in which of the following situations would the emt most likely deliver a baby at the scene

ATI LPN

LPN Pediatrics

1. In which of the following situations would the EMT MOST likely deliver a baby at the scene?

A. A tornado has struck and blocked the only route to the hospital.
B. Contractions are 8 to 10 minutes apart and irregular.
C. The amniotic sac has ruptured, and contractions occur regularly.
D. The hospital is 15 miles away, and crowning is not present.

Correct answer: A

Rationale: The EMT may be required to deliver a baby at the scene when external factors like a tornado have blocked the only route to the hospital, making it impossible to reach the medical facility in time for delivery. In such emergencies, the EMT must be prepared to manage the childbirth process until further medical assistance can be obtained.

2. A postpartum client is experiencing difficulty voiding. What should the nurse include in the care plan to assist the client?

A. Encourage the client to drink caffeine-free beverages.
B. Apply a warm compress to the client's lower abdomen.
C. Encourage increased fluid intake to promote urinary flow.
D. Assist the client with Kegel exercises.

Correct answer: B

Rationale: Applying a warm compress to the lower abdomen can help relax the muscles and stimulate voiding in postpartum clients. It promotes vasodilation, increases blood flow to the area, and can aid in relieving urinary retention. Encouraging caffeine-free beverages can also be beneficial as caffeine can irritate the bladder and worsen the situation. Increasing fluid intake helps prevent urinary stasis and promotes bladder emptying. Kegel exercises can strengthen pelvic floor muscles over time, but in the immediate situation of difficulty voiding, a warm compress is more appropriate.

3. What is the leading cause of death in geriatric patients?

A. Hypertension.
B. Arthritis.
C. Heart disease.
D. Altered mental status.

Correct answer: C

Rationale: Heart disease is the leading cause of death in geriatric patients. It encompasses a range of conditions affecting the heart and blood vessels, such as coronary artery disease and heart failure, which are more prevalent in older individuals. These conditions can lead to serious complications and ultimately result in higher mortality rates among the elderly population. Hypertension (choice A) is a risk factor for heart disease but not the leading cause of death in geriatric patients. Arthritis (choice B) is a chronic condition affecting the joints, not a primary cause of death in this population. Altered mental status (choice D) is a symptom rather than a leading cause of death in geriatric patients.

4. After the baby's head delivers, how is it usually tilted?

A. with the face up.
B. anteriorly, with the chin up.
C. posteriorly, to one side.
D. posteriorly, face down.

Correct answer: C

Rationale: After the baby's head delivers, it is typically tilted posteriorly to one side to help facilitate the delivery of the shoulders. This positioning is important for the safe and smooth delivery of the baby.

5. The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?

A. Cleanse the penis with each diaper change using alcohol wipes.
B. Avoid using petroleum jelly on the circumcision site.
C. Report any yellowish exudate around the head of the penis.
D. Use warm water to clean the penis gently during diaper changes.

Correct answer: D

Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.