CMS CMS Obstetric Complications & Emergency Management

Question 1

A patient at 32 weeks presents with painless, bright-red vaginal bleeding. Which condition is most likely?

Accepted Answer

Placenta previa

Answer

Placental abruption

Answer

Vasa previa

Answer

Bloody show

Question 2

Which triad of findings is characteristic of severe preeclampsia requiring immediate intervention?

Accepted Answer

BP ≥160/110 mmHg, severe headache, visual disturbances

Answer

BP ≥140/90, proteinuria, mild edema

Answer

BP ≥130/80, nausea, hyperreflexia

Answer

BP ≥150/100, epigastric pain, normal labs

Question 3

A patient experiences sudden, severe 'tearing' abdominal pain with fetal heart rate decelerations at 38 weeks. She has a prior uterine scar. The most likely diagnosis is:

Accepted Answer

Uterine rupture

Answer

Placental abruption

Answer

Cord prolapse

Answer

Severe preeclampsia

Question 4

Magnesium sulfate is administered in severe preeclampsia primarily to:

Accepted Answer

Prevent eclamptic seizures

Answer

Lower blood pressure acutely

Answer

Improve fetal lung maturity

Answer

Treat the underlying cause of preeclampsia

Question 5

Which clinical finding most reliably distinguishes placental abruption from placenta previa?

Accepted Answer

Painful uterine contractions with dark vaginal bleeding

Answer

Painless bright-red vaginal bleeding

Answer

Decreased fetal movement only

Answer

Hyperemesis with spotting

Question 6

A patient in active labor has a sudden variable deceleration with cord palpable in the vagina. The priority nursing action is:

Accepted Answer

Elevate the presenting part off the cord and call for emergency cesarean

Answer

Position patient in left-lateral and apply oxygen only

Answer

Administer tocolytics to stop contractions

Answer

Perform amnioinfusion immediately