Review Questions

Select the ONE best answer.

  1. Which of the following best describes the role of hCG during pregnancy?

    1. Causes an increase in the production of FSH and LH.
    2. Maintains the corpus luteum, which stimulates the production of estrogen and progesterone.
    3. Turns the ruptured follicle into the corpus luteum after ovulation.
    4. Stimulates the development, production, and release of milk from the mammary glands.

  2. A sexually active, 35-year-old female presents with a 2-day history of increasing RLQ pain. She states that she has a history of tubal ligation reversal 4 months ago and has been actively trying to get pregnant with her new husband. She has not taken a pregnancy test and denies fever. Assessment reveals rebound tenderness and spotting vaginal bleeding. All of the following could cause the patient’s symptoms EXCEPT:

    1. Ectopic pregnancy.
    2. Ovarian torsion.
    3. Ruptured appendix.
    4. Ruptured ovarian cyst.

  3. A 27-year-old female complains of diffuse lower abdominal pain. She complains of an associated fever and chills and this morning noted that the pain worsened when she walked. She takes birth control pills and rarely uses condoms despite having multiple partners. She is conscious and alert. Which option indicates the most likely cause of the patient’s symptoms?

    1. Endometriosis
    2. Uterine pregnancy
    3. Toxic shock syndrome
    4. PID

  4. In fetal circulation, most of the blood bypasses the lungs of the fetus by going through which of the following?

    1. Foramen ovale
    2. Ductus venosus
    3. Hepatic portal system
    4. Ventricular septal foramen

  5. A 37-year-old female who is 36 weeks pregnant calls the ambulance because she has an intense headache and is dizzy. She also notes blurred vision in her right eye. Vital signs are HR: 110, BP: 158/92, RR: 18, and SpO2: 97%. You suspect:

    1. CVA
    2. Eclampsia
    3. Preeclampsia
    4. Migraine

  6. The following are all true regarding abruptio placenta EXCEPT:

    1. External, visible bleeding can be profuse.
    2. Commonly caused by external blunt trauma.
    3. The placenta covers or partially covers the cervical os.
    4. Should be suspected with a late-term pregnancy in a person with hypotension.

  7. Which of the following events takes place during the 2nd stage of labor?

    1. The infant is born.
    2. The placenta is delivered.
    3. The bag of waters breaks.
    4. The head of the fetus is visible at the vaginal opening.

  8. After a newborn has been dried, warmed, and suctioned, which of the following is the next step for a child with a heart rate of 80 who is weakly crying and pulling back into the fetal position?

    1. Begin CPR.
    2. Administer blow-by O2.
    3. Ventilate with a BVM.
    4. Suction again with a meconium aspirator.

  9. The most immediate and effective treatment a paramedic can perform for the patient with postpartum hemorrhage is:

    1. Fundal massage.
    2. Administer oxytocin.
    3. Infuse up to 2 L crystalloid wide open.
    4. Administer 2 g magnesium sulfate slowly over 10 minutes.

  10. Use the following scenario to answer questions 10 and 11. 

    You just helped deliver a newborn who the mother estimated at 34 weeks gestational age. The amniotic fluid was stained with greenish-black meconium, and particulate matter was present. The cord was wrapped around the infant’s neck twice. The newborn is limp, is blue centrally and peripherally, has only agonal respirations at a rate of 5, has a heart rate in the 30s, and exhibits no response to pain.

    What is this infant’s Apgar score?

    1. 0
    2. 1
    3. 2
    4. 3

  11. I.     Dry, warm, position, stimulate.
    II.    Suction mouth then nose.
    III.   Suction hypopharynx with meconium aspirator.
    IV.   Ventilate with BVM.
    V.    Chest compressions.

    Place the above steps in the correct order for the meconium-stained infant in the scenario.

    1. I, II, III, IV, V
    2. I, II, IV, V, III
    3. III, II, I, IV, V
    4. III, II, IV, V, I