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Emergency Obstetric Complications Flashcards

7 cards from real CPM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Emergency Obstetric Complications flashcards as text

  1. When applying suprapubic pressure during management of shoulder dystocia, the direction of force should be:

    Answer: Lateral and downward toward the fetal face to dislodge the impacted anterior shoulder

    Suprapubic pressure should be directed laterally toward the fetal face to displace the impacted anterior shoulder from behind the pubic symphysis into the oblique diameter.

  2. A client in augmented labor suddenly experiences the cessation of contractions, severe abdominal pain, and a change in fetal station on repeat examination. These findings are MOST consistent with:

    Answer: Uterine rupture

    Sudden cessation of contractions, severe abdominal pain, and a change in fetal presentation or station are classic signs of uterine rupture, particularly in the context of oxytocin augmentation.

  3. The recommended management of a retained placenta at a homebirth when it has not delivered 30 minutes after the birth of the infant includes:

    Answer: Establish IV access, attempt controlled cord traction with fundal support, and initiate transfer

    At 30 minutes, establishing IV access, attempting gentle controlled cord traction, and preparing for hospital transfer is appropriate at a homebirth, as manual removal requires anesthesia and surgical backup.

  4. According to Neonatal Resuscitation Program (NRP) guidelines, the FIRST intervention for a newborn who is apneic with a heart rate of 60 bpm at birth is:

    Answer: Provide stimulation and initiate positive pressure ventilation

    NRP guidelines prioritize stimulation and positive pressure ventilation first for an apneic newborn, as most neonatal bradycardia is respiratory in origin and resolves with effective ventilation.

  5. The drug of choice for both treatment and prevention of eclamptic seizures in obstetric patients is:

    Answer: Magnesium sulfate loading dose followed by maintenance infusion

    Magnesium sulfate is the evidence-based drug of choice for preventing and treating eclamptic seizures due to its superior efficacy and safety profile compared to anticonvulsants.

  6. A CPM should initiate immediate emergency transport during a homebirth for which of the following fetal heart rate findings?

    Answer: Prolonged fetal bradycardia to 82 bpm for 6 minutes unresponsive to position change and oxygen

    Persistent fetal bradycardia below 110 bpm lasting more than 2 minutes and unresponsive to corrective measures is a non-reassuring finding that necessitates immediate emergency transport.

  7. According to standard CPM practice and ACNM/NARM guidelines, which uterotonic medication is considered FIRST-LINE for treating uterine atony at a homebirth?

    Answer: Oxytocin (Pitocin) 10–40 units IV or 10 units IM

    Oxytocin is the first-line uterotonic for postpartum hemorrhage due to uterine atony per WHO, ACNM, and ACOG guidelines, offering the best efficacy and safety profile without contraindications related to hypertension or asthma.