CFRN Obstetrical Patient Management 3

Question 1

A 30-week pregnant trauma patient is transported after a motor vehicle collision. Which assessment finding would MOST directly indicate fetal compromise?

Accepted Answer

Fetal heart rate of 90 bpm for 5 minutes

Answer

Sustained fetal bradycardia (FHR <110 bpm) is a direct indicator of fetal compromise requiring immediate intervention.

Question 2

When performing neonatal resuscitation after an unexpected delivery during air transport, what is the INITIAL step after ensuring warmth and stimulation?

Accepted Answer

Assess respiratory effort and heart rate

Answer

After warmth and stimulation, the NRP algorithm requires assessment of respiratory effort and heart rate to guide subsequent resuscitation steps.

Question 3

A patient with known placenta previa at 35 weeks presents with painless vaginal bleeding during transport. Which assessment is CONTRAINDICATED?

Accepted Answer

Digital cervical examination

Answer

Digital cervical examination is absolutely contraindicated in placenta previa because it can disrupt the placenta and cause catastrophic hemorrhage.

Question 4

During aeromedical transport at altitude, a pregnant patient's oxygen requirements increase due to physiologic changes. Which of the following is a NORMAL respiratory adaptation of pregnancy that affects transport management?

Accepted Answer

Chronic compensated respiratory alkalosis

Answer

Pregnancy causes chronic respiratory alkalosis (decreased PaCO2 ~30 mmHg) due to progesterone-driven hyperventilation, which must be considered during ventilator management.

Question 5

A 38-week patient in the transport environment is found to have a category III fetal heart rate tracing. This classification indicates:

Accepted Answer

Abnormal status associated with fetal acidemia requiring immediate action

Answer

Category III FHR tracings are abnormal, associated with fetal acidemia, and require immediate evaluation and interventions such as repositioning, oxygen, and expedited delivery.

CFRN - Certified Flight Registered Nurse Practice Test

CFRN - Certified Flight Registered Nurse Practice Test

CFRN Obstetrical Patient Management 3