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

HELLP syndrome is defined by Hemolysis, Elevated Liver enzymes, and Low Platelets, representing a severe variant of preeclampsia with significant maternal and fetal morbidity.

Question 2

The Zavanelli maneuver for shoulder dystocia involves:

Accepted Answer

Cephalic replacement into the vagina followed by emergency cesarean section

Answer

The Zavanelli maneuver involves returning the fetal head to its pre-restitution position and replacing it back into the vagina, followed by immediate emergency cesarean section, and is used only as a last resort.

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

Sudden cardiovascular collapse with respiratory distress and coagulopathy at the time of delivery or immediately postpartum is the classic presentation of amniotic fluid embolism, a rare but catastrophic obstetric emergency.

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

Bimanual compression controls postpartum hemorrhage from uterine atony by mechanically compressing the uterine body between one fist placed in the anterior vaginal fornix and one hand on the abdomen.

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

Persistent fetal bradycardia below 110 bpm for more than 2 minutes that is unresponsive to position change indicates significant fetal compromise requiring immediate preparation for emergency transport.

CPM - Certified Professional Midwife Practice Test

CPM - Certified Professional Midwife Practice Test

CPM Emergency Obstetric Complications 2