CMS CMS Obstetric Complications & Emergency Management 2

Question 1

HELLP syndrome is characterized by which laboratory findings?

Accepted Answer

Hemolysis, elevated liver enzymes, low platelets

Answer

HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low Platelets, a severe variant of preeclampsia with significant maternal morbidity.

Question 2

Which intervention is first-line for primary postpartum hemorrhage (PPH) from uterine atony?

Accepted Answer

Uterine massage and IV oxytocin

Answer

Uterine massage combined with IV oxytocin is the first-line treatment for atonic PPH, promoting uterine contraction and vasoconstriction.

Question 3

A laboring patient at 39 weeks suddenly becomes hypotensive, cyanotic, and develops coagulopathy minutes after AROM. What is the most likely diagnosis?

Accepted Answer

Amniotic fluid embolism (AFE)

Answer

AFE presents with sudden cardiovascular collapse, respiratory failure, and DIC following rupture of membranes or delivery, and carries high maternal mortality.

Question 4

Which antihypertensive is the first-line agent for acute severe hypertension in pregnancy in the US?

Accepted Answer

Labetalol IV or hydralazine IV

Answer

IV labetalol and IV hydralazine are both first-line agents for acute severe hypertension in pregnancy; ACE inhibitors like enalapril are contraindicated.

Question 5

The recommended management for a patient with shoulder dystocia that does not resolve with McRoberts maneuver and suprapubic pressure is:

Accepted Answer

Rubin II or Woods screw maneuver to rotate the fetal shoulder

Answer

If McRoberts and suprapubic pressure fail, rotational maneuvers (Rubin II, Woods screw, Zavanelli) are performed; fundal pressure worsens impaction.

CMS - Clinical Midwife Specialist Practice Test

CMS - Clinical Midwife Specialist Practice Test

CMS CMS Obstetric Complications & Emergency Management 2