FP-C Obstetric and Gynecological Emergencies 2

Question 1

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

Accepted Answer

Left lateral tilt or manual uterine displacement

Answer

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

Question 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?

Accepted Answer

4 minutes

Answer

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

Question 3

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

Accepted Answer

Painful uterine rigidity

Answer

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

Question 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?

Accepted Answer

Begin chest compressions at 3:1 ratio with ventilation

Answer

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

Question 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?

Accepted Answer

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

Answer

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

FP-C - Flight Paramedic-Certification Practice Test

FP-C - Flight Paramedic-Certification Practice Test

FP-C Obstetric and Gynecological Emergencies 2