PCP Obstetric and Gynecological Emergencies

Question 1

During a normal delivery, which fetal part presents first?

Accepted Answer

Head (vertex presentation)

Answer

Buttocks

Answer

Feet

Answer

Shoulder

Question 2

After delivery of the baby's head, the paramedic should immediately:

Accepted Answer

Check for a nuchal cord and suction if needed

Answer

Clamp and cut the umbilical cord

Answer

Deliver the placenta

Answer

Administer oxytocin

Question 3

Pre-eclampsia is defined as hypertension after 20 weeks gestation with:

Accepted Answer

Proteinuria and/or organ dysfunction

Answer

Hypoglycemia

Answer

Fever above 38°C

Answer

Vaginal bleeding

Question 4

Eclampsia differs from severe pre-eclampsia by the addition of:

Accepted Answer

Grand mal seizures

Answer

Higher blood pressure readings

Answer

Peripheral edema

Answer

Visual disturbances

Question 5

A pregnant patient at 32 weeks is experiencing vaginal bleeding that is painless. This presentation is most consistent with:

Accepted Answer

Placenta previa

Answer

Placental abruption

Answer

Ectopic pregnancy

Answer

Uterine rupture

Question 6

The Apgar score is assessed at 1 and 5 minutes after birth. Which five criteria are evaluated?

Accepted Answer

Activity, Pulse, Grimace, Appearance, Respiration

Answer

Alertness, Pulse, Grimace, Amplitude, Respiration

Answer

Activity, Pressure, Grunting, Appearance, Reflex

Answer

Alertness, Perfusion, Grimace, Appearance, Rate