You arrive to help a patient with heavy bleeding. Before approaching, should you check the scene for hazards?
1 Initial Assessment and Emergency Response Online Quiz Questions
Use this free practice quiz with 20 questions to review 1 Initial Assessment and Emergency Response, test your knowledge, and prepare for your next test or exam.
How far back should a patient report a pregnancy when seeking care, according to the guidance in the material? Enter the duration in years.
A patient who gave birth 10 months ago should report that pregnancy when seeking care, even if the current symptoms do not seem pregnancy-related.
- A
True
- B
False
After checking responsiveness and immediate threats, what three domains are assessed next in the rapid primary assessment?
You arrive to help a patient with visible bleeding. What should you do before approaching to provide care?
- A
Approach quickly and put on protective equipment only after beginning the assessment.
- B
Check for hazards before approaching and use appropriate protective equipment.
- C
Ask the patient to move to another location before checking whether the scene is safe.
- D
Avoid protective equipment unless the patient has a confirmed infection.
A patient is alert and has brought a support person to an emergency assessment. How should you decide whether that person stays?
- A
Keep the support person present because they may help answer questions.
- B
Ask the support person to stay until the assessment is complete, regardless of the patient's preference.
- C
Have the support person remain only if the patient wants them there and it is safe.
- D
Exclude all support people during emergency assessments.
A patient has sudden severe pelvic pain, shoulder pain, and dizziness, but does not know whether they are pregnant. What is the best next step?
- A
Wait for a pregnancy test before deciding whether emergency care is needed.
- B
Ask the patient to rest and reassess after the symptoms have lasted longer.
- C
Try to determine the cause from the location of the pain before calling for help.
- D
Activate EMS promptly; do not wait for a pregnancy test or confirmed diagnosis.
A patient in late pregnancy is hypotensive and poorly perfused. If appropriate to your training and local protocol, which position can help?
A laboring patient says they have an urge to push, and a presenting part is visible. What is the most appropriate response?
- A
Activate EMS promptly because birth may be imminent.
- B
Delay calling for help until a detailed history has been taken.
- C
Perform an internal examination to determine how soon birth will occur.
- D
Wait to see whether the presenting part becomes less visible.
A patient is stable enough to answer a few brief questions after the initial assessment. Which approach best supports the next part of the assessment?
- A
Begin with a lengthy medical history before checking the patient's current condition.
- B
Ask about the main symptom and when it began, pregnancy or recent birth, and relevant symptoms and history.
- C
Ask only whether the patient has a confirmed pregnancy test.
- D
Avoid asking about pregnancy possibility unless the patient raises it first.
A patient refuses emergency evaluation despite serious warning signs. Which response best follows the guidance?
- A
Assume pregnancy prevents the patient from making decisions and proceed without discussion.
- B
End the encounter immediately without explaining the risks of refusing emergency evaluation.
- C
Assess decision-making capacity within your role, explain significant risks, and contact medical direction under local policy.
- D
Require the patient to consent before contacting medical direction.
You are handing off a patient with a rapidly worsening obstetric emergency. Which information should you include in the concise handoff?
- A
Report only the suspected diagnosis and omit findings that may not confirm it.
- B
Report symptoms and onset, pregnancy or postpartum status if known, vital signs and trends, key findings, care, and response.
- C
Give the receiving team only the patient's first set of vital signs.
- D
Wait until arrival to mention changes in the patient's condition.
A patient who is pregnant has a seizure. What is the most appropriate response?
- A
Wait for more symptoms before seeking help.
- B
Activate EMS immediately.
- C
Wait until the patient can answer questions about their medical history.
- D
Arrange routine follow-up if the seizure stops.
Which situations warrant activating EMS? Select all that apply.
- A
A seizure during pregnancy or after birth.
- B
Mild nausea without other concerning symptoms.
- C
A severe persistent headache or sudden vision changes during pregnancy or after birth.
- D
Fever with severe pelvic or abdominal pain.
- E
Labor with an urge to push or a visible presenting part.
A patient has vaginal bleeding and needs emergency evaluation. Which actions are consistent with the recommended care principles? Select all that apply.
- A
Avoid unnecessary internal examinations or inserting anything into the vagina.
- B
Determine the cause of the bleeding from its color or appearance alone.
- C
Keep the patient warm and monitor closely.
- D
Communicate important findings and changes to the receiving team.
- E
Delay arranging care until the bleeding's cause is confirmed.
True or false: When a patient has a new, severe, or worsening symptom that may be an emergency, responders should not wait for a pregnancy test or a confirmed diagnosis before treating it as urgent.
- A
True
- B
False
What condition can present as sudden severe pelvic pain and needs immediate evaluation?
A patient with heavy bleeding may be in shock. If avoidable, do not let the patient ; keep the patient while monitoring closely.
Do not try to diagnose the cause of vaginal bleeding from its alone. Avoid unnecessary or inserting anything into the vagina.
A patient has a new, severe symptom that could be an obstetric or gynecologic emergency, but their pregnancy status is unknown. Explain why responders should not wait for a test or confirmed diagnosis before escalating care, and describe two appropriate steps while emergency help is arranged.