AEMT Obstetric and Gynecological Emergencies 1

Question 1

During a normal delivery, once the baby's head is delivered, you should immediately:

Accepted Answer

Check for a nuchal cord and suction the airway if needed

Answer

Clamp and cut the umbilical cord

Answer

Administer oxytocin to the mother

Answer

Deliver the placenta before suctioning

Question 2

A pregnant patient at 32 weeks gestation is found unresponsive after a syncopal episode. You should position her:

Accepted Answer

Left lateral recumbent or with a wedge under her right hip to tilt the uterus left

Answer

Supine with legs elevated 12 inches

Answer

Prone to protect the fetus

Answer

Sitting upright at 90 degrees

Question 3

Signs and symptoms of eclampsia include:

Accepted Answer

Hypertension, proteinuria, severe headache, and seizures

Answer

Hypotension, bradycardia, and visual improvement

Answer

Painless vaginal bleeding with normal blood pressure

Answer

Fever, rigid abdomen, and septic shock

Question 4

A pregnant patient is in active labor and you can see the baby's foot in the vaginal opening. This is called:

Accepted Answer

Breech presentation

Answer

Placenta previa

Answer

Abruptio placentae

Answer

Prolapsed cord

Question 5

What is the MOST important initial action when a prolapsed umbilical cord is identified?

Accepted Answer

Position the mother in knee-chest or Trendelenburg and keep the cord moist and warm

Answer

Attempt to push the cord back into the uterus

Answer

Administer high-flow oxygen and transport without touching the cord

Answer

Clamp the cord to prevent blood flow

Question 6

The Apgar score is assessed at which time intervals after birth?

Accepted Answer

1 minute and 5 minutes after birth

Answer

Immediately at birth and at 5 minutes

Answer

2 minutes and 10 minutes after birth

Answer

At delivery and at 15 minutes