Lesson
7                                                                                                                                

Required

Reading:       
           
Chapter 22 Childbirth and Gynecologic Emergencies

                                   
Chapter 23 Behavioral Emergencies

                                   
Chapter 24 Wilderness First Aid

                                   
Chapter 26 Disaster Preparedness

True or False- Mark each statement as true (T)
or false (F)

1. Place a pregnant woman on her left side when transporting her
to the hospital

2. New or clean shoelaces can be used to tie and umbilical
cord

3. Low blood sugar in a person with diabetes can affect
behavior

4. Burns are a common form of elder abuse

5. Child abuse can result in a child’s death

6. The wilderness setting may require you to use some advanced
first aid methods.

7. First aid supplies and equipment in a wilderness setting are
usually limited

8. During most animal attacks, the victim should fight back.

9. In an earthquake, you should immediately leave your home to
avoid injury.

10. Mobil homes are among the safest locations during a
hurricane or tornado

11. If you are caught outside during a tornado, seek cover in a
low-lying area, such as a ditch.

12. You are providing care for a 22-year-old female who is
complaining of pelvic pain and bleeding from her vagina. Based on
this information, the victim should be treated as if she had an
ectopic pregnancy.

13. You are providing care for a 28-year-old female who has just
delivered her third child. She is tired, and you are waiting for
the ambulance to arrive. There is about 2 cups of blood on the bed
where the delivery occurred. Based on this information, you should
massage her uterus gently over the abdomen.

14. You are providing care for a 32-year-old female in labor.
She is having regular contractions, and you are sure that she is
going to deliver very soon. Based on this information, she is in
the second stage of labor

15. You are providing care to a 34-year-old female who is in
labor. At this time, her contractions are lasting 1 minute and are
coming 2 minutes apart. Based on this information, it is prudent to
transport her by car to hospital.

16. You are providing care for a 22-year-old male who is
recently divorced. Lately he has been talking about suicide. Based
on this information, he is most likely to use a firearm if he goes
through with it.

17. You are providing care for a 28-year-old male who is
depressed. His wife reports that he has been contemplating suicide.
Based on this information, your first priority should be to ask him
if he has thought of committing suicide before.

18. The most common source of serious injury to women may be
domestic violence.

19. You are providing care for a 22-year-old male who is
unresponsive and not breathing as a result of being struck by
lightning. It was a public picnic and many other people were
struck. Based on this information, this victim should be given the
highest priority.

20. You are providing care for a 28-year-old female who fell and
dislocated her right knee cap while on a hike. It will take about
30 minutes to hike out of the woods. Based on this information, you
should slowly straighten the knee and gently push the kneecap back
into place.

21. You have spent the day hiking on a mountain when one of the
hikers in your group starts complaining of extreme fatigue,
shortness of breath, and nausea. Based on this information, the
victim is most likely suffering from Acute Mountain Sickness.

22. You are providing care to a 39-year-old male who apparently
fell through the ice and has now been pulled out. The victim is
cold and blue and in cardiac arrest. It is approximately 1 mile to
shore and the nearest house. Based on this information, your
priority at this time should be to get the victim to shore, doing
CPR intermittently along the way.

23. You are providing care to a 16-year-old male who fell out of
his boat into a lake. The water is cold and it will take 15 minutes
to reach and rescue the victim, who is a good swimmer. Based on
this information, you should encourage the victim to tread water
with his head out of the water.

24. You are approaching the scene of a motor vehicle crash. The
car swerved off the road and struck a telephone pole. The driver is
still in the car and there are power lines down. As you approach,
you can feel a tingling in your feet. Based on this information,
you should turn and hop away from the car on one foot.

25. You are trapped in your vehicle during a winter storm. The
snow is so bad that you cannot move your vehicle. Based on this
information, you should run the vehicle for 10 minutes every hour
to stay warm.

  Multiply Choice– Chose the answer
that best answers the question.

1. What care should be given to a woman with vaginal bleeding
late in her pregnancy?

A) save the sanitary pads used
           B)
treat for shock if needed

C) seek medical attention
                 
D) all of the above

2. Which questions should be asked of a woman in labor to
determine whether there is time to transport her to a hospital?

A) has she had a baby
before?           
B) how frequent are the contractions?

C) has the amniotic sac ruptured?      D)
all of the above

3. Which childbirth position improves blood return to the
heart?

A) sitting up or squatting
                  
B) lying on the left side

C) lying on the back
                         
D) kneeling in a knee-chest position

4. If in a remote location, and after cord pulsations have
stopped, tie the cord about ____ widths away from the baby and a
second tie 2 inches further away from the first in order to cut the
cord.

A) 2 finger
                                        
B) 4 finger

C) 6 finger
                                         
D) 8 finger

5. A newborn should begin to breathe:

A) immediately
                                 
B) within 5 seconds

C) within 15 seconds
                        
D) within 30 seconds

6. What are some common reasons for behavior changes?

A) low blood sugar in a diabetic
        B) excessive cold or
heat

C) lack of oxygen
                             
D) all of the above

7. The most important point to remember when faced with a
aggressive, hostile, or violent behavior is to:

A) find a suitable weapon to defend yourself

B) first aiders should never become involved with aggressive,
hostile, or violent person

C) always size up the situation before you do anything

D) all of the above

8. Which of the following guidelines should be followed when
trying to calm a person who is upset?

A) maintain a comfortable distance

B) encourage the person to state what is troubling him or
her

C) never leave the person alone

D) all of the above

9. Which of the following statements concerning CPR and
avalanche victims is correct?

A) avalanche victims should have their spine stabilized

B) CPR should be started and can be continued for more than 30
minutes

C) avalanche victims are killed by suffocation and/or blunt
trauma

D) all of the above

10. Which of the following joints could not be safely reduced in
a wilderness setting?

A) elbow
                                           
B) hip

C) posterior shoulder
                        
D) all of the above

11. High-altitude pulmonary edema and high-altitude cerebral
edema are examples of:

A) stroke
                                           

B) altitude illnesses

C) viral infection common in mountain settings

D) complications from hypothermia

12. Signs and symptoms of altitude illness include which of the
following?

A) loss of appetite, nausea, fatigue, headache

B) increased appetite, fatigue, headache, delirium

C) increased appetite, increased energy, headache, euphoria

D) loss of appetite, nausea, delirium, confusion

13. Which natural disaster claims the most lives in the United
States?

A) lightning
                                      
B) earthquakes

C) tornadoes
                                      
D) blizzards

14. Care for a victim of lightning strike should include:

A) checking the ABCs
                      

B) stabilizing the spine

C) raising the legs and keeping the victim warm

D) all of the above

15. With the exception of fire, ________ is the most common and
widespread natural disaster.

A) hurricane
                                      
B) flood

C) earthquake
                                    
D) tornado

16. Which of the following is the correct action to take if you
experience an earthquake?

A) if indoors, run outside

B) if in a vehicle, get out immediately

C) if outdoors, find a clear spot

D) use elevators to quickly evacuate a high-rise building

17. Which of the following is correct regarding action to take
if you experience a tornado?

A) seek an interior windowless room

B) seek the lowest level of a building

C) avoid buildings with wide-span roofs such as auditoriums

D) all of the above

18. If instructed to stay in your home during a chemical or
biological attack:

A) turn on all ventilation to help circulate air

B) seek shelter in the uppermost level of a home or office
building

C) seek shelter in a furnace or utility room

D) seal room with plastic sheeting and duct tape

19. Miscarriages usually occur during the ________ of
pregnancy.

A) second trimester

B) third trimester

C) first trimester

D) All of these answers are correct.

20. Contractions more than ____ minute(s) apart are a good
indication that there will be enough time to get the woman to a
hospital.

A)
1               
B) 2

C)
4               
D) 5

21. A newborn should begin to breathe:

A)
immediately.                    
B) within 5 seconds.

C) within 15
seconds.           
D) within 30 seconds.

22. This type of depression typically lasts more than 2 weeks
and has no apparent cause.

A)
Bipolar                 
B) Clinical

C)
Reactive               
D) None of these answers is correct

23. Suicide in the United States is increasingly a problem in
which age groups?

A)
Adolescents                     
B) College-age students

C) The
elderly                       
D) All of these answers are correct.

24. Which of the following guidelines should be followed when
trying to calm a person who is upset?

A) Maintain a comfortable distance.

B) Encourage the person to state what is troubling him or
her.

C) Never leave the person alone.

D) All of these answers are correct.

25. Which of the following are possible signs of child
abuse?

A) Unexplained bruises on the face

B) Injuries in different stages of healing

C) Pattern burns

D) All of these answers are correct.

26. Which of the following questions should be asked when
assessing for spine injury in a wilderness setting?

A) Is the victim alert and oriented?

B) Does the victim have any major painful injury?

C) Does the victim have neck pain or tingling, numbness, or
weakness in the extremities?

D) All of these answers are correct

27. Victims with a femur fracture can easily lose 2 quarts of
blood in the thigh and develop:

A) massive
swelling.             
B) blood clots.

C) loss of
feeling.                  
D) All of these answers are correct.

28. Who is the most likely victim of a lightning strike?

A)
Farmers                            
B) Sailors

C) Outdoor
workers              
D) Recreational athletes

29. During a water rescue, what should be thrown to the
victim?

A) Anything that
floats                     
B) A sturdy rope

C) A metal
chain                               
D) All of these answers are correct

30. If a victim is stranded in a car with a power line fallen
across it, the victim should:

A) stay in the
car.                                          
B) immediately get out of the car.

C) drive the car away from the
area.            
D) None of these answers is correct.

31. When performing triage, which classification should be given
to a victim who has life-threatening injuries but can be saved?

A) Immediate
care                            
B) Urgent care

C) Delayed
care                                
D) Dead

32. The first step in performing triage is to:

A) perform the primary survey on the motionless victims.

B) tell all the victims who can get up and walk to move to a
specific area.

C) perform the primary survey on victims who are calling for
help.

D) classify victims according to care and transportation
priorities.

33. Which of the following is correct regarding rising flood
water?

A) As long as the water is less than 2 feet deep, you can still
drive through it.

B) Only evacuate if you are forced to by authorities.

C) As little as 6 inches of moving water can knock you off your
feet.

D) It is still safe to turn off all home utilities even if you
are standing in water

34. If you are unable to evacuate your home during a hazardous
materials incident:

A) go to the basement or lowest level of the home.

B) open any windows on the side of the home opposite the
incident.

C) use plastic sheeting and tape to secure doors and
windows.

D) All of these answers are correct.

SHORT-ANSWER QUESTIONS- Answer each question
thoroughly

1. When is it necessary for a first aider to assist in or
perform an emergency on-site delivery of a baby?

A.

B.

C.

2. What steps are involved in caring for an umbilical cord?

A.

B.

3. List four large wild animals in North America that attack
humans.

A.

B.

C.

D.