Gynecology

Front 1

a surgical procedure in which the abdomen and uterus are incised and the baby is delivered transabdominally

Back 1

Cesarean delivery

Front 2

a gynecological procedure that refers to widening of the uterine cervix and scrapping away of tehendometrium of the uterus

Back 2

dilation and curettage

Front 3

the mucous membrane lining of the uterus which changes in thickness and structure with the menstrual cycle

Back 3

endometrium

Front 4

the surgical removal of the uterus

Back 4

hysterectomy

Front 5

the first menstruation and commencement of the cyclic menstrual function

Back 5

menarche

Front 6

the cessation of menses

Back 6

menopause

Front 7

the periodic discharge through the vagina of a blood secretion containing tissue debris from the shedding of the endometrium from the nonpregnant uterus

Back 7

menstruatin

Front 8

the release of an ovum or secondary oocyte from the vesicular follicle

Back 8

ovulation

Front 9

the forcible perpetration of an act of sexual contact on the body of another person, male or female, with out his or her consent

Back 9

sexual assult

Front 10

the surgical removal of the uterus

Back 10

hysterectomy

Front 11

gynecological emergencies

Back 11

nontraumatic traumatic and sexual assault

Front 12

Inflammation of the inner lining of the bladder

Back 12

Cystitis

Front 13

pain during menstruation experienced by many women

Back 13

dysmenorrhea

Front 14

infection of the crvix, uterus, fallopian tubes and ovaries and the supporting structures

Back 14

Pelvic inflammatory disease (PID)

Front 15

menstruation is the abnormal periodic discharge of blood, mucus, and cellular debris from the uterine mucosa. True or False

Back 15

False

Front 16

at what age does the menstrual cycle usually begin

Back 16

13 years

Front 17

estrogen stimulates the endometrium to grow and increase in thickness, preparing the uterus for implantation of a fertilized ovum. True or False

Back 17

True

Front 18

how many days after ovulation is the endometrium ready to receive the developing embryo if fertilization has occurred

Back 18

7 days

Front 19

a ruptured ovarian cyst is a gynecological emergency that always results in significant internal hemorrhage. True or False

Back 19

False

Front 20

Cystitis is found only in women. True or False

Back 20

False

Front 21

Cystitis always contains blood in the urine. True or False

Back 21

False

Front 22

Mittelschmerz is pain that occurs in the middle of the menstrual cycle around ovulation. True or False

Back 22

True

Front 23

Endometriosis is more common in women who were multiparas. True or False

Back 23

False

Front 24

An ectopic pregnancy is an uncommon occurrence and is not usually seen in the prehospital environment. True or False

Back 24

False

Front 25

Vaginal bleeding should be controlled with packed dressing. True or False

Back 25

False

Front 26

While somewhat similar in presentation, a good assessment can differentiate between pelvic inflammatory disease and appendicities. True or False

Back 26

False

Front 27

Functions of the placenta include transferr of gases, excretion of waste, and hormone production. True or False

Back 27

True

Front 28

The umbilical cordhas two arteries and one vein. True or False

Back 28

True

Front 29

During the first 8 weeks of pregnancy the developing ovum is known as

Back 29

An embryo

Front 30

The number of all current and past pregnancies

Back 30

Gravida

Front 31

the number of past pregnancies that have remained viable to delivery

Back 31

Para

Front 32

pregnancy can cause a woman's blood pressure to rise above 140/90 during the third trimester and is not generally a cause for concern. True or False

Back 32

False

Front 33

Besides the normal questioning and the primary and secondary assessment, the obstetrical patient should be asked

Back 33

about the presence of vaginal bleeding

Front 34

a normal fetal heart rate should be between__________and _______beats per minute.

Back 34

120-160

Front 35

The best position in which to transport a non-trauma pregnant patient is

Back 35

left lateral recumbent

Front 36

generally, during blunt abdominal trauma of the pregnant patient, the fetus is well protected by amniotic fluid. T or F

Back 36

True

Front 37

what problem might be suspected in the pregnant patient with blunt abdominal trauma?

Back 37

abruptio placentae

Front 38

the pregnant uterus could contain up to _____ml of blood without evidenace of maternal bleeding.

Back 38

2000

Front 39

the best position in which to transport the pregnant trauma victim with possible spinal injury is with cervical spine immobilization and a long backboard ______

Back 39

Tilted to the left.

Front 40

an elevated blood pressure from normotensive levels to above 140/90 in the pregnant patient is

Back 40

Preeclampsia

Front 41

You are responding to a call for a 17 year old pregnant patient, 36 weeks gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are putty and her rings are cutting into her flesh. Her vital signs are BP 174/104, P84, R20 you suspect

Back 41

preeclapsia

Front 42

the preeclamptic patient who is near term and in labor should be transported with great speed, red lights, and siren sounding because failure to do so could leave you with a seizing patient in your ambulance. T or F

Back 42

False

Front 43

Your 19 year old pregnant patient is having a grand mal seizure during labor. The most important initial airway management for this patient is

Back 43

Bag valve mask assistance

Front 44

a drug indicated in the management of preeclampsia and eclampsia is

Back 44

magnesium sulfate

Front 45

Vaginal bleeding during pregnancy would lead you to suspect that your patient may have and abruptio placentae, placenta previa, or spontaneous abortion. T or F

Back 45

True

Front 46

The loss of a fetus before 12 weeks gestation is known as

Back 46

Spontaneous abortion

Front 47

abortion means

Back 47

loss of a fetus before it is viable, usually prior to 20 weeks gestation.

Front 48

in caring for the patient who has just experienced a spontaneous abortion, you should

Back 48

initiate IV fluid therapy

Front 49

Your 31 year old female patient complains of nausea, dizziness, sharp left lowere quadrant pain, and shoulder pain. you suspect.

Back 49

Ectopic pregnancy

Front 50

management of patient with an ectopic pregnancy would be similar to management of a patient exhibiting signs of

Back 50

Hemorrhagic shock

Front 51

Abruptio placentae is partial or complete separation of a normally implanted placenta at more than 20 weeks gestation. T or F

Back 51

True

Front 52

Abruptio placentae is often associated with

Back 52

Hypertension, preeclampsia

Front 53

signs and symptoms of abruptio placentae include no pain, slight vaginal bleeding and a rigid uterus. T or F

Back 53

False

Front 54

the condition in which the placenta is implanted low in the uterus is called

Back 54

placenta previa

Front 55

Placenta previa patients may present with what kind of bleeding

Back 55

Bright red bleeding, no pain

Front 56

you are called to the scene for a 27 year old female who is at approcimately 34 weeks gestation. she is complaining of the onset of vaginal bleeding. but she is not experiencing uterine contractions. you should suspect.

Back 56

Placenta previa

Front 57

your patient is a 40 year old female gravida 6, para 5, she is complaining that this labor is unlike her others. she has sharp, constant abdominal pain and vaginal bleeding, and she feels like something it tearing you suspect

Back 57

Uterine rupture

Front 58

parturition is the process by which the infant is born Tor F

Back 58

True

Front 59

the fetal head bulging at the vaginal opening is known as

Back 59

Crowning

Front 60

If your pregnant patient states that she is in labor, you should examine the perineum for a prolapsed cord, abnormal fetal position, and

Back 60

Crowning.

Front 61

How are contractions correctly timed

Back 61

from the beginning of one to the beginning of the next.

Front 62

The umbilical tape in your obstetrical kit is used for

Back 62

tying off the cord after delivery

Front 63

your pregnant patient is crowning her contractions are 1 minute apart, she is a gravida 3 para 2 you should

Back 63

stay and prepare to assist delivery

Front 64

a large gush of clear fluid from the vagina of abstetrical patient is and indicator of

Back 64

progressing labor

Front 65

if the amniotic sac has not ruptured before the delivery of the infant's head what should you do

Back 65

puncture the sac and remove it from around the infants head

Front 66

as you are delivering an infant you note that the cord is wrapped around the infants neck you should

Back 66

gently remove cord from around the neck

Front 67

the umbilical cord shoud be clamped how

Back 67

twice about 6 inches from the infants abdomen and the cut

Front 68

what is postpartum hemorrhage

Back 68

blood loss greater than 500 ml after delivery of the infant

Front 69

what drug would be given to manage postpartum hemorrhage

Back 69

oxytocin

Front 70

how much oxytocin might be ordered by the physician for controlling postpartum hemorrhage

Back 70

ten units of oxytocin in 1000 ml lactated ringers

Front 71

a breech birth is one in which the

Back 71

Buttocks or feet are presenting at the vaginal opening

Front 72

the concern for the infant with a prolapsed cord is that the cord will

Back 72

be compressed and cut off circulation to the infant.

Front 73

if your pregnant patient informs you that her membranes ruptured 5 days ago, what neonatal problem should you anticipate

Back 73

sepsis

Front 74

shortly after delivery, your patient experiences sudden dyspnea, tachycardia, and hypotension, you should suspect

Back 74

amniotic embolus