CFRN Obstetrical Patient Management 2

Question 1

A 34-week pregnant patient is transported by air with a BP of 160/110 mmHg, 3+ proteinuria, and severe headache. Which medication is the FIRST-LINE treatment for severe-range hypertension in this setting?

Accepted Answer

Labetalol IV

Answer

Labetalol IV is the first-line agent for acute severe hypertension in pregnancy due to its rapid onset, predictable response, and safety profile.

Question 2

During air transport, a 28-week gestation patient develops umbilical cord prolapse confirmed on exam. What is the PRIORITY nursing intervention?

Accepted Answer

Manually elevate the presenting part off the cord

Answer

Manual elevation of the presenting fetal part off the prolapsed cord relieves compression and preserves umbilical blood flow until emergency delivery.

Question 3

A flight nurse is transporting a patient at 36 weeks gestation who suddenly develops severe abdominal pain, rigid uterus, and fetal bradycardia. These findings are MOST consistent with:

Accepted Answer

Placental abruption

Answer

Sudden severe abdominal pain, board-like uterine rigidity, and acute fetal distress are classic signs of placental abruption.

Question 4

When managing a patient with eclampsia in a transport environment, magnesium sulfate toxicity is BEST assessed by monitoring which parameter?

Accepted Answer

Deep tendon reflexes (DTR)

Answer

Loss of deep tendon reflexes is the earliest clinical sign of magnesium toxicity, preceding respiratory depression and cardiac arrest.

Question 5

A patient at 32 weeks gestation is being transported with suspected HELLP syndrome. Which lab finding is CHARACTERISTIC of this condition?

Accepted Answer

Thrombocytopenia and elevated liver enzymes

Answer

HELLP syndrome is defined by hemolysis, elevated liver enzymes, and low platelets (thrombocytopenia), distinguishing it from isolated preeclampsia.

CFRN - Certified Flight Registered Nurse Practice Test

CFRN - Certified Flight Registered Nurse Practice Test

CFRN Obstetrical Patient Management 2