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 neonate is born limp, not breathing, and blue. Your first action is:
Answer: Stimulate and dry the infant, then reassess
Warm, dry, and stimulate the newborn in the first 30 seconds while repositioning the airway before further intervention.
An ectopic pregnancy most commonly implants in the:
Answer: Fallopian tube (ampulla)
Approximately 95% of ectopic pregnancies occur in the fallopian tube, most commonly in the ampullary region.
A patient at 10 weeks gestation presents with unilateral pelvic pain, vaginal bleeding, and hypotension. You suspect:
Answer: Ruptured ectopic pregnancy
A ruptured ectopic pregnancy causes severe unilateral pain, vaginal bleeding, and hemodynamic instability in early pregnancy.
Post-partum hemorrhage is defined as blood loss exceeding:
Answer: 500 mL after vaginal delivery or 1000 mL after C-section
PPH is defined as >500 mL blood loss after vaginal delivery or >1000 mL after cesarean section.
When transporting a pregnant patient at 28 weeks, what position minimizes aortocaval compression?
Answer: Left lateral recumbent or supine tilted 15–30° left
Left lateral tilt displaces the uterus off the IVC and aorta, improving venous return and cardiac output.
Which of the following is a contraindication to field delivery and requires immediate transport?
Answer: Transverse (shoulder) presentation
Transverse presentation (shoulder dystocia in the birth canal) cannot be delivered vaginally in the field and requires emergency obstetric intervention.