AEMT Obstetric and Gynecological Emergencies 2

Question 1

Which of the following correctly describes placenta previa?

Accepted Answer

The placenta implants over or near the cervical os, causing painless bright-red vaginal bleeding

Answer

The placenta prematurely separates from the uterine wall, causing painful bleeding

Answer

The umbilical cord prolapses through the cervix before the baby

Answer

The uterus ruptures along a previous scar

Question 2

Abruptio placentae is characterized by:

Accepted Answer

Painful dark vaginal bleeding with a rigid, board-like uterus

Answer

Painless vaginal bleeding in the third trimester

Answer

Fetal foot presenting at the vaginal opening

Answer

Severe vomiting in the first trimester

Question 3

In a field delivery, the umbilical cord should be clamped and cut:

Accepted Answer

Once the baby is breathing and crying; clamp at 2–3 cm and 5 cm from the navel

Answer

Immediately at birth before stimulation

Answer

After the placenta delivers

Answer

Only if the baby is cyanotic

Question 4

A newborn is delivered and remains blue, limp, and apneic after 30 seconds of stimulation and warming. The NEXT step is:

Accepted Answer

Ventilate with a neonatal BVM at 40–60 breaths/min with 21% oxygen

Answer

Begin chest compressions immediately

Answer

Administer epinephrine IM

Answer

Clamp and cut the cord and defer to the hospital

Question 5

Postpartum hemorrhage is defined as blood loss exceeding how much after vaginal delivery?

Accepted Answer

500 mL

Answer

250 mL

Answer

1,000 mL

Answer

1,500 mL

Question 6

The MOST common cause of postpartum hemorrhage is:

Accepted Answer

Uterine atony (failure of the uterus to contract)

Answer

Retained placental fragments

Answer

Cervical laceration

Answer

Coagulation disorder