Board of Legal SpecializationPractice Exam

What is the appropriate initial action for a pregnant patient in cardiac arrest?

1. Ensure the patient is resuscitated quickly without any modifications

2. Immediately perform a cesarean delivery

3. Activate maternal and neonatal resuscitation teams

4. Start compressions without adjusting for pregnancy

The correct answer is: Activate maternal and neonatal resuscitation teams

The appropriate initial action for a pregnant patient in cardiac arrest involves activating maternal and neonatal resuscitation teams. This interaction is essential because cardiac arrest in pregnancy is not just a matter of resuscitating the mother but also involves considerations for the fetus. The activation of these specialized teams ensures that both maternal and neonatal needs are addressed promptly and effectively. In such emergencies, the standard resuscitation protocols may need adjustments. For example, the compression technique may be modified to accommodate the anatomical changes of pregnancy, such as the displacement of the diaphragm. A specialized maternal resuscitation team can implement these necessary adaptations. Additionally, activating neonatal teams is critical because if the mother does not respond to resuscitation efforts, the neonate may need to be delivered to improve outcomes for both. This coordinated response acknowledges the complexities of resuscitating a pregnant patient and ensures the best potential outcomes for both the mother and the unborn child.