North Carolina EMT State Practice Exam

How should a healthcare provider respond to vaginal bleeding in the first trimester?

1. Advise rest and monitor

2. Immediately call for emergency assistance

3. Perform an ultrasound

4. Encourage hydration

The correct answer is: Immediately call for emergency assistance

When addressing vaginal bleeding in the first trimester, it is critical for healthcare providers to prioritize patient safety and the potential for serious complications. Vaginal bleeding during this stage of pregnancy can be a sign of various conditions, including miscarriage or ectopic pregnancy, both of which may require immediate medical intervention. The response that involves calling for emergency assistance is appropriate because it ensures that the patient receives urgent evaluation and care. This could include assessments to determine the cause of the bleeding, such as blood tests, ultrasounds, or other diagnostic measures necessary for the patient's oversight. In cases of significant bleeding, timely intervention can be crucial in preventing further complications for both the patient and the fetus. While other responses, like advising rest or encouraging hydration, may be relevant in low-risk scenarios, they do not take into account the possible severity of vaginal bleeding. Proper medical evaluation is necessary to rule out any dangerous conditions and to provide appropriate care.