Obstetric and Gynecological Emergencies Flashcards
6 cards from real PCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Obstetric and Gynecological Emergencies flashcards as text
A prolapsed umbilical cord is managed prehospital by:
Answer: Elevating the presenting part off the cord and rapid transport
Manually elevate the presenting fetal part to relieve cord compression, place the patient in knee-chest or Trendelenburg position, and transport rapidly.
Supine hypotensive syndrome in a pregnant patient is caused by:
Answer: Aortocaval compression by the gravid uterus
The gravid uterus compresses the inferior vena cava and aorta when the patient is supine, reducing venous return and cardiac output.
Placental abruption (abruptio placentae) classically presents with:
Answer: Painful, dark vaginal bleeding with a rigid uterus
Placental abruption presents with painful uterine contractions, a rigid/board-like uterus, and dark vaginal bleeding from premature placental separation.
At what gestational age is a fetus generally considered viable outside the womb?
Answer: 24–28 weeks
Viability is generally considered to begin at 24–28 weeks gestation with intensive neonatal care.
After a normal delivery, the umbilical cord should be clamped and cut:
Answer: After the baby takes its first breath and pulsations in the cord slow or stop
Delayed cord clamping (after pulsations slow) is recommended to allow placental blood transfer to the newborn.
Which of the following medications is used prehospital to prevent eclamptic seizures?
Answer: Magnesium sulfate
Magnesium sulfate is the drug of choice for prophylaxis and treatment of eclamptic seizures.