AEMCA Obstetrics and Neonatology 2

Question 1

A pregnant patient at 34 weeks reports sudden, painless, bright red vaginal bleeding. Which condition should you suspect first?

Accepted Answer

Placenta previa

Answer

Painless bright red bleeding in the third trimester is the classic presentation of placenta previa, where the placenta covers the cervical os.

Question 2

During a field delivery, the baby's head delivers but the shoulders do not follow with the next contraction. Your first maneuver should be:

Accepted Answer

Apply suprapubic pressure while guiding the head downward

Answer

Shoulder dystocia is managed first with suprapubic pressure (not fundal) combined with downward traction on the fetal head to dislodge the anterior shoulder.

Question 3

A neonate delivered in the field has a heart rate of 80 bpm after 30 seconds of positive-pressure ventilation. What is your next step?

Accepted Answer

Begin chest compressions at a 3:1 ratio with ventilations

Answer

If neonatal HR remains below 100 bpm after 30 seconds of adequate PPV, chest compressions should be initiated at a 3:1 compression-to-ventilation ratio.

Question 4

A mother at 28 weeks gestation presents with a headache, visual disturbances, and BP of 158/106 mmHg. Which drug is appropriate for field management of severe hypertension in this patient?

Accepted Answer

Labetalol or hydralazine per protocol

Answer

Labetalol and hydralazine are the preferred antihypertensive agents in obstetric emergencies when severe-range blood pressures require acute treatment.

Question 5

After delivery of the placenta, a patient has sustained heavy vaginal bleeding. The uterus feels soft and 'boggy.' Your priority intervention is:

Accepted Answer

Uterine fundal massage and oxytocin if available

Answer

A boggy, atonic uterus is the most common cause of postpartum hemorrhage; fundal massage stimulates contraction and oxytocin (if available) helps maintain tone.

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA Obstetrics and Neonatology 2