PCP Obstetric and Gynecological Emergencies 3

Question 1

A neonate is born limp, not breathing, and blue. Your first action is:

Accepted Answer

Stimulate and dry the infant, then reassess

Answer

Chest compressions

Answer

Intubate immediately

Answer

Administer epinephrine

Question 2

An ectopic pregnancy most commonly implants in the:

Accepted Answer

Fallopian tube (ampulla)

Answer

Ovary

Answer

Cervix

Answer

Peritoneal cavity

Question 3

A patient at 10 weeks gestation presents with unilateral pelvic pain, vaginal bleeding, and hypotension. You suspect:

Accepted Answer

Ruptured ectopic pregnancy

Answer

Placenta previa

Answer

Normal implantation bleeding

Answer

Placental abruption

Question 4

Post-partum hemorrhage is defined as blood loss exceeding:

Accepted Answer

500 mL after vaginal delivery or 1000 mL after C-section

Answer

250 mL after vaginal delivery

Answer

1500 mL regardless of delivery method

Answer

Any visible bleeding after 1 hour post-delivery

Question 5

When transporting a pregnant patient at 28 weeks, what position minimizes aortocaval compression?

Accepted Answer

Left lateral recumbent or supine tilted 15–30° left

Answer

Supine with legs elevated

Answer

Right lateral recumbent

Answer

Sitting fully upright at 90°

Question 6

Which of the following is a contraindication to field delivery and requires immediate transport?

Accepted Answer

Transverse (shoulder) presentation

Answer

Crowning with active pushing

Answer

Multipara with contractions 2 minutes apart

Answer

Intact amniotic sac at crowning