AEMCA Obstetrics and Neonatology 5

Question 1

After a normal delivery, how long should you wait before clamping the umbilical cord in a term, vigorous neonate when time permits?

Accepted Answer

At least 30–60 seconds to allow placental transfusion

Answer

Delayed cord clamping for at least 30–60 seconds in vigorous term neonates improves iron stores and reduces the risk of anemia, per current guidelines.

Question 2

A patient at 31 weeks has a gush of clear fluid from the vagina without contractions. Your HIGHEST priority assessment concern is:

Accepted Answer

Inspect for cord prolapse before providing any treatment

Answer

Premature rupture of membranes with fluid gush requires immediate inspection for umbilical cord prolapse, which is a life-threatening emergency.

Question 3

Which of the following BEST describes the purpose of the initial 'golden minute' in neonatal resuscitation?

Accepted Answer

Complete initial steps and begin PPV if the neonate is not breathing or HR is below 100 bpm within 60 seconds

Answer

The golden minute emphasizes rapid completion of warming, drying, stimulation, and airway positioning, then beginning PPV promptly if needed.

Question 4

A gravida 4, para 3 patient reports contractions every 3 minutes. She had her last delivery in 45 minutes. This history is MOST significant because:

Accepted Answer

Multiparity and rapid prior deliveries increase the risk of precipitous delivery in the field

Answer

A history of rapid prior deliveries (precipitous labor) and multiparity significantly increase the likelihood of an imminent field delivery.

Question 5

During a field delivery, the amniotic sac has not ruptured and the infant delivers inside the intact membranes ('en caul'). You should:

Accepted Answer

Puncture and peel away the membranes from the infant's face immediately

Answer

An en caul delivery requires the provider to immediately puncture and remove the membranes from the infant's face to allow breathing.

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA - Advanced Emergency Medical Care Assistant Practice Test

AEMCA Obstetrics and Neonatology 5