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Obstetric and Gynecological Emergencies Flashcards

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

Read the first 6 Obstetric and Gynecological Emergencies flashcards as text

  1. A pregnant patient at 20 weeks is found supine and unconscious. What positional intervention should be performed immediately?

    Answer: Left lateral tilt or manual uterine displacement

    Left lateral tilt or manual left uterine displacement relieves aortocaval compression by the gravid uterus, improving cardiac output.

  2. A flight paramedic is managing a 28-week pregnant patient in cardiac arrest. How long should standard ACLS be attempted before performing perimortem cesarean delivery?

    Answer: 4 minutes

    Perimortem cesarean delivery should be performed at 4 minutes of resuscitation, targeting delivery by 5 minutes to improve maternal and fetal outcomes.

  3. Which sign differentiates placental abruption from placenta previa on physical assessment?

    Answer: Painful uterine rigidity

    Placental abruption typically presents with painful, rigid ('board-like') uterus, contrasting with the painless bleeding of placenta previa.

  4. During neonatal resuscitation of a newborn delivered in-flight, if heart rate remains below 60 bpm after 30 seconds of positive pressure ventilation, what is the next intervention?

    Answer: Begin chest compressions at 3:1 ratio with ventilation

    If HR remains <60 bpm after adequate positive pressure ventilation, chest compressions should be initiated at a 3:1 compression-to-ventilation ratio.

  5. A 24-year-old female presents with unilateral lower abdominal pain, vaginal spotting, and a positive pregnancy test. Her BP is 80/50 and HR 130. What is the priority intervention?

    Answer: Large-bore IV access, fluid resuscitation, and emergent transport

    Ruptured ectopic pregnancy causes life-threatening hemorrhage; immediate IV access, volume resuscitation, and rapid transport to surgical care are the priority.

  6. What is the initial drug of choice for eclamptic seizures in the prehospital setting?

    Answer: Magnesium sulfate 4-6 g IV over 15-20 minutes

    Magnesium sulfate is the definitive treatment for eclamptic seizures, with a loading dose of 4-6 g IV over 15-20 minutes followed by maintenance infusion.