Patient is an 18 year old female who complains of severe abdominal pain and vaginal bleeding. You should:

Patient is an 18 year old female who complains of severe abdominal pain and vaginal bleeding. You should:

A: apply low flow oxygen
B: inspect the vagina
C: ask her when last menstrual cycle was
D: find out what she had to eat











Answer: C

Patient is a pregnant women who is 36 weeks along, blood pressure 74/60, skin signs are pale and cool. You should:

Patient is a pregnant women who is 36 weeks along, blood pressure 74/60, skin signs are pale and cool. You should:

A: keep her flat on her back
B: roll her onto her left side
C: prepare for imminent delivery
D: have her bear down and push










Answer: B

Patient is a pregnant women who is 24 weeks along, she is complaining of nausea and a headache. Pulse is 140 strong and regular, blood pressure is 174/96. Her condition is most likely caused by :

Patient is a pregnant women who is 24 weeks along, she is complaining of nausea and a headache. Pulse is 140 strong and regular, blood pressure is 174/96. Her condition is most likely caused by :

A: supine hypotensive syndrome
B: ectopic pregnancy
C: preeclampsia
D: placenta previa













Answer: C

When caring for the baby you must do all of the following immediately except:

When caring for the baby you must do all of the following immediately except:

A: clear the baby's airway
B: make sure the baby is breathing
C: performing a quick assessment of the baby
D: clamp off the cord and cut it











Answer: D

When preparing to cut the umbilical cord, place the first clamp:

When preparing to cut the umbilical cord, place the first clamp:

A: 6 inches from the baby's belly
B: 4 inches away from the belly's belly
C: only if your jurisdiction allows you to
D: 10 inches from the belly










Answer: A

During normal delivery you should do all of the following except:

During normal delivery you should do all of the following except:

A: support head trunk and legs
B: suctioning the baby's mouth nose and cord
C: support the head and assist in the birth of the shoulders
D: keep the baby's level with the vagina until the cord stops pulsating














Answer: B

When evaluating the mother before delivery all of the following information is important to have except:

When evaluating the mother before delivery all of the following information is important to have except:

A: name age and expected due date
B: if she has been under a physicians care
C: if her water has broken, when and color
D: when she expected to begin contractions











Answer: D

A vaginal discharge occurs:

A vaginal discharge occurs:

A: only during the first stage of childbirth
B: during the 1st and 2cd stage of childbirth
C: throughout the different stages of childbirth
D: only during abnormal childbirth









Answer: C

The rupturing of membranes is an important milestone in the birthing process. It is the:

The rupturing of membranes is an important milestone in the birthing process. It is the:

A: first contraction of which the mother is aware
B: widening of the cervical issue
C: rupturing of the amniotic sac
D: detachment of the placenta










Answer: C

Patient shot in right upper quadrant of the abdomen. Which organ may have been injured

Patient shot in right upper quadrant of the abdomen. Which organ may have been injured

A: stomach
B: liver
C: spleen
D: Pancreas













Answer: B

What is the best care for an open abdominal injury:

What is the best care for an open abdominal injury:

A: pack the inside of the wound with clean dressings
B: pour sterile saline over the wound
C: cover the wound with a dry clean dressing
D: cover the wound with a moist sterile dressing










Answer: D

Patient appears to have an injured rib or 2. There is no flail segment and the patient is alert and oriented. What is the most likely complication from a simple rib injury

Patient appears to have an injured rib or 2. There is no flail segment and the patient is alert and oriented. What is the most likely complication from a simple rib injury

A: hypoxia from shallow breathing
B: puncture of the heart or lung
C: internal bleeding
D: pneumothorax











Answer: A

Patient has an open chest wound that you have covered with an occlusive dressing. The patient becomes short of breath.

Patient has an open chest wound that you have covered with an occlusive dressing. The patient becomes short of breath.

A: add another dressing to the wound
B: release the dressing to allow air to escape
C: apply more pressure to the wound
D: remove the dressing altogether











Answer: B

The purpose of placing an occlusive dressing over a chest wound is to:

The purpose of placing an occlusive dressing over a chest wound is to:

A: control bleeding
B: keep chest contents from spilling out
C: keep air from entering the chest cavity
D: make it easier for the patient to breathe












Answer: C

Patient shot in right lower chest. Which one of the following signs would indicate the patient is developing a tension pneumothorax.

Patient shot in right lower chest. Which one of the following signs would indicate the patient is developing a tension pneumothorax.

A: unequal chest rise
B: tracheal deviation
C: rapid breathing
D: rapid pulse













Answer: B

A 29 year old man has been stabbed once in the posterior chest. How would you describe this injury in your documentation:

A 29 year old man has been stabbed once in the posterior chest. How would you describe this injury in your documentation:

A: evisceration
B: closed chest injury
C: open chest injury
D: flail chest











Answer: C

In the case of an open chest wound, place an occlusive dressing over the wound and then:

In the case of an open chest wound, place an occlusive dressing over the wound and then:

A: cover it loosely with a cloth bandage
B: tape it on 3 or 4 sides
C: hold it in place with a gloved hand
D: pack the opening with clean gauze













Answer: B

Patient struck in the lateral chest by a blunt object. You palpate a flail segment on the right lateral chest area. This injury will affect:

Patient struck in the lateral chest by a blunt object. You palpate a flail segment on the right lateral chest area. This injury will affect:

A: patients ability to breathe normally
B: heart and lungs
C: patients pulse rate
D: patients ability to cough















Answer: A

Patient with open skull injury. When attempting to control bleeding

Patient with open skull injury. When attempting to control bleeding 

A: apply firm fingertip pressure on the open wound
B: use gentle pressure with the palm of your hand
C: tightly wrap a pressure bandage around the skull
D: keep the patient in a head down position while holding pressure










Answer: B

The purpose of a properly sized cervical collar

The purpose of a properly sized cervical collar

A: completely immobilize the head and neck
B: completely immobilize the neck only
C: maintain an open airway
D: remind the patient to not move her head or neck









Answer: D