You are called to transport a 24-year-old female G2P1 – 9 weeks gestation with no other previous medical history. On arrival, you note that the patient has been vomiting clear emesis and appears weak and pale. Her husband tells you she has been vomiting off and on since becoming pregnant, but for several days now it has become uncontrollable and she cannot keep food or water down. You note that your patient has poor skin turgor and a capillary refill of 3 seconds. Your partner tells you her vitals are. Blood Pressure – 94/72, Pulse – 100, Respirations – 22. She is alert and well oriented. With the information provided, you suspect your patient is suffering from which one of the listed disorders?

You are dispatched to a residential home for a 25-year-old female, 36 weeks pregnant, experiencing significant vaginal bleeding. The patient appears pale, diaphoretic, and is reporting dizziness and weakness. BP is 78/50, HR 132, RR 24, SpO₂ 94% on room air. The patient has a history of placenta previa and is in a supine position on the couch. Immediate IV fluid resuscitation is required. The paramedic establishes a large-bore IV with normal saline (NS) at 500 mL/hr to stabilize the patient. The IV tubing has a drip factor of 15 gtt/mL. What is the correct drops per minute (gtt/min) to deliver the ordered IV fluids? 

Scenario: Enroute  The Paramedic is dispatched to a birthing center for a 29-year-old patient who is in active labor. The time of the call is 0600. The response time will be 10 minutes.   The Paramedic is partnered with an EMT, and a BLS fire department engine crew is dispatched with an ambulance. The patient is located inside the birthing center. It’s a clear spring afternoon, and the temperature is 88°F (31°C). A small hospital is located 15 minutes away, and the nearest comprehensive medical facility is 30 minutes away.  Scenario: Scene  The patient (70 kilograms) is sitting awake in the birth center water room inside a bathtub. The midwife states the patient has been in labor for 5 hours and started having imminent delivery 10 minutes ago. The infant’s head is delivered, but you notice the umbilical cord is tightly wrapped around the neck. The patient has a history of 39-week gestation, gravida 4, parity 3, and no abortions. Prenatal care is up to date, and no complication reported with previous and current pregnancy. Patient’s birth plan was a water birth, and no complications were indicated prior to labor. The patient has allergies to penicillin and iodine. The patient’s skin is cool, clammy, and diaphoretic. The amniotic sac has ruptured with 200 mL of vaginal bleeding visible; patients obey motor commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 110/60, P 118, R 20, SpO2 96% on room air, and T 98.6°F (37°C). The blood glucose is 80 mg/dL.  Scenario: Post-Scene  Despite successful nuchal cord delivery, the newborn has central cyanosis, limp, with a heart rate of 60 bpm and thick meconium-stained amniotic fluid is noted. The mother remains weak and dizzy after birth. The patient is alert and has normal, warm, and dry skin. The patient is following commands and is asking for her baby. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 100/68, P 110, R 16, SpO2 98% on oxygen, and T 98°F (37°C). The blood glucose is 80 mg/dL.  Post-Scene  What is your first intervention? 

You are called to the home of a six-month-old male infant with an irregular breathing pattern and poor feeding for the past couple of days. Upon your arrival, you find the small patient in his mother’s arms. The mother is attempting to feed the child from a bottle. Primary (Initial) assessment reveals lethargy, hyperpnea, and pallor. Mother reports a two-day history of poor feeding, vomiting, and diarrhea. Based upon your primary (initial) assessment and history of present illness, you suspect this young patient may be suffering from.

Scenario: Enroute The Paramedic is dispatched to a residence for a 0-day-old patient who is unresponsive at home delivery. The time of the call is 1100. The response time will be 8 minutes.  The Paramedic is partnered with an AEMT, and a BLS fire department engine crew is dispatched with an ambulance. The patient is located inside the residence bedroom. It’s a clear spring afternoon, and the temperature is 88°F (31°C). A small hospital is located 15 minutes away, and the nearest comprehensive medical facility is 30 minutes away. Scenario: Scene The patient (7.8 pounds) is being carried by the mother with umbilical cord still attached. The family member states the patient was just born 5 minutes ago and was not responding. Mother states this her third child being born at home and had no prior complication throughout the pregnancy. The pregnancy history of 39-week gestation, gravida 3, parity 2, and 0 abortions. Mother has no prior medical history, and prenatal care is up to date, and no complications were foreseen until delivery. The newborn was delivered in bed with no visible movement and no crying heard. The patient’s skin has central cyanosis and wet. Patient seems to be unresponsive; does not obey motor commands. Eyes are closed, and the pupils are 3 mm and reactive to light. The vital signs are Pulse 0 and Resp 0. SceneWhat is the priority intervention for the neonate? 

Read the following OB patient histories and match them to the correct Gravida (G), Parity (P), and Abortions (A) classification 

Match the following neonate weights (Column A) with the correct epinephrine dose (Column B) for IV/IO administration. Epinephrine concentration 1mg/10mL

Scenario: Enroute  You are dispatched to a home birth for a 30-year-old woman who has just delivered a healthy baby. Shortly after delivery of the placenta, she begins experiencing heavy vaginal bleeding. She is pale, diaphoretic, and becoming tachycardic.   Scenario: Post scene  Despite fundal massage, the patient continues to bleed. You have started IV fluids. What medication should be administered next to control the hemorrhage?  

A nurse is caring for a pregnant client who reports daily opioid use prior to pregnancy and is now requesting help. Which nursing response is most appropriate?

A nurse is preparing to administer a tocolytic medication to a client at 30 weeks’ gestation experiencing preterm labor. Which assessment finding would contraindicate the use of tocolytics?