Clinical Expert Series
Emergency Preparedness in Obstetrics
Sina Haeri, MD and David Marcozzi MD
Obstet Gynecol 2015;125(4)
Continuing Medical Education credit is provided through joint sponsorship with
The American College of Obstetricians and Gynecologists.
ACCME Accreditation
The American College of Obstetricians and Gynecologists (the College) is accredited by the Accreditation Council for
Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA PRA Category 1 Credit(s)™
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 2 AMA PRA
Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.
College Cognate Credit(s)
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 2 Category 1
College Cognate Credits. The College has a reciprocity agreement with the AMA that allows AMA PRA Category 1 Credits™ to
be equivalent to College Cognate Credits.
Disclosure Statement
Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the
control of any commercial interest. All authors, reviewers, and contributors have disclosed to the College all relevant financial
relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any
business associate nor any member of their immediate families has financial interest or other relationships with any
manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through
group and outside review of all content.
Submission
Before submitting this form, please print a completed copy as confirmation of your program participation.
College Fellows: To obtain credits, complete and return this form by e-mail (obgyn@greenjournal.org) or fax (202-4790830). Your score, and a copy of the answer key, will be e-mailed to you after receipt of a completed quiz. Credit will be
recorded for those participants answering 80–100% of questions correctly. College Fellows may check their transcripts
online at http://www.acog.org, and any questions related to transcripts may be directed to educationcme@acog.org. For other
queries, please contact the Obstetrics & Gynecology Editorial Office, 202-314-2317 (phone) or obgyn@greenjournal.org (email).
Non–College Fellows: To obtain credits, submit the printout of the completed quiz to your accrediting institution. The printout
of the completed quiz is documentation for your continuing medical education credits.
Continuing medical education credit for “Emergency Preparedness in Obstetrics” will be available through April 2018.
1. Identifying similar characteristics of various potential disasters is a part of:
Limited resource management planning
“All-hazards” planning
Technological disaster management
Standard operating procedures (SOP) setting
Disaster simulation training
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;125(4)
Credit available through April 2018
Page 1 of 3
2. An effective method to increase community disaster preparedness for pregnant women is through:
Public service announcements
Childbirth classes
Hospital-sponsored Internet sites
Community opinion surveys
Emergency medical services (EMS) provider training
3. When planning for sheltering in place for the pregnant woman and her family, the amount of water
that should be set aside is:
0.5 gallon per person per day
1.0 gallon per person per day
1.5 gallons per person per day
1.0 gallon per person per day plus 1.5 gallons per pregnant person
700 mL per kg of combined weight of those sheltering, including infants
4. In preparing for a possible office closure during a disaster, it is most important that disaster planning
include:
Provision for physical security of the practice
Off-site record storage and access
Planning for utility cutoff (eg, gas service)
Answering machine messages
Policies on overtime pay
5. Under emergency conditions the “standard of care”:
Remains unchanged
Is specified by accreditation bodies
Must be determined by the chief of staff
Is determined by the nature of the emergency
Is limited to essential care
6. Which of the following areas can be pressed into service to meet the specific needs of high-risk
neonates during an emergency?
Conference rooms
Post-anesthesia care units
Secured waiting areas
Operating rooms
Semi-private postpartum rooms
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;125(4)
Credit available through April 2018
Page 2 of 3
7. Obstetric disaster triage is best accomplished by:
Patient’s family members
Advanced practice nurses
Obstetric physicians
Maternal-fetal medicine specialists
Emergency room physicians
8. A pregnant patient beyond 24 weeks of gestation has to undergo an emergency laparotomy for
treatment following major trauma. Delivery should be:
Dictated by normal obstetric considerations
By hysterotomy at the time of laparotomy
Delayed pending steroid administration
By transcervical evacuation at the time of surgery
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9. A core body temperature less than 95°F in a pregnant patient may result in:
Increased cardiac output
Increased plasma volume
Bradycardia
Disseminated intravascular coagulation
Hypervigilance
10. When a pregnant women is exposed to an explosion in an enclosed space, the patient or fetus should
be monitored for:
Uterine rupture
Placental abruption
Neonatal deafness
Fetal skeletal damage
Fetal pulmonary damage
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Actual time spent completing this activity (you may record up to 2 hours):
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;125(4)
Credit available through April 2018
Page 3 of 3