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

Warm, dry, and stimulate the newborn in the first 30 seconds while repositioning the airway before further intervention.

Question 2

An ectopic pregnancy most commonly implants in the:

Accepted Answer

Fallopian tube (ampulla)

Answer

Approximately 95% of ectopic pregnancies occur in the fallopian tube, most commonly in the ampullary region.

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

A ruptured ectopic pregnancy causes severe unilateral pain, vaginal bleeding, and hemodynamic instability in early pregnancy.

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

PPH is defined as >500 mL blood loss after vaginal delivery or >1000 mL after cesarean section.

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

Left lateral tilt displaces the uterus off the IVC and aorta, improving venous return and cardiac output.

PCP - Primary Care Paramedic Practice Test