down 12 concrete stairs. She is 36 weeks pregnant and now complains of tearing abdominal pain. You note she is pale, slightly diaphoretic and her vital signs are: P 128, BP 110/80, R 34. These findings would most likely indicate* placenta previa. abdominal aneurysm. placental abruption. perforated stomach ulcer. Which of the following would be considered an expected change to a woman’s reproductive system as a result of pregnancy?* Shortened menstrual cycle Braxton Hicks contractions Uterine reduction Ligament stiffening A 22 year old woman complains of lower quadrant abdominal pain and vaginal bleeding. She notes an acute onset of the pain and describes it as sharp and radiating down toward her groin. She is slightly agitated and her vital signs are P 108, R 22, BP 90/60. You should suspect* shock. PID. renal colic. a UTI. After initiating positive pressure ventilation during a neonatal resuscitation, how long do you continue before reassessing/re-evaluating?* 10 seconds 60 seconds 30 seconds 20 seconds When performing chest compressions on a neonate, you should compress the chest* 1.5 inches. one quarter the anterior-posterior depth of the chest 1 inch. one half the anterior-posterior depth of the chest. A female is born at 31 weeks. She is delivered limp and apneic. You note she is covered in meconium. You should FIRST* stimulate the baby. suction her mouth then nose. begin positive pressure ventilation. aspirate meconium from her hypopharynx. A 19 year old female complains of vaginal bleeding. She notes it began roughly one hour prior to your arrival. You note that the patient is reluctant to share history and your assessment identifies genital trauma. You should suspect* self-harm. a saddle injury. a spontaneous abortion. sexual assault. A term baby is born active and crying. You note meconium covering his neck, shoulders and chest. After delivering the baby, you should next* suction his mouth then nose. aspirate meconium from his hypopharynx. dry and warm the baby. flush the meconium from his body using sterile water. You have completed the ventilation step of a neonatal resuscitation. You assess the patient and identify gasping breathing and a heart rate of 54. You should next* administer 0.01mg/kg of naloxone. initiate chest compressions. initiate supplemental oxygen. administer 0.01mg/kg of 1:10,000 epinephrine. You are evaluating a 19 year old woman in labor. The nearest hospital is 35 minutes away. The patient tells you that she did not know she was pregnant but is now about to deliver. She feels the urge to move her bowels. You should* administer an antiemetic. initiate immediate transport. allow her to go to the bathroom. ready the standard OB kit and BVM. A 20 year old female complains of acute onset, unilateral lower quadrant abdominal pain. She states she feels nauseous. Her vital signs are P 116, R 20, BP 120/80. You should suspect* placenta previa. ovarian cyst. ectopic pregnancy. placental abruption. A 20 year old female complains of lower left quadrant abdominal pain. She notes the pain developed over two hours, became severe, but then subsided on its own about 30 minutes prior to the arrival of EMS. She denies trauma and notes no history of sexual activity. Her vital signs are P 82, R 16, BP 120/80. You should suspect* ovarian cyst. ectopic pregnancy. urinary tract infection. pelvic inflammatory disease. Which of the following blood vessels supplies oxygenated blood from the placenta to the fetus?* The umbilical vein The pulmonary vein The placental artery The umbilical artery A 17 year old female tells you that she is having unilateral lower quadrant abdominal pain. Which of the following findings would be most concerning?* Amenorrhea Fever Nausea Increased frequency of menstrual period A 19 year old pregnant female tells you that she has just begun labor. She notes her water broke approximately 15 minutes prior. The patient is 31 weeks pregnant and upon assessment, you note crowning at the perineum. You should next* administer a magnesium sulfate infusion. hold in place and prepare for delivery. place the patient is the knee-chest position. initiate immediate and rapid transport. A 24 year old female complains of diffuse abdominal pain increased by movement. She notes the pain has developed over the last three days and has been associated with a fever and vaginal discharge. You note her abdomen is tender over the lower two quadrants. You should suspect* cholecystitis. pelvic inflammatory disease. hepatitis. ectopic pregnancy. Which of the following would be considered an expected change to a woman’s cardiovascular system as a result of pregnancy?* Dilutional anemia Decreased plasma volume Increased hemoglobin concentration Reduced clotting in the blood A 16 year old female tells you that she is pregnant and that her last menstrual period started October 1. If today’s date was March 15, what trimester of pregnancy would this patient be in?* 4th trimester 1st trimester 2nd trimester 3rd trimester A 22 year old pregnant female has been having an asthma attack for the last 2 hours. Her family states she is 29 weeks pregnant and has been getting worse over the last 15 minutes. You find the patient confused and cyanotic with very tight wheezes across all lung fields. Her vital signs are P 130, BP 90/60, R 16. You should first* administer a fluid bolus. administer low concentration oxygen. initiate positive pressure ventilation. administer a beta agonist. A 25 year old woman is in labor. The nearest hospital is 20 minutes away. She has had normal prenatal care and an uncomplicated pregnancy. Which of the following findings would specifically indicate a need to stay and deliver the baby at her house?* The sensation that the baby has dropped Urge to push Contractions Rupture of membranes A 29 year old woman has been found unconscious. A neighborhood bystander thinks that the patient is pregnant, however, cannot confirm. Upon examination, you palpate the fundus of her uterus to be at the level of her xiphoid process. You should suspect she is* in her third trimester. not pregnant. in her second trimester. in her first trimester. A 32 year old woman begins to have a full tonic-clonic seizure while delivery is in progress. The baby’s head is currently on the perineum. You should first* insert a gloved hand to keep pressure off the cord. administer 2g of magnesium sulfate IV over 10 min. initiate rapid transport. administer 5mg midazolam IV.