AEMT Domain 4: Obstetrics and Gynecology Welcome to your AEMT Domain 4: Obstetrics and Gynecology 1. AEMT: Obstetrics and Gynecology During a breech delivery, the AEMT notices the presence of meconium-stained amniotic fluid. What is the most appropriate initial action? Prepare for immediate neonatal resuscitation. Apply gentle pressure to the baby's head. Encourage the mother to push harder. Perform a cesarean section. None 2. AEMT: Obstetrics and Gynecology In the context of obstetric emergencies, what is the primary concern associated with a prolapsed umbilical cord? Maternal hemorrhage Neonatal infection Fetal hypoxia Uterine rupture None 3. AEMT: Obstetrics and Gynecology An AEMT is attending a delivery and observes a limb presentation. What is the most appropriate next step? Attempt to reposition the limb. Prepare for a vaginal delivery. Initiate rapid transport to a medical facility. Apply gentle traction to the limb. None 4. AEMT: Obstetrics and Gynecology During a postpartum assessment, the AEMT notes that the patient's fundus is boggy and located above the expected level at the umbilicus. What is the most appropriate initial action? Administer IV fluids. Encourage breastfeeding. Perform uterine massage. Prepare for immediate surgery. None 5. AEMT: Obstetrics and Gynecology An AEMT is assessing a pregnant patient who is experiencing severe abdominal pain and vaginal bleeding at 32 weeks of gestation. The patient's blood pressure is 90/60 mmHg, and her pulse is 120 bpm. What is the most likely diagnosis? Ectopic pregnancy Placental abruption Gestational diabetes Preeclampsia None 6. AEMT: Obstetrics and Gynecology An AEMT is caring for a patient in labor who suddenly experiences a seizure. The patient's medical history is unknown. What is the most likely condition? Eclampsia Epilepsy Hypoglycemia Migraine None 7. AEMT: Obstetrics and Gynecology A pregnant patient at 38 weeks gestation is experiencing contractions every 3 minutes, each lasting 45 seconds. The cervix is dilated to 4 cm. What stage of labor is she in? First stage, latent phase First stage, active phase Second stage, latent phase Second stage, active phase None 8. AEMT: Obstetrics and Gynecology An AEMT is delivering a baby and notices that the umbilical cord is wrapped around the newborn's neck. What is the first action the AEMT should take? Clamp and cut the cord immediately. Gently lift the cord over the baby's head. Prepare for neonatal resuscitation. Apply gentle traction to the cord. None 9. AEMT: Obstetrics and Gynecology An AEMT is called to assist with a home birth where the mother is known to have polyhydramnios. What complication is the mother MOST at risk for during labor? Precipitous delivery Uterine atony Prolapsed umbilical cord Gestational diabetes None 10. AEMT: Obstetrics and Gynecology During the third trimester, a patient presents with sudden swelling in her face and hands, a headache, and visual disturbances. What condition should the AEMT suspect? HELLP syndrome Ectopic pregnancy Preeclampsia Braxton Hicks contractions None 11. AEMT: Obstetrics and Gynecology A patient in her second trimester of pregnancy presents with painless, bright red vaginal bleeding. Which condition is most likely responsible for her symptoms? Placenta previa Placental abruption Uterine rupture Ectopic pregnancy None 12. AEMT: Obstetrics and Gynecology In the case of a postpartum hemorrhage, which medication is MOST likely to be administered to promote uterine contraction? Oxytocin Ibuprofen Acetaminophen Methotrexate None 13. AEMT: Obstetrics and Gynecology A newborn's APGAR score at 1 minute is 6. What is the most appropriate initial action? Initiate full neonatal resuscitation. Provide positive pressure ventilation. Administer supplemental oxygen. Continue observation and reassess at 5 minutes. None 14. AEMT: Obstetrics and Gynecology What is the primary concern for an AEMT when managing a patient with suspected eclampsia? Controlling the seizures Managing the delivery Monitoring for infection Providing pain management None 15. AEMT: Obstetrics and Gynecology When assessing a patient in labor, the AEMT finds the fetal heart rate to be 80 bpm. What is the most appropriate immediate action? Prepare for immediate delivery. Administer oxygen to the mother. Change the mother's position. Initiate rapid transport to a hospital. None 16. AEMT: Obstetrics and Gynecology In the case of shoulder dystocia during delivery, what maneuver should the AEMT FIRST attempt? Cesarean section McRoberts maneuver Suprapubic pressure Episiotomy None 17. AEMT: Obstetrics and Gynecology A pregnant patient with a known history of heroin use is in labor. The AEMT should be MOST prepared to manage which condition in the newborn? Hyperactivity Respiratory depression Congenital heart defects Hypoglycemia None 18. AEMT: Obstetrics and Gynecology If a pregnant patient's blood type is Rh-negative, the AEMT should understand the primary risk involves which of the following? Maternal diabetes Neonatal jaundice Hemolytic disease of the newborn Maternal hypertension None 19. AEMT: Obstetrics and Gynecology When managing a patient with a suspected ectopic pregnancy, the AEMT understands that the primary risk is: Gestational diabetes Uterine rupture Placental abruption Preterm labor None 20. AEMT: Obstetrics and Gynecology In a case where the AEMT observes a dark, purplish mass protruding from the vagina post-delivery, the MOST likely diagnosis is: Vaginal hematoma Uterine inversion Cervical laceration Placental remnants None 1 out of 20 Time is Up! Time's up