CPM Emergency Obstetric Complications 2

Question 1

HELLP syndrome is characterized by which diagnostic triad?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelet count

Answer

Hypertension, edema, and proteinuria

Answer

Headache, epigastric pain, and leg edema

Answer

Hypotension, elevated creatinine, and low hemoglobin

Question 2

The Zavanelli maneuver for shoulder dystocia involves:

Accepted Answer

Cephalic replacement into the vagina followed by emergency cesarean section

Answer

Hyperflexion of maternal thighs to widen the pelvic outlet

Answer

Lateral rotation of the posterior shoulder toward the fetal back

Answer

Delivery of the posterior arm to release the anterior shoulder

Question 3

A client experiences sudden severe dyspnea, cardiovascular collapse, and coagulopathy immediately after delivery of a healthy infant. The MOST likely diagnosis is:

Accepted Answer

Amniotic fluid embolism

Answer

Massive postpartum hemorrhage with hypovolemic shock

Answer

Acute pulmonary embolism from deep vein thrombosis

Answer

Uterine inversion with vagal response

Question 4

Bimanual uterine compression is performed to:

Accepted Answer

Mechanically compress the uterus between an internal vaginal hand and an external abdominal hand to control hemorrhage

Answer

Assess fetal position and presentation during active labor

Answer

Facilitate delivery of the placenta through sustained downward traction

Answer

Identify retained placental fragments by palpating the uterine cavity

Question 5

A laboring client at 41 weeks develops persistent fetal bradycardia with a heart rate of 88 bpm for 7 minutes that does not resolve with maternal position change. The MOST appropriate action is:

Accepted Answer

Change position, administer oxygen, establish IV access, and initiate emergency transport

Answer

Continue monitoring with reassessment in 15 minutes

Answer

Perform amnioinfusion to relieve possible cord compression

Answer

Apply additional external monitoring for more accurate assessment

Question 6

The antidote for magnesium sulfate toxicity is:

Accepted Answer

Calcium gluconate 10 mL of 10% solution IV

Answer

Naloxone (Narcan) 0.4 mg IV push

Answer

Atropine 0.5 mg IV to reverse bradycardia

Answer

Epinephrine 1 mg IV for cardiovascular collapse

Question 7

A third-degree perineal laceration is defined as one that extends through the:

Accepted Answer

External anal sphincter complex

Answer

Vaginal epithelium and perineal skin only

Answer

Perineal body muscles but not involving the anal sphincter

Answer

Internal anal sphincter and rectal mucosa