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A collection of questions and answers related to ob/gyn, specifically focusing on the fisdap exam. It covers various topics relevant to the field, including labor and delivery, complications during pregnancy, and newborn care. The questions are designed to test knowledge and understanding of key concepts and procedures in ob/gyn.
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Answer: start of one to the start of the next
Answer: crowning of the baby's head
Answer: body size
Answer: uterine contractions become more regular
Answer:
a breech presentation occurs when the buttocks are the presenting part
her husband tells you that her blood pressure has been high and that she had been complaining of a headache for the past few days you should: Answer: place her on her side, administer high-flow oxygen, and transport
during transport, you note that she suddenly became diaphoretic, tachycardia, and hypotensive you should: Answer: place her in a left lateral recumbent position
Answer: an ectopic pregnancy
approximately: Answer: 16 hours
Answer: manually displace the patient's uterus to the left
Answer: the mother might become nauseated and vomit
crowning at the vaginal opening what should you do Answer: apply gentle pressure to the baby's head as it delivers
clamped and cut the umbilical cord during transport, you note that the mother is experiencing moderate vaginal bleeding you should: Answer: firmly massage the uterine fundus with a circular motion
Answer: 7:
Answer: elevate the right side of the board with rolled towels or blankets
Answer: on the first day of her last menstrual cycle
Answer: the pregnant uterus compresses the inferior vena cava
Answer: internal bleeding caused by a ruptured ectopic pregnancy
Answer: breech presentation and prolapsed umbilical cord
Answer: that the baby's airways might be constructed
sac you should: Answer: puncture the sac and suction the baby's mouth and nose
Answer: take quick short breaths
system during pregnancy Answer: increased respiratory rate and decreased respiratory reserve
Answer: return of contractions following delivery of the baby
mother will deliver her baby within the next few minutes Answer: "have you had a sonogram"
Answer: in some cases, women with gestational diabetes require insulin injections
oropharynx is correct Answer: suctioning is indicated prior to cutting the cord if respiratory distress is present
Answer: the placenta allows oxygen, carbon dioxide, and other products to transfer between the mother and fetus but does not allow blood to mix between the mother and fetus
you should: Answer: gently push the infant's head away from the cord
she is experiencing regular contractions that are approximately three minutes apart and states that her amniotic sac broke two hours ago after taking the standard precautions, you should: Answer: assess her for crowning
Answer: age-appropriate behavior, good muscle tone, and good eye contact
Answer: absent urine output
Answer: place him or her on a firm surface
Answer: shins
Answer: cherry-red spots or a purplish rash
Answer: positioning, ice packs, and extremity elevation
Answer: 6 months and 6 years
Answer: has a history compatible with a serious illness
Answer: wheezing
Answer: alcohol
Answer: a rash
Answer: talk to the child, not just the caregiver
Answer: EMTs must report all suspected cases of child abuse
Answer: a 3 month old infant can distinguish a parent from a stranger
when you arrive, you determine that the infant is apneic and pulseless his skin is pale and cold and his arms are stiff you should: Answer: inform the child's mother that her son is deceased
when you arrive at the scene, the child is conscious, crying, and clinging to her mother her skin is hot and moist the mother tells you that the seizure lasted approximately 5 minutes she further tells you that her daughter has no history of seizures but has had a recent ear infection you should: Answer:
cool the child with tepid water and transport to the hospital
your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth you should: Answer: monitor her airway and give oxygen
which of the following assessment findings would be the MOST indicative of decompensated shock Answer: blood pressure of 70/40 mm HG
he is unconscious, but his level of activity is decreased the infant's mother tells you that he has not had a soiled diaper in over 12 hours the infant's hear rate is 140 beats/min, and his anterior fontanelle appears to be slightly sunken you should suspect: Answer: moderate dehydration
his mother states that she saw him put a small toy into his mouth shortly before the episode began the child is conscious, obviously frightened, and is coughing forcefully you should: Answer:
as you approach the child, you note that he is lying at the base of the monkey bars he is unresponsive, and there are no signs of breathing you should: Answer: stabilize his head and check for a pulse
the patient, an 18 month old female, is tachypneic, has sternal retractions, and is clinging to her mother her skin is pink and dry, and her heart rate is 120 beats/min the MOST appropriate treatment for this child includes: Answer: administering blow-by oxygen and transporting the child with her mother
head on the ground; he was not wearing a helmet he is responsive to painful stimuli only and has a large hematoma to the back of his head after your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular his pulse is slow and bounding you should: Answer: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center
following birth Answer: 15 to 30
you do not have pediatric AED pads what should you do Answer: use the adult pads
Answer: have delivered a baby before
shock because: Answer: pregnant patients have an overall increase in blood volume
Answer: ensure that it is thoroughly dried and warmed
Answer: weighs less than 5 pounds or is born before 36 weeks' gestation.
Answer: might present without significant abdominal pain
Answer: pregnancy causes an increased number of red blood cells, which predisposes the mother to anemia
Answer: insulate and protect the fetus
Answer: is pregnant for the first time
Answer: carries oxygen to the baby via the umbilical vein