You respond to a 26-year-old female who is 39 weeks pregnant. She is having strong contractions every 2 minutes lasting 60 seconds. As you prepare for delivery, you see a loop of umbilical cord protruding from the vagina. What is your immediate action? A. Place the mother supine and begin delivery B. Gently push the cord back into the vagina C. Place the mother in knee-chest position and insert two gloved fingers to relieve pressure on the cord D. Apply high-flow oxygen and transport rapidly

You respond to a 24-year-old male who was stabbed in the left chest. Assessment findings: - Conscious but restless - Respiratory rate: 28/min, labored - SpO₂: 90% on room air - HR: 132 - BP: 86/60 - Jugular veins distended - Trachea slightly deviated to the right - Absent breath sounds on the left What is the MOST likely cause of this patient’s shock? A. Massive hemothorax B. Cardiac tamponade C. Tension pneumothorax D. Neurogenic shock

You respond to a 68-year-old male complaining of shortness of breath. He is sitting upright, speaking in 2–3 word sentences. Assessment findings: - RR: 28 and labored - SpO₂: 90% on room air - Audible wheezes - BP: 168/94 - HR: 112 - History: COPD and hypertension He has a prescribed albuterol inhaler but has not used it yet. What is your best initial action? A. Assist the patient with his prescribed albuterol inhaler B. Apply a nonrebreather mask at 15 L/min C. Begin positive pressure ventilation with a BVM D. Place the patient supine and administer aspirin