CPC Maternal and Child Health

Question 1

A community paramedic visits a 28-year-old patient at 32 weeks gestation who reports a sudden onset headache, visual changes, and upper right quadrant abdominal pain.
Blood pressure is 158/106 mmHg.
These findings are MOST consistent with:

Accepted Answer

Severe preeclampsia or HELLP syndrome requiring immediate emergency escalation

Answer

Normal pregnancy hypertension that resolves with rest

Answer

Gestational migraine — a common third-trimester complaint

Answer

Indigestion related to the enlarged uterus compressing the stomach

Question 2

The Edinburgh Postnatal Depression Scale (EPDS) is used by community paramedics during postpartum home visits to screen for:

Accepted Answer

Postpartum depression and anxiety in new mothers

Answer

Postpartum hemorrhage risk

Answer

Infant developmental milestones

Answer

Gestational diabetes in the postpartum period

Question 3

A community paramedic is conducting a well-child home visit for a 9-month-old infant. Which developmental milestone should the infant TYPICALLY be demonstrating by this age?

Accepted Answer

Sitting without support and transferring objects between hands

Answer

Speaking 2-word phrases

Answer

Walking independently

Answer

Pointing to named body parts

Question 4

Safe sleep recommendations for infants to reduce the risk of Sudden Infant Death Syndrome (SIDS) include placing the infant:

Accepted Answer

Supine (on back) on a firm, flat surface, in their own sleep space, without soft bedding

Answer

Prone (on stomach) to prevent aspiration

Answer

Side-lying with a rolled blanket for positioning

Answer

In the parents' bed for monitoring purposes

Question 5

A community paramedic conducts a home visit for a pregnant patient with gestational diabetes who has been monitoring her blood glucose. A fasting glucose consistently above 95 mg/dL or 1-hour post-meal glucose above 130 mg/dL indicates:

Accepted Answer

Glucose targets not being met, requiring care team escalation for medication adjustment

Answer

Normal values for gestational diabetes — no treatment change needed

Answer

Probable type 1 diabetes onset during pregnancy

Answer

The patient is not performing glucose testing correctly

Question 6

The Healthy People 2030 initiative includes which of the following as a goal directly relevant to community paramedicine's maternal and child health interventions?

Accepted Answer

Reducing the infant mortality rate and increasing breastfeeding initiation and duration

Answer

Eliminating all childhood vaccine requirements

Answer

Transferring all prenatal care to paramedics

Answer

Achieving zero maternal mortality by 2025