Practice Test Geeks(FISDAP) Field Internship Student Data Acquisition Project Practice Test
← All FISDAP Flashcard Decks

OB/GYN Emergencies Flashcards

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

Read the first 7 OB/GYN Emergencies flashcards as text

  1. A 24-year-old woman with a positive pregnancy test presents with sharp left lower quadrant pain and vaginal spotting. Vital signs: BP 90/60, HR 118, pale and diaphoretic. The EMT should suspect:

    Answer: Ruptured ectopic pregnancy

    Hypotension, tachycardia, peritoneal signs, and a positive pregnancy test with unilateral pelvic pain strongly suggest a ruptured ectopic pregnancy with hemoperitoneum.

  2. During a field delivery, the placenta has not delivered 30 minutes after the baby. The EMT should:

    Answer: Monitor for hemorrhage, keep the cord clamped, and transport for hospital management

    Retained placenta beyond 30 minutes requires hospital management; the EMT should monitor for hemorrhage and transport without attempting manual removal.

  3. A term neonate is born covered in thick, green-tinged amniotic fluid and is not vigorous (limp, HR 60, no respiratory effort). The MOST appropriate initial prehospital action is:

    Answer: Bring the neonate to the warmer, dry and stimulate, then assess for need for PPV

    Current NRP guidelines state that even with meconium-stained fluid, initial steps are warmth, drying, and stimulation followed by assessment; routine intubation for meconium suctioning is no longer recommended for non-vigorous neonates without evidence of obstruction in many EMS systems.

  4. A woman at 36 weeks gestation presents with painless, bright-red vaginal bleeding. She denies contractions. This presentation is MOST consistent with:

    Answer: Placenta previa

    Painless bright-red antepartum hemorrhage in the third trimester is the classic presentation of placenta previa, where the placenta overlies the cervical os.

  5. When managing a patient with placenta previa in the field, the EMT should:

    Answer: Apply a sterile pad, do NOT perform a vaginal exam, and transport rapidly

    Vaginal examination in suspected placenta previa can cause catastrophic hemorrhage; the EMT should apply an external pad and transport immediately.

  6. A neonate delivered in the field has a 1-minute APGAR score of 4. Which component contributes MOST to the score if the baby is pink centrally, HR 90, weak cry, some flexion, and grimaces to stimulation?

    Answer: Respiratory effort (0 points)

    A score of 4 in this scenario reflects: color=1 (acrocyanosis), HR=1 (60-100), respiratory effort=0 (weak/irregular cry scores 1 but no cry=0), tone=1, reflex=1; the weak/absent respiratory effort is the category contributing 0.

  7. Which of the following is the MOST reliable prehospital sign of imminent delivery?

    Answer: Crowning of the presenting part

    Crowning — visible bulging of the presenting part at the vaginal introitus — is the definitive sign that delivery is imminent and transport should be halted.