PCP Obstetric and Gynecological Emergencies

Question 1

During a normal delivery, which fetal part presents first?

Accepted Answer

Head (vertex presentation)

Answer

The vertex (head) presentation is normal, occurring in approximately 96% of deliveries.

Question 2

After delivery of the baby's head, the paramedic should immediately:

Accepted Answer

Check for a nuchal cord and suction if needed

Answer

After the head delivers, check for a nuchal cord (cord around the neck) and suction the mouth and nose if secretions are present.

Question 3

Pre-eclampsia is defined as hypertension after 20 weeks gestation with:

Accepted Answer

Proteinuria and/or organ dysfunction

Answer

Pre-eclampsia is BP ≥140/90 mmHg after 20 weeks gestation, accompanied by proteinuria or signs of end-organ damage.

Question 4

Eclampsia differs from severe pre-eclampsia by the addition of:

Accepted Answer

Grand mal seizures

Answer

Eclampsia is pre-eclampsia with the addition of tonic-clonic (grand mal) seizures.

Question 5

A pregnant patient at 32 weeks is experiencing vaginal bleeding that is painless. This presentation is most consistent with:

Accepted Answer

Placenta previa

Answer

Painless vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervical os.

PCP - Primary Care Paramedic Practice Test