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Obstetric and Gynecological Emergencies Flashcards

6 cards from real FP-C practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. During neonatal resuscitation, what is the target peripheral oxygen saturation 5 minutes after birth in a term infant?

    Answer: 80-85%

    NRP guidelines specify a target SpO2 of 80-85% at 5 minutes after birth for term neonates, reflecting normal transitional physiology.

  2. A gravid trauma patient has an estimated 30% blood loss. Which assessment finding is MOST concerning for fetal compromise even before obvious maternal deterioration?

    Answer: Decreased fetal movement reported by the mother

    The fetus can experience significant compromise before maternal vital signs become overtly abnormal due to uteroplacental redistribution of blood flow.

  3. A patient at 34 weeks presents with generalized tonic-clonic seizures. After confirming she is pregnant, which immediate assessment finding helps differentiate eclampsia from other seizure causes?

    Answer: BP greater than 160/110 mmHg with proteinuria

    Eclampsia is characterized by new-onset seizures in the context of severe hypertension (≥160/110) and proteinuria in the third trimester.

  4. When administering magnesium sulfate, which antidote must be immediately available?

    Answer: Calcium gluconate 1 g IV

    Calcium gluconate 1 g IV is the antidote for magnesium toxicity and should always be available at the bedside during magnesium infusion.

  5. A neonate delivered at 28 weeks requires intubation. What is the correct ET tube size?

    Answer: 2.5 mm uncuffed

    A 2.5 mm uncuffed ET tube is appropriate for preterm neonates less than 1,000 g or less than 28 weeks gestation per NRP guidelines.

  6. During transport of a pregnant patient in active labor, the umbilical cord prolapses. What is the MOST important initial intervention?

    Answer: Manually elevate the presenting part off the cord and maintain throughout transport

    Manually elevating the presenting fetal part off the prolapsed cord prevents compression and preserves umbilical blood flow until emergency delivery.