Pediatric and Obstetric Emergencies Flashcards
6 cards from real CEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pediatric and Obstetric Emergencies flashcards as text
A pregnant patient at 36 weeks presents with sudden painless bright red vaginal bleeding. Which condition is most likely?
Answer: Placenta previa
Painless bright red vaginal bleeding in the third trimester is the hallmark presentation of placenta previa.
A patient at 32 weeks gestation presents with sudden severe abdominal pain, rigid abdomen, and dark vaginal bleeding. Fetal heart tones are absent. Which complication is most likely?
Answer: Placental abruption with fetal demise
Painful dark vaginal bleeding with board-like rigidity and fetal demise indicates severe placental abruption with complete placental separation.
A patient at 38 weeks is admitted in active labor. After a prolonged deceleration, the baby's head is not descending despite pushing. The fetal heart rate drops to 60 bpm. Which maneuver is first-line for shoulder dystocia?
Answer: McRoberts maneuver with suprapubic pressure
The McRoberts maneuver (hyperflexion of maternal hips) combined with suprapubic pressure is the first-line management for shoulder dystocia.
A patient with preeclampsia at 34 weeks is being treated with IV magnesium sulfate. The nurse notes absent deep tendon reflexes and a respiratory rate of 10. Which action is immediately required?
Answer: Administer calcium gluconate IV and stop magnesium
Absent DTRs and respiratory depression are signs of magnesium toxicity; calcium gluconate is the antidote and the infusion must be stopped immediately.
A woman delivers a baby and 20 minutes later has heavy vaginal bleeding (estimated 600 mL). The uterus is boggy on palpation. What is the first intervention?
Answer: Administer 10 units oxytocin IM and perform uterine massage
Uterine atony is the most common cause of postpartum hemorrhage and is initially treated with uterine massage and uterotonic medications (oxytocin).
A newborn is delivered and does not cry, has poor muscle tone, and a heart rate of 60 bpm at 1 minute. After warming and stimulation, the HR remains <60. What is the next step?
Answer: Perform positive pressure ventilation and begin chest compressions
Neonatal HR <60 bpm after initial resuscitation steps requires PPV and chest compressions at a 3:1 compression-to-ventilation ratio.