FP-C Obstetric and Gynecological Emergencies

Question 1

A 32-week pregnant patient presents with painless bright-red vaginal bleeding. Which condition should the flight paramedic suspect first?

Accepted Answer

Placenta previa

Answer

Placental abruption

Answer

Uterine rupture

Answer

Ectopic pregnancy

Question 2

During a flight transport, a laboring patient delivers the head but the shoulders become impacted. What is the FIRST maneuver to attempt?

Accepted Answer

McRoberts maneuver with suprapubic pressure

Answer

Zavanelli maneuver

Answer

Woods screw maneuver

Answer

Posterior arm delivery

Question 3

A patient at 36 weeks gestation presents with severe hypertension (180/110 mmHg), headache, and visual disturbances. Which medication is most appropriate for acute BP management in-flight?

Accepted Answer

Hydralazine or labetalol IV

Answer

Metoprolol PO

Answer

Nifedipine sublingual

Answer

Sodium nitroprusside infusion

Question 4

Which magnesium sulfate finding during eclampsia management should prompt the flight paramedic to stop the infusion immediately?

Accepted Answer

Loss of deep tendon reflexes

Answer

Blood pressure drop of 10 mmHg

Answer

Respiratory rate of 14 breaths/min

Answer

Urinary output of 35 mL/hr

Question 5

A post-partum patient develops heavy vaginal bleeding unresponsive to fundal massage. What is the most common cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Retained placenta

Answer

Cervical laceration

Answer

Coagulopathy

Question 6

When transporting a patient with suspected placental abruption, which finding MOST suggests fetal compromise?

Accepted Answer

Fetal bradycardia below 100 bpm

Answer

Maternal tachycardia of 110 bpm

Answer

Rigid abdomen

Answer

Dark vaginal bleeding