PCP Obstetric and Gynecological Emergencies 2

Question 1

A prolapsed umbilical cord is managed prehospital by:

Accepted Answer

Elevating the presenting part off the cord and rapid transport

Answer

Manually elevate the presenting fetal part to relieve cord compression, place the patient in knee-chest or Trendelenburg position, and transport rapidly.

Question 2

Supine hypotensive syndrome in a pregnant patient is caused by:

Accepted Answer

Aortocaval compression by the gravid uterus

Answer

The gravid uterus compresses the inferior vena cava and aorta when the patient is supine, reducing venous return and cardiac output.

Question 3

Placental abruption (abruptio placentae) classically presents with:

Accepted Answer

Painful, dark vaginal bleeding with a rigid uterus

Answer

Placental abruption presents with painful uterine contractions, a rigid/board-like uterus, and dark vaginal bleeding from premature placental separation.

Question 4

At what gestational age is a fetus generally considered viable outside the womb?

Accepted Answer

24–28 weeks

Answer

Viability is generally considered to begin at 24–28 weeks gestation with intensive neonatal care.

Question 5

After a normal delivery, the umbilical cord should be clamped and cut:

Accepted Answer

After the baby takes its first breath and pulsations in the cord slow or stop

Answer

Delayed cord clamping (after pulsations slow) is recommended to allow placental blood transfer to the newborn.

PCP - Primary Care Paramedic Practice Test

PCP - Primary Care Paramedic Practice Test

PCP Obstetric and Gynecological Emergencies 2